Pediatric emergency care
-
Pediatric emergency care · Dec 2011
Safety and efficacy of milk and molasses enemas compared with sodium phosphate enemas for the treatment of constipation in a pediatric emergency department.
The purpose of this study was to determine the safety and efficacy of routine milk and molasses enemas (MME) compared with sodium phosphate enemas for the treatment of constipation in the pediatric emergency department (ED). A secondary objective included the identification of factors associated with enema selection in the pediatric ED. ⋯ No statistically significant differences were found between MME and sodium phosphate enemas. Based on our results, the 2 treatment options were found to be equally safe and effective.
-
Pediatric emergency care · Dec 2011
Three-percent saline administration during pediatric critical care transport.
The purpose of this study was to describe the administration of 3% saline (3%S) during pediatric critical care transport. ⋯ It seems 3%S may be administered safely during pediatric critical transport and administration routes can include peripheral lines. With the importance of initiating therapy early to improve patient outcomes, the use of 3%S may benefit transported children with brain injury and suspected intracranial hypertension.
-
Previous studies of the seasonality of testicular torsion have yielded conflicting results. Our goal was to examine this issue in a large emergency department (ED) database. We also hypothesized that seasonal patterns would be similar in younger and older patients. ⋯ Testicular torsion visits are more frequent in the winter than in the summer months.
-
Pediatric emergency care · Dec 2011
Return visits to the emergency department among febrile children 3 to 36 months of age.
The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning group), compared with age-matched children who did not return to the ED (nonreturning group). Demographics and predischarge evaluation extent were focused on. ⋯ Higher fever causes higher rate of return visits. Among the investigated groups, pain was the sole differentiating symptom. Further studies should identify patterns that diminish children's ED readmission.