Pediatric emergency care
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Pediatric emergency care · May 2015
Emergency Medical Services System Utilization Over the Last 10 Years: What Predicts Transport of Children?
The aim of this study was to determine the predictors of pediatric ambulance transport and evaluate changes in utilization over a 10-year period. ⋯ Ambulance transport to the ED is used more often by teens, blacks, publicly insured, overnight arrivals, and those living in an MSA or the northeast. It is concerning that many children triaged with a high urgency or requiring critical care did not arrive by ambulance.
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Pediatric emergency care · May 2015
Substance Abuse and Mental Health Visits Among Adolescents Presenting to US Emergency Departments.
The objectives of the study were to identify factors associated with adolescent emergency department (ED) visits for substance abuse, including those complicated by mental health (dual diagnosis), and to analyze their effect on ED length of stay (LOS) and disposition. ⋯ Substance abuse and dual diagnosis are common among adolescent ED visits and are strongly associated with increased use of prehospital resources, ED LOS, and need for hospitalization.
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Pediatric emergency care · May 2015
Factors Associated With Participation in Research Conducted in a Pediatric Emergency Department.
To examine the association of demographic and study characteristics in eligible subjects who agree to participate compared with those who did not participate in clinical research studies in a pediatric emergency department (PED). ⋯ Study characteristics including invasiveness, time required of patients, and whether compensation is offered, along with demographic factors, influence participation in clinical studies conducted in the PED. When designing a research study in the PED, these, along with novel approaches to including all races and ethnicities in PED research, should be considered.
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Pediatric emergency care · May 2015
Prehospital Pain Management in Children With Traumatic Injuries.
Damage that arises as a result of injuries is one of the most common causes of children presenting to hospital emergency departments. ⋯ Despite the training of medical staff, provision of analgesia for children with burns and traumatic injuries of the osteoarticular system is inadequate.
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Pediatric emergency care · May 2015
Observational StudyAssessing Physician-Parent Communication During Emergency Medical Procedures in Children: An Observational Study in a Low-Literacy Latino Patient Population.
Effective physician-patient communication is critical to the clinical decision-making process. We studied parental recall of information provided during an informed consent discussion process before performance of emergency medical procedures in a pediatric emergency department of an inner-city hospital with a large bilingual population. ⋯ A gap in communication may exist between physicians and patients (or parents of patients) during the consent-taking process, and this gap may be impacted by socio-demographic factors such as language and education level.