Pediatric emergency care
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Pediatric emergency care · Nov 2007
Multicenter StudySimulated pediatric trauma team management: assessment of an educational intervention.
Trauma is the leading cause of death in children. The quality of initial medical care received by injured children contributes to outcomes. Our objective was to assess effectiveness of an educational intervention on performance of emergency department (ED) teams during simulated pediatric trauma resuscitations. ⋯ This study demonstrated that an on-site educational intervention was effective in improving the performance of ED teams during simulated pediatric trauma resuscitations. Postintervention performance was more consistent with the Pediatric Advanced Life Support and Advanced Trauma Life Support guidelines. Further studies are needed to determine if improved performance in a simulated scenario leads to improved performance and better clinical outcomes of critically injured children.
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Pediatric emergency care · Jun 2007
Multicenter StudyEvaluation of compliance with palivizumab recommendations in a multicenter study of young children presenting to the emergency department with bronchiolitis.
Monthly palivizumab injections from November to March decrease risk of respiratory syncytial virus (RSV)-related hospitalization during RSV season in high-risk infants born less than 35 weeks of gestation. Our objective was to investigate compliance with the American Academy of Pediatrics (AAP) recommendations for palivizumab prophylaxis among children who present to the emergency department (ED) with bronchiolitis. ⋯ According to parental report, only half of children presenting to the ED with bronchiolitis who met AAP criteria for palivizumab prophylaxis received this monoclonal antibody. Emergency department visits provide an untapped opportunity for staff to educate families and communicate with PCPs about RSV prophylaxis.
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Pediatric emergency care · Nov 2006
Multicenter StudySurvey of parental willingness to pay and willingness to stay for "painless" intravenous catheter placement.
This study examined how much parents are willing to pay and/or willing to stay to make their child's intravenous (IV) catheter placement painless. ⋯ Parents are willing to spend both time and money to make their child's IV placement painless. This information should be considered when choosing therapies to reduce the pain of IV placement.
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Pediatric emergency care · Oct 2006
Multicenter StudyUse of single-dose activated charcoal among Canadian pediatric emergency physicians.
Gastric decontamination with single-dose activated charcoal (SDAC) is a mainstay in emergency department (ED) treatment of ingestions. Guidelines updated in 2005 encourage practitioners to use SDAC only in toxic ingestions presenting within 1 hour. Despite these guidelines, adult studies demonstrate a significant lack of consensus. This study examined the proposed use of SDAC for gastric decontamination in common pediatric ingestion scenarios by emergency physicians working in Canadian pediatric EDs. ⋯ There is variation in the use of SDAC among emergency physicians working in Canadian pediatric EDs. This variation suggests that optimal management is not clear and that continued education and research are required.
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Pediatric emergency care · May 2006
Multicenter StudyEmergency visits for childhood poisoning: a 2-year prospective multicenter survey in Spain.
To describe the characteristics of childhood poisoning leading to consultation to 17 pediatric emergency departments in Spain. ⋯ Young children who accidentally ingested drugs and, less frequently, domestic products accounted for most cases of intoxication who presented at the pediatric emergency department.