Pediatric emergency care
-
Pediatric emergency care · Apr 2006
Randomized Controlled Trial Comparative StudyRandomized comparison of pain perception during radial head subluxation reduction using supination-flexion or forced pronation.
To determine if a difference exists in perceived pain between the forced pronation and supination-flexion methods of radial head subluxation (RHS) reduction. ⋯ Forced pronation is perceived as less painful than the supination-flexion method by parents of children treated for RHS in our ED.
-
Pediatric emergency care · Jan 2006
Randomized Controlled Trial Multicenter StudyEvaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.
The Broselow Pediatric Resuscitation Tape has been shown to be effective in reducing medication dosing error among pediatric emergency providers. However, the tape has often been used inappropriately or incorrectly. ⋯ The Web-based education program on the proper use of the Broselow Pediatric Resuscitation Tape could improve dosing accuracy and reduce dosing time.
-
Pediatric emergency care · Nov 2005
Randomized Controlled Trial Comparative StudyA randomized controlled trial of sport helmet interventions in a pediatric emergency department.
To evaluate the effectiveness of 3 competing pediatric emergency department (ED) interventions aiming to increase sport helmet use in a state without helmet legislation. ⋯ Directly receiving a free helmet in the pediatric ED appears to be an effective hospital-based strategy to increase pediatric helmet use.
-
Pediatric emergency care · Nov 2005
Randomized Controlled TrialChild life intervention during angiocatheter insertion in the pediatric emergency department.
Current literature is deficient regarding the scope of procedures for which certified child life specialist (CCLS) services are effective in the pediatric emergency department. The purpose of this study is to analyze the effect of CCLS intervention during routine peripheral venous angiocatheter insertion on child procedure-related distress. ⋯ CCLS intervention may reduce the behavioral stress associated with angiocatheter insertion, especially in children aged 4 to 7 years. These data further support the role of the CCLS as a patient and family advocate during routine procedures.
-
Pediatric emergency care · Nov 2005
Randomized Controlled TrialPediatric intravenous insertion in the emergency department: bevel up or bevel down?
Intravenous catheters are usually inserted with the bevel facing up. Bevel down may be superior in small and/or dehydrated children. We seek to determine whether there is a difference in the success rate of intravenous insertion using these 2 methods. ⋯ The bevel-up technique performed superior to bevel-down technique in this study. The bevel-down technique might be useful in small infants.