Pediatric emergency care
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Pediatric emergency care · Jan 2013
Comparative StudyComparison of rectal, axillary, tympanic, and temporal artery thermometry in the pediatric emergency room.
Accurate measurement of temperature in the emergency room is important for diagnosis as well as investigating a patient. Various noninvasive methods thermometry are available today, but there is no consensus on the most accurate method of thermometry. ⋯ Temporal artery thermometry has the potential to replace rectal thermometry in a busy emergency room setting.
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Pediatric emergency care · Jan 2013
Multicenter StudyTraumatic deaths in children: is there a difference between urban and rural populations?
Trauma is a leading cause of death among children. Detailed knowledge of the epidemiology of traumatic childhood deaths is necessary for allocating available treatment resources and for preventing injuries at both community and regional levels. To our knowledge, there has been no report comparing urban to rural pediatric deaths of this nature. ⋯ Patterns of injury have been linked with injury locales that can aid the emergency provider in the assessment of children who die as a result of injury. Despite the challenges involved, there is a clear need to further identify differences in patterns of fatal injuries in urban and rural areas and to better translate and evaluate prevention and intervention programs in rural communities.
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Pediatric emergency care · Jan 2013
The role of high-fidelity simulation in training pediatric emergency medicine fellows in the United States and Canada.
The American Academy of Pediatrics Section on Emergency Medicine's Simulation Interest Group developed a survey targeting pediatric emergency medicine (PEM) fellowship program directors to assess the use of high-fidelity simulation (HFS) in PEM fellow training. ⋯ Sixty-three percent of PEM fellowship programs integrate HFS-based activities. The majority of PEM fellowship program directors value the role of HFS in augmenting clinical experience and documenting procedural skills. Regional simulation centers are one possible solution to offer HFS training to fellowships with limited financial support and/or lack of experienced simulation faculty.
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Pediatric emergency care · Jan 2013
Multicenter StudyPrevalence of abusive fractures of the hands, feet, spine, or pelvis on skeletal survey: perhaps "uncommon" is more common than suggested.
Recently, it has been suggested that views of the hands, feet, spine, and pelvis should be omitted from routine skeletal surveys (SSs) because these fractures are rarely identified by SS. Our objective was to describe the prevalence of fractures to the hands, feet, spine, or pelvis among SSs obtained for children in a large, multicenter population who underwent consultation for physical abuse. ⋯ A significant number of occult, abusive fractures would have been missed if SSs had omitted or deferred views of the hands, feet, spine, and pelvis. Given the risks associated with missed abuse, these views should be routinely included in the radiographic SS.
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Pediatric emergency care · Jan 2013
Randomized Controlled TrialCryotherapeutic topical analgesics for pediatric intravenous catheter placement: ice versus vapocoolant spray.
Intravenous catheter placement is one of the most common sources of pain for children in inpatient settings. We sought to compare the efficacy of 2 cryotherapeutic treatments for this procedure: vapocoolant spray versus topical ice pack. ⋯ Vapocoolant spray may be more effective than ice as an analgesic for IV insertion. Subjects were more satisfied with vapocoolant spray. Neither agent caused a decrease in successful IV insertion rates.