Pediatric emergency care
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Pediatric emergency care · Sep 2020
Nonfatal Pediatric Injuries Associated With Consumer Products and Sports and Recreational Activities in the United States.
The aim of this study was to investigate the epidemiology of nonfatal consumer product- and sports and recreational activity-related injuries among US children. ⋯ On average, a child was treated in a US ED for a nonfatal consumer product- or sports and recreational activity-related injury every 6 seconds. Although injury rates decreased early in the study period, there was a nonsignificant increasing trend from 2005 to 2012. Multilevel injury prevention efforts are recommended.
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Pediatric emergency care · Sep 2020
Bedside Ultrasound for the Evaluation of Epidural Hematoma After Infant Lumbar Puncture.
Unsuccessful lumbar puncture (LP) attempts may lead to epidural hematoma (EH) formation within the spinal canal at the site of needle insertion, which can affect subsequent attempts. We aimed to determine the rate of EH formation after infant LP using bedside ultrasound (US). Furthermore, we aimed to correlate both perceived trauma during LP and cerebral spinal fluid (CSF) red blood cell (RBC) counts with EH formation. ⋯ Epidural hematomas are frequent after LP. Perceived trauma during LP and CSF RBC counts are not adequate predictors of EH formation. Point-of-care US may be a valuable adjunct to help guide subsequent needle insertions sites for repeat attempts after an unsuccessful LP.
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Pediatric emergency care · Sep 2020
Discharge Prescription Errors After the Implementation of a Prospective Pharmacist Review Process in a Pediatric Emergency Department.
Pediatric emergency department (ED) patients are at an increased risk for experiencing a preventable medication error. Studies show that pharmacists are effective at decreasing medication errors on inpatient orders but there are few studies looking at error reduction on discharge prescriptions. Children's Health implemented a prospective pharmacist verification process on all ED discharge prescriptions. The objective of this study is to identify and describe the prescription errors leaving a pediatric ED after the implementation of this pharmacist review process. ⋯ Forty-one errors were identified from 750 randomly selected prescriptions for a total error rate of 5.5%. The most common subtypes of errors were missing duration (39%) and antimicrobial optimization (24.4%). When using the Taylor et al 2005 scale, no prescriptions were classified as severe or serious. None of the errors led to patient harm.