Pediatric emergency care
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Pediatric emergency care · Jun 2015
Review Case ReportsButton Battery Intake as Foreign Body in Chinese Children: Review of Case Reports and the Literature.
Button batteries have been recognized as one of the dangerous foreign bodies to children for more than 30 years, but few related studies have been published to give more concern in China. ⋯ A small number of children with button battery as foreign body were reported in China, which is 1 of the biggest countries with large population of children.
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Pediatric emergency care · Jun 2015
ReviewHead trauma and intracranial hemorrhage in children with idiopathic thrombocytopenic purpura.
The current guidelines for management of idiopathic thrombocytopenic purpura (ITP) does not address head trauma and the current emergency pediatric head trauma management guidelines do not address children with ITP. The characteristics of patients who develop intracranial hemorrhage (ICH) as a result of head trauma or the management of head trauma in patients with ITP are not clear. ⋯ Intracranial haemorrhage after head trauma in children with ITP leads to significant morbidity and mortality. As such, more thorough investigations, including radiological imaging and aggressive treatment, are recommended for children with ITP presenting with head injuries.
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Pediatric emergency care · Jun 2015
Review Case ReportsA swollen hand with blisters: a case of compartment syndrome in a child.
The accurate identification of compartment syndrome in the emergency department is essential to timely treatment and prevention of long-term sequela. Recognizing compartment syndrome is not straightforward, especially in the pediatric population. ⋯ We report a case of a child with compartment syndrome to the left hand due to compression from an ACE wrap. The existing literature on compartment syndrome in children is reviewed.
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Pediatric emergency care · Jun 2015
Comparative Study Observational StudyCreating a Leaner Pediatric Emergency Department: How Rapid Design and Testing of a Front-End Model Led to Decreased Wait Time.
To use Lean methodologies and the Model for Improvement to rapidly redesign and pilot test a new pediatric emergency department (ED) front-end model that reduces time to a licensed independent provider to 30 minutes or less. ⋯ Rapid process improvement methodology was used to design and test a front-end model that reduced patient waiting time. Our experience demonstrates the feasibility of employing Lean principles and the Model for Improvement in actual practice environments to rapidly improve care delivery processes in pediatric emergency departments.
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Pediatric emergency care · Jun 2015
Compliance of Medications Prescribed From a Pediatric Emergency Department.
Studies regarding compliance of medications prescribed from emergency departments (EDs) have primarily been adult-based or based on self-reported data. Most pediatric studies have shown that patients with private insurance tend to be more compliant. This study aims to determine the rate of medication compliance from a pediatric ED, which medications are most likely to be filled, if there are differences in compliance based on insurance status and age, and if noncompliant patients are more likely to have unintended return visits to the ED. ⋯ Over a quarter of patients prescribed medications were noncompliant. However, there was no statistically significant difference in compliance between age, diagnosis, insurance status, or type of medication. Unlike most previous studies, privately insured patients were just as unlikely to fill their medications as publicly insured patients, and cost did not appear to be a contributing factor to noncompliance. Therefore efforts to educate patients and their families should be widespread and unbiased.