Pediatric emergency care
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Pediatric emergency care · May 2009
Final evaluation of the 2005 to 2007 National Pediatric Emergency Medicine Fellows' Conferences.
Evaluate the effectiveness of the 2005 to 2007 National Pediatric Emergency Medicine (PEM) Fellows Conference series in achieving predefined objectives in the domains of scholarship, leadership, and partnership. ⋯ The National PEM Fellows' Conference is an effective means to increasing fellows' knowledge about scholarship, leadership, and partnership in EMSC and increasing their confidence and intentions to conduct research in EMSC.
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Pediatric emergency care · May 2009
Comparative StudySerious adverse events during procedural sedation with ketamine.
Compare the frequency of respiratory adverse events between patients who received intramuscular (IM) versus intravenous ketamine. ⋯ Respiratory adverse events with ketamine are uncommon. Serious events, like laryngospasm, are rare but occur more commonly with IM administration. This increased risk associated with IM administration should be considered in the sedation plan.
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Pediatric emergency care · May 2009
Parental preference for rehydration method for children in the emergency department.
To determine which rehydration method, oral or intravenous, parents would choose for their child when given the opportunity to make an informed decision and to determine factors influencing preference. ⋯ When given the opportunity to make an informed decision, more parents chose intravenous rehydration. However, the prospect of an effective oral antiemetic medication might lead more parents to choose oral rehydration.
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Reducing cycle times in pediatric emergency medicine is an ongoing challenge to practitioners and institutions who strive to provide outstanding medical care in a caring and efficient manner amid the chaotic environment of a busy emergency department. For institutions that wish to undertake such a task, there is scant pediatric literature on these topics. The objectives of this study were to reduce emergency department cycle times and to set a benchmark in these areas for pediatric emergency medicine. ⋯ At 1 year, we were able to reduce cycle times in the main EC and QK and time of pain medication administration for patients with suspected fractures. These results were sustainable over time and in the face of increasing patient volume. We anticipate this work will set benchmarks in pediatric emergency medicine for process improvement and support the development of similar programs to reduce cycle times and improve operational efficiency.