Pediatric emergency care
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Pediatric emergency care · Sep 1986
Case ReportsEndotracheal administration of epinephrine and atropine.
A case history of a seven-month-old girl arriving at the emergency department in cardiac arrest from an inhalation injury without venous access is described. The patient was resuscitated with endotracheal administration of epinephrine and atropine. A review of the literature of endotracheal administration of medications in pediatrics subsequently follows.
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Pediatric emergency care · Jun 1986
Current methods of training residents to manage pediatric cardiopulmonary arrests.
Pediatric residency training programs were surveyed to assess current methods of educating house staff to manage pediatric cardiopulmonary resuscitations. Of the 155 programs responding, 96% provide Basic Life Support training, while 79% offer Advanced Cardiac Life Support training, but only 30% provide ongoing education in the form of mock arrests. In general, the availability of the various forms of resuscitation management instruction was not related to either program size or institution needs. The system of training pediatric residents to manage pediatric cardiopulmonary resuscitations at The Johns Hopkins Hospital is outlined.
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Handgun injury is a major cause of morbidity and mortality in American society, particularly among young people. Large numbers of children are affected by handgun violence through the loss of fathers, brothers, and other relatives. Young children are injured, and occasionally killed, in handgun "accidents." Some young children and many adolescents are murdered with handguns. ⋯ Because of the great lethality of handguns and their very limited ability to provide personal protection, handgun injury can best be reduced by making handguns less available. Handgun control cannot reduce rates of crime or interpersonal assault, but it can reduce the frequency and severity of injury arising from these situations toward the much lower levels found in other countries. The involvement of children in the United States handgun injury epidemic warrants effective pediatrician involvement in efforts toward handgun control.