Pediatric emergency care
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Pediatric emergency care · Feb 2009
Multicenter StudyEmergency management of pediatric convulsive status epilepticus: a multicenter study of 542 patients.
To perform a multicenter study examining the presentations and emergency management of children with convulsive status epilepticus (CSE) to sites within the Paediatric Research in Emergency Departments International Collaborative. ⋯ Convulsive status epilepticus is an important neurological emergency, with many children experiencing prolonged seizures in both the prehospital and hospital phases. Persistent seizure activity beyond 40 minutes contrasts with current published guidelines. There is a need to adopt a widely accepted approach to the management of children who fail to respond to standard anticonvulsant therapy.
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Pediatric emergency care · Nov 2008
Multicenter StudyPredicting need for hospitalization in acute pediatric asthma.
To develop and validate predictive models to determine the need for hospitalization in children treated for acute asthma in the emergency department (ED). ⋯ Successful discharge from the ED for children with acute asthma can be predicted accurately using a simple clinical model, potentially improving disposition decisions. However, predicting correct placement of patients requiring extended care is problematic.
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Pediatric emergency care · Jul 2008
Practice Guideline Multicenter StudyCroup management in Australia and New Zealand: a PREDICT study of physician practice and clinical practice guidelines.
Comparison of clinical practice guideline (CPG) recommendations and reported physician management of croup at PREDICT (Paediatric Research in Emergency Departments International Collaborative) sites as baseline for planned randomized controlled trials. ⋯ Croup management at PREDICT emergency departments is similar, based on oral steroids and nebulized adrenaline. The steroid and adrenaline regimens used by respondents and their CPGs were not consistent. This reflects limitations of available evidence for management of this common disease, highlighting the need for definitive trials, particularly in the management of mild croup.
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Pediatric emergency care · Jun 2008
Multicenter Study Comparative StudyPediatric emergency care in europe: a descriptive survey of 53 tertiary medical centers.
To examine determinants of quality of care provided by pediatric emergency departments (PEDs) in tertiary European centers. ⋯ According to this pilot study, the basic services provided by tertiary PEDs in Europe appear to be appropriate. Physicians training level and staffing may not be adequate to achieve optimal patient outcome.
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Pediatric emergency care · Dec 2007
Multicenter StudyA survey of emergency department management of acute urticaria in children.
To describe emergency department management of acute urticaria in children and to determine factors associated with management strategies and adherence to practice guidelines. ⋯ Minimal awareness and use of existing guidelines, and low concordance with published recommendations exist. Management practices vary and are influenced by training, practice setting, and clinical experience.