Pediatric emergency care
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Pediatric emergency care · Dec 2012
Randomized Controlled Trial Comparative StudyA randomized controlled trial to engage in care of adolescent emergency department patients with mental health problems that increase suicide risk.
In pediatric emergency departments (EDs), adolescents at risk for suicide often escape detection and successful referral for outpatient mental health care. ⋯ When adolescents are identified in the ED with previously unrecognized mental health problems that increase suicide risk, a brief motivational and barrier-reducing intervention improves linkage to outpatient mental health services.
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Pediatric emergency care · Dec 2012
Randomized Controlled Trial Comparative StudyA randomized comparison of nitrous oxide versus intravenous ketamine for laceration repair in children.
Ketamine is used intramuscularly or intravenously as a sedative when repairing the skin lacerations of children in many emergency departments (EDs). Nitrous oxide (N(2)O) has the advantages of being a sedative agent that does not require a painful injection and that offers shallower levels of sedation and a rapid recovery of mental state. We evaluated the clinical usefulness of N(2)O compared with intravenous ketamine when used for the repair of lacerations in children in the ED. ⋯ Nitrous oxide inhalation was preferable to injectable ketamine for pediatric patients because it is safe, allows for a faster recovery, maintains sufficient sedation time, and does not induce unnecessarily deep sedation.