Pediatric emergency care
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Pediatric emergency care · Apr 2011
Comparative StudyConsistency between emergency department and orthopedic physicians in the diagnosis and treatment of distal fibular Salter Harris I fractures.
The objective was to determine diagnostic and management differences between emergency physicians (EPs) and orthopedic physicians (OPs) for patients with distal fibular physis pain without radiographic fracture. ⋯ Although EPs diagnosed SH I fracture more frequently than OPs, few fractures were missed. Most patients required ongoing immobilization by OPs regardless of final diagnosis. Suspected SH I fractures should be immobilized and referred for orthopedic evaluation.
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Pediatric emergency care · Apr 2011
Comparative StudyParental reasons for utilization of an urban pediatric emergency department during the 2009 H1N1 influenza epidemic.
The objective of the study was to understand the utilization of the pediatric emergency department (PED) of an academic hospital during regular primary care office hours during the 2009 H1N1 epidemic. Children with a usual source of care presenting for influenza-like illness (ILI) symptoms were compared with those presenting with other symptoms. ⋯ Enhancing access to primary care settings and encouraging parents to use their primary care providers might reduce the utilization of the PED for nonurgent problems during epidemics.
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Pediatric emergency care · Apr 2011
Case ReportsBedside ultrasound in the diagnosis of skull fractures in the pediatric emergency department.
Bedside ultrasound has become a diagnostic tool that is commonly used in the emergency department. In trained hands, it can be used to diagnose multiple pathologies. In this case series, we describe the utility of ultrasound in diagnosing skull fractures in pediatric patients with scalp hematomas.