Clinical pediatrics
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Clinical pediatrics · Dec 2013
Randomized Controlled TrialThe effect of a medical clown on pain during intravenous access in the pediatric emergency department: a randomized prospective pilot study.
We report the effect of the presence of a medical clown during insertion of an intravenous catheter during their emergency department visit. ⋯ Therapeutic clowns are useful for diminishing pain and anxiety during painful procedures being performed on children in the emergency department.
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Clinical pediatrics · Feb 2012
Randomized Controlled TrialThe impact of an interactive Web-based module on residents' knowledge and clinical practice of injury prevention.
To determine the effectiveness of an interactive Web-based module on knowledge acquisition, retention, and clinical practice by residents. ⋯ The noninteractive module was more effective in promoting knowledge acquisition. Residents successfully demonstrated knowledge retention with completion of either module. The modules were insufficient to change clinical practice.
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Clinical pediatrics · Nov 2011
Randomized Controlled Trial Multicenter StudyThe impact of linezolid and vancomycin treatment on local signs and symptoms of inflammation among pediatric patients with complicated skin and skin structure infections.
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Clinical pediatrics · Oct 2008
Randomized Controlled Trial Comparative StudyA comparison of oral dexamethasone with oral prednisone in pediatric asthma exacerbations treated in the emergency department.
The aim of this study was to determine if 2 doses of oral dexamethasone are as effective as a 5-day course of oral prednisone in preventing relapse for pediatric asthma exacerbations. Patients presenting to the emergency department with an asthma exacerbation were randomized to receive 0.6 mg/kg of dexamethasone or 2 mg/kg of prednisone in a prospective, double-blind study. The primary outcome was relapse within 10 days, and the secondary outcome was vomiting in the emergency department. ⋯ In all, 3 patients in the prednisone group (8%) and 8 patients in the dexamethasone group (16%) required an unscheduled follow-up visit (P = .27). In all, 7 patients in the prednisone group (18%) and 5 patients in the dexamethasone group (10%) had vomiting ( P = .24). No difference was found in the relapse rate or incidence of vomiting between patients given prednisone and dexamethasone for pediatric asthma exacerbations.
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Clinical pediatrics · Sep 2006
Randomized Controlled TrialEthyl vinyl chloride vapocoolant spray fails to decrease pain associated with intravenous cannulation in children.
The purpose of the study was to determine the effect of ethyl vinyl chloride vapocoolant spray on pain reported by children undergoing intravenous cannulation. A randomized, double-blinded, placebo-controlled trial was conducted on eligible children between the ages of 9 and 18 years seen in a pediatric emergency department and requiring intravenous cannulation. Informed consent was obtained, and children were randomized to receive ethyl vinyl chloride spray, isopropyl alcohol spray, or no spray (control group). ⋯ One hundred twenty-seven subjects were enrolled: 37 received ethyl vinyl chloride vapocoolant spray, 48 received isopropyl alcohol spray (placebo), and 42 received no pretreatment. Mean VAS scores for pain experienced during cannulation were 34, 33, and 31 mL for each group, respectively. Ethyl vinyl chloride vapocoolant spray failed to measurably reduce pain associated with intravenous cannulation when compared to those pretreated with isopropyl alcohol spray or receiving no intervention.