Pediatrics
-
Randomized Controlled Trial Multicenter Study
Interns' success with clinical procedures in infants after simulation training.
Simulation-based medical education (SBME) is used to teach residents. However, few studies have evaluated its clinical impact. The goal of this study was to evaluate the impact of an SBME session on pediatric interns' clinical procedural success. ⋯ Participation in a single SBME mastery learning session was insufficient to affect pediatric interns' subsequent procedural success.
-
Randomized Controlled Trial Multicenter Study
Distinguishing Lyme from septic knee monoarthritis in Lyme disease-endemic areas.
Because Lyme and septic arthritis may present similarly, we sought to identify children with knee monoarthritis at low risk for septic arthritis who may not require arthrocentesis. ⋯ Laboratory criteria can be used to identify children with knee monoarthritis at low risk for septic arthritis who may not require diagnostic arthrocentesis.
-
Randomized Controlled Trial
Chest compression quality over time in pediatric resuscitations.
Chest compression (CC) quality deteriorates with time in adults, possibly because of rescuer fatigue. Little data exist on compression quality in children or on work done to perform compressions in general. We hypothesized that compression quality, work, and rescuer fatigue would differ in child versus adult manikin models. ⋯ CC quality deteriorates similarly in child and adult manikin models. Peak work per compression cycle is comparable in both. Peak power output is analogous to that generated during intense exercise such as running. CC providers should switch every 2 minutes as recommended by current guidelines.