Pediatric emergency care
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Pediatric emergency care · Feb 2014
ReviewInfant botulism and indications for administration of botulism immune globulin.
Infant botulism is caused by the ingestion of Clostridium botulinum spores and leads to a life-threatening descending motor weakness and flaccid paralysis in infant children. This disease presents with symptoms such as constipation, weakness, and hypotonia and can lead to respiratory failure. ⋯ It is indicated in children with clinically diagnosed infant botulism, before diagnostic confirmation, and has been shown to lead to a significant reduction in intensive care unit and hospital stay for these patients. This review article discusses the epidemiology, clinical presentation, history of BIG, and indications for administration of BIG.
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Pediatric emergency care · Feb 2014
Comparative StudyRespiratory Diseases in Pediatric Triage: A Comparison Between a General Emergency Department and a Pediatric Emergency Department.
In this study, the authors have compared data concerning the pediatric triage that is carried out in 2 large emergency departments (EDs) in Rome, one located in a university pediatric clinic with qualified staff and the other one in a general hospital with a high flow of users and pediatric admissions. ⋯ In the light of what we pointed out, it is necessary to implement the educational and informative quality of the triage operators and educators, planning periodical triage training courses to reduce errors. Particular emphasis must be placed on providing pediatric continuing education for nurses practicing in general ED.
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Pediatric emergency care · Feb 2014
Providing Adolescent Sexual Health Care in the Pediatric Emergency Department: Views of Health Care Providers.
The purpose of this study was to explore health care providers' (HCPs') attitudes and beliefs about adolescent sexual health care provision in the emergency department (ED) and to identify barriers to a health educator-based intervention. ⋯ Despite challenges unique to the ED, HCPs were supportive of the intervention and perceived the health educator as a resource to improve adolescent care and services. Future research should evaluate efficacy and costs of a health educator in this setting.
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Pediatric emergency care · Feb 2014
Standardized Process Used in the Emergency Department for Pediatric Oncology Patients With Fever and Neutropenia Improves Time to the First Dose of Antibiotics.
This study aimed to evaluate the effect of a standardized process on time to the first dose of antibiotics in pediatric oncology patients presenting to the emergency department (ED) with fever and neutropenia (F-N). ⋯ The use of a standardized process that uses a standardized order set can reduce the time to the first dose of antibiotics in pediatric oncology patients with F-N.