Pediatric emergency care
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Pediatric emergency care · Sep 2014
Randomized Controlled Trial Comparative StudyImpact of Follow-up Calls From the Pediatric Emergency Department on Return Visits Within 72 Hours: A Randomized Controlled Trial.
We compare the rate of return to the emergency department (ED) within 72 hours between families of children receiving a follow-up telephone call by a non-health care provider asking about the child's well-being 12 hours after their visit to the ED and families not receiving a follow-up call. ⋯ Emergency departments practicing follow-up calls by non-health care providers should consider a forecasted increase in return rates.
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Pediatric emergency care · Jul 2014
Randomized Controlled TrialEvaluating the Hematoma Block as an Adjunct to Procedural Sedation for Closed Reduction of Distal Forearm Fractures.
Although procedural sedation using intravenous agents is highly effective for forearm fracture reduction, the process is both resource and time intensive. Our objective was to determine whether the use of a hematoma block as an adjunct to procedural sedation with ketamine and midazolam reduces (1) pain during the procedure (scored using the Observational Score for Behavioral Distress-Revised score) or (2) the excess sedation time, defined by the time between procedure completion and discharge from sedation. Our secondary outcome measure was total ketamine dose administered during the procedure. ⋯ The use of a hematoma block as an adjunct to procedural sedation with ketamine and midazolam for forearm fracture reduction conferred no additional benefit and did not decrease observed pain scores, excess sedation time, or total ketamine dose administered.
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Pediatric emergency care · Mar 2014
Randomized Controlled TrialHypertonic saline as a therapy for pediatric concussive pain: a randomized controlled trial of symptom treatment in the emergency department.
Three-percent hypertonic saline (HTS) is a hyperosmotic therapy used in pediatric traumatic brain injury to treat increased intracranial pressure and cerebral edema. It also promotes plasma volume expansion and cerebral perfusion pressure, immunomodulation, and anti-inflammatory response. We hypothesized that HTS will improve concussive symptoms of mild traumatic brain injury. ⋯ Three-percent HTS is more effective than NS in acutely reducing concussion pain in children.
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Pediatric emergency care · Jan 2014
Randomized Controlled TrialThe use of a kiosk-model bilingual self-triage system in the pediatric emergency department.
Streamlining the triage process is the key in improving emergency department (ED) workflow. Our objective was to determine if parents of pediatric ED patients in, low-literacy, inner-city hospital, who used the audio-assisted bilingual (English/Spanish) self-triage kiosk, were able to enter their child's medical history data using a touch screen panel with greater speed and accuracy than routine nurse-initiated triage. ⋯ Kiosk triage enabled users to enter basic medical triage history data quickly and accurately in an ED setting with future potential for its wider use in improving ED workflow efficiency.
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Pediatric emergency care · Nov 2013
Randomized Controlled Trial Comparative StudyFeasibility and Acceptability of a Pediatric Emergency Department Alcohol Prevention Intervention for Young Adolescents.
The objective of this study was to determine feasibility and acceptability of a brief pediatric emergency department (PED) prevention intervention to delay/prevent initiation of alcohol use in 12-to 14-year-olds. ⋯ A BPI in the PED is both feasible and acceptable, but phone boosters proved less feasible. Larger samples and further study are needed to identify efficacy of the BPI in delaying onset of alcohol use in teens.