Pediatric emergency care
-
Pediatric emergency care · Feb 2010
Comparative StudyPediatric mental health concerns in the emergency department: caregiver and youth perceptions and expectations.
The main purpose of this research was to identify the perceived mental health (MH) concerns of caregivers and youths who present to the emergency department (ED) for MH services. The concordance between caregiver and youth perceptions and clinician ratings of MH concerns were evaluated. Expectations for the visit and perceived stressors that triggered the event are described. ⋯ The top 5 caregivers and youths' main concerns for coming to the ED were similar. However, concordance between perceived concern and clinician assessment is low. Caregivers' expectations for coming to the ED highlight their lack of knowledge of referral procedures and MH services.
-
Pediatric emergency care · Feb 2010
ReviewCommon pediatric fractures treated with minimal intervention.
The unlikely event of long-term complications in some pediatric fractures, such as midclavicular fractures, has allowed for management of these injuries with interventions that support the injured extremity rather than immobilize it while healing occurs. However, there is currently a growing body of evidence that advocates for this approach for some of the most frequently encountered pediatric fractures also at very low risk of future problems but, in contrast, have conventionally been managed with orthopedic consultation and rigid casting for several weeks. Therefore, this article will review the evidence that recommends that management of some of the most common upper and lower pediatric extremity fractures be treated with minimal interventions, such as removable splints and follow-up with a primary care provider.
-
Pediatric emergency care · Feb 2010
Intravenous amiodarone used alone or in combination with digoxin for life-threatening supraventricular tachyarrhythmia in neonates and small infants.
The purpose of this study was to report the efficacy of intravenous amiodarone alone or in combination with digoxin in neonates and small infants with life-threatening supraventricular tachyarrhythmia (SVT). ⋯ Intravenous amiodarone alone or in combination with digoxin was found to be safe and effective in controlling refractory and life-threatening SVT in neonates and small infants.
-
Pediatric emergency care · Feb 2010
Anaphylaxis management in the pediatric emergency department: opportunities for improvement.
To determine the rate, immediate treatment, and outpatient management for anaphylaxis in patients receiving care in a pediatric emergency department (ED). ⋯ This study is the first to describe the management of anaphylaxis in a pediatric ED. The results revealed opportunities for improvement. Although our ED treatment and outpatient management of patients with anaphylaxis did not meet the recommended standards of care with regard to administration of intramuscular epinephrine, prescribing autoinjection epinephrine, or referral to an allergist for all patients who had a diagnosis of anaphylaxis, we do report a higher concordance with published recommendations than those reported in previous studies performed in adults.
-
Pediatric emergency care · Feb 2010
Increased prevalence of behavioral risks among adolescent and young adult women with psychological distress in the emergency department.
Mental health problems in adolescents have been recognized as a significant medical concern. They have been associated with risk-taking behaviors during adolescence. ⋯ Screening for mental health issues in the emergency department may identify a significant number of adolescent patients in need of further evaluation, especially as half of surveyed patients reported the PED as a usual source of health care.