Pediatric emergency care
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Pediatric emergency care · Mar 2017
Comparative StudyImaging for Suspected Appendicitis: Variation Between Academic and Private Practice Models.
Little is known regarding the effect of different emergency department (ED) practice models on computed tomography (CT) and ultrasound (US) utilization for suspected appendicitis in the ED and through the potential inpatient hospital stay. ⋯ In this study of 2 PEDs with differing practice models, we identified a dramatic difference in imaging utilization among patients with suspected appendicitis.
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Pediatric emergency care · Mar 2017
Utility of Emergency Department Observation Units for Neurologically Intact Children With Head CT Abnormalities Secondary to Acute Closed Head Injury.
The aim of the study was to evaluate the utility of the emergency department observation unit (EDOU) for neurologically intact children with closed head injuries (CHIs) and computed tomography (CT) abnormalities. ⋯ Neurologically intact patients on initial ED evaluation had a very low likelihood of requiring further interventions, irrespective of CT findings. Although prospective evidence is necessary, this supports reliance on clinical findings when evaluating a well-appearing child with an acute CHI.
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Pediatric emergency care · Mar 2017
Variation in Computed Tomography Use for Evaluation of Head Injury in a Pediatric Emergency Department.
Recent research has shown significant variation in rates of computed tomography (CT) use among pediatric hospital emergency departments (ED) for evaluation of head injured children. We examined the rates of CT use by individual ED attending physicians for evaluation of head injured children in a pediatric hospital ED. ⋯ Physicians at our pediatric hospital ED varied in the use of CT for the evaluation of head-injured children.
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Pediatric emergency care · Mar 2017
Evaluating the Impact of the Healthy Beginnings System of Care Model on Pediatric Emergency Department Utilization.
The aim of this study was to evaluate whether enrollment in the Healthy Beginnings System of Care (SOC) model is associated with a decrease in emergency department (ED) visits among children aged 6 months to 5.5 years. ⋯ Enrollment in the SOC model does not appear to decrease the rate of ED visits among enrolled children. Additional strategies, such as education sessions on ED utilization, are needed to reduce the rate of ED utilization among SOC-enrolled children.
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Pediatric emergency care · Mar 2017
Case ReportsA Knotted Urethral Catheter in the Emergency Department.
Inadvertent knotting of urethral catheters and enteric feeding tubes is a rare complication in pediatric patients. If a small flexible tube is used and advanced too far, upon withdrawal, the catheter may knot in the bladder. ⋯ After removal, a knot was noted at the tip. It is important for emergency physicians to be aware of this complication, because this particular size feeding tube is most susceptible to kinking inside of the urinary tract.