Pediatric emergency care
-
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.
-
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 · Dec 2005
Multicenter StudyOutcome of out-of-hospital cardiorespiratory arrest in children.
To analyze the characteristics and outcome of out-of-hospital cardiorespiratory arrest in children in Spain. ⋯ Mortality of out-of-hospital cardiorespiratory arrest in children is high. When resuscitation is started soon by layperson or paramedics, survival is increased. Duration of resuscitation efforts is the best indicator of mortality. Most of survivors had good long-term neurologic outcome.
-
Pediatric emergency care · Apr 2005
Randomized Controlled Trial Multicenter Study Comparative StudyThe use of high-dose epinephrine for patients with out-of-hospital cardiopulmonary arrest refractory to prehospital interventions.
To determine if high-dose epinephrine (HDE) used during out-of-hospital cardiopulmonary arrest refractory to prehospital interventions improves return of spontaneous circulation, 24-hour survival, discharge survival, and neurological outcomes. ⋯ HDE does not improve or diminish return of spontaneous circulation, 24-hour survival, long-term survival, or neurological outcome compared with SDE in out-of-hospital cardiopulmonary arrest.
-
Pediatric emergency care · Dec 2004
Multicenter StudyThe effect of fasting practice on sedation with chloral hydrate.
Infants undergo various painless imaging procedures frequently. Mild sedation is required in such cases to reduce anxiety as well as to ensure optimal performance of the procedure. The most frequently used sedative as a single drug is chloral hydrate. The issue of preprocedural fasting is a subject of contention. The purpose of this study was to assess the effect of the American Academy of Pediatrics (AAP)/American Society of Anesthesiology (ASA) fasting practice guidelines on the efficacy and success of the sedation with chloral hydrate. ⋯ Fasting was associated with an increased failure rate of the initial sedation. As a consequence, an increased total dose of chloral hydrate was required inducing a prolonged sedation time. Presumably, this is a result of the fact that a hungry child is irritable and therefore more difficult to sedate.