Pediatric emergency care
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Pediatric emergency care · Dec 2021
Multicenter StudyPediatric Preparedness of European Emergency Departments: A Multicenter International Survey.
Children and adolescents often lack optimal emergency care. The objective of the study was to assess the level of preparedness of European emergency departments (EDs) for pediatric patients. ⋯ Overall, surveyed European EDs fit well the essential standards of pediatric emergency care. Certain improvement actions are required to guarantee that essential standards of care for pediatric emergency care are always fulfilled in European EDs.
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Pediatric emergency care · Dec 2021
Multicenter StudyAssessing the Utility of Urine Testing in Febrile Infants 2 to 12 Months of Age With Bronchiolitis.
The utility of testing for urinary tract infection (UTI) in febrile infants with bronchiolitis is indeterminate. ⋯ Febrile infants 2 to 12 months of age with bronchiolitis have a clinically significant incidence of UTI, suggesting that UTI evaluation should be considered in these patients.
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Pediatric emergency care · Dec 2021
Multicenter StudyPilot Trial of the Performance of Electrocardiogram in the Evaluation of Childhood Syncope in the Emergency Department.
The electrocardiogram (ECG) is widely considered a standard part of the syncope workup, and it is recommended to be obtained in all children with syncope. Nevertheless, a newly recognized cardiac cause is rare and largely incidental findings are commonly seen, leading to unneeded worry, additional testing, and added health care costs. ⋯ A newly recognized cardiac cause is extremely rare among children evaluated for syncope in the ED, and ECG is not systematically obtained in this population. Larger studies are needed to clarify if it is possible to identify a group of children that can be safely managed without a systematic ECG. Best practices need to be better implemented for an adequate management of pediatric syncope in the ED.
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Pediatric emergency care · Dec 2021
Multicenter StudyUsing an eLearning Module to Facilitate Sepsis Knowledge Acquisition Across Multiple Institutions and Learner Disciplines.
Guidelines exist for care of pediatric sepsis, but no study has assessed the benefit of electronic learning (eLearning) in this topic area. The objective of this multicenter study was to assess knowledge acquisition and retention for pediatric sepsis across multiple health care provider roles, using an adaptive and interactive eLearning module. ⋯ An eLearning module improved immediate and delayed pediatric sepsis knowledge in pediatric health care providers across multiple institutions and provider roles. Immediate knowledge gain was meaningful as indicated by effect sizes, although by the time of the delayed test, the effect was smaller. This module fills an important gap in currently available pediatric sepsis education.
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Pediatric emergency care · Dec 2021
Multicenter StudyPediatric Abdominal Pain in Children Presenting to the Emergency Department.
Undifferentiated abdominal pain is a common pediatric presentation to the emergency department (ED). ⋯ The prevalence of CSAP and appendicitis in our study was 14.8% (11.8-17.7) and 7.4% (5.2-9.6), respectively. Fewer than half of patients received blood tests, and a third received imaging during their ED attendance. The presentation of abdominal pain conveys a significant health burden on families with time off school and ongoing symptoms of pain.