Articles: pediatrics.
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Crit Care Nurs Clin North Am · Dec 2010
Keeping PEDIATRICS in pediatric disaster management: Before, during, and in the aftermath of complex emergencies.
From 1900 there have been more than 9800 natural disasters affecting more than 67 million children worldwide. Because of unique physical, developmental, and psychosocial characteristics of children, caring for them during complex emergencies is different to caring for adults. However, planning for these unique physical, developmental, and psychosocial needs has not been well addressed when planning for complex emergencies. Therefore, the purpose of this article is to review those characteristics of children that place them at higher disaster risk, and discuss the preparations necessary to meet their needs before, during, and in the aftermath of complex emergencies.
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The objectives were to explore the tolerance of pediatric emergency medicine (PEM) physicians for risk in choosing when to perform procedural sedation and analgesia (PSA) and to describe adherence to preprocedural fasting guidelines and factors affecting the physicians' decisions. ⋯ These results suggest that fasting guidelines are not strictly adhered to in Canadian pediatric emergency departments (EDs) currently, and there is some willingness of physicians to change their sedation practice in light of evidence from hypothetical surveillance data about risks. On the other hand, some physicians suggest that they will follow guidelines regardless of how low the estimated risk is from surveillance data. An understanding of how physicians respond to evidence about small risks and how the information is best understood by this population is interesting for knowledge translation if evidence-based practice guidelines for procedural sedation in the ED are developed in the future.
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Letter Biography Historical Article
Ihsan Doğramaci as recalled by Sinasi Ozsoylu.