Articles: pediatrics.
-
Randomized Controlled Trial
Multi-school collaboration to develop and test nutrition computer modules for pediatric residents.
The provision of essential nutrition-related content in US medical education has been deficient, despite efforts of the federal government and multiple professional organizations. Novel and efficient approaches are needed. A multi-department project was developed to create and pilot a computer-based compact disc instructional program covering the nutrition topics of oral rehydration therapy, calcium, and vitamins. ⋯ Study group resident attitudes toward computer-based instruction improved. Use of these computer modules prompted almost half of the residents in the study group to independently pursue relevant nutrition-related information. This inexpensive, collaborative, multi-department effort to design a computer-based nutrition curriculum positively impacted both resident knowledge and attitudes.
-
Randomized Controlled Trial Comparative Study
Using a computer kiosk to promote child safety: results of a randomized, controlled trial in an urban pediatric emergency department.
The effects of a computer kiosk intervention on parents' child safety seat, smoke alarm, and poison storage knowledge and behaviors were evaluated in a pediatric emergency department serving predominantly low-income, urban families. The effects of parent anxiety and the reason for the child's emergency department visit also were examined. ⋯ These results bode well for widespread applicability of computer technology to patient education in busy emergency departments and other child health care settings. Reducing financial barriers to certain safety behaviors should continue to be a high priority.
-
Pediatric emergency care · Jul 2007
Randomized Controlled TrialA randomized trial to assess the efficacy of point-of-care testing in decreasing length of stay in a pediatric emergency department.
To compare the effect of point-of-care (POC) testing versus traditional laboratory methods on length of stay in a pediatric emergency department (ED). ⋯ Point-of-care testing can significantly decrease the length of stay in select pediatric patients in an ED setting. Point-of-care devices may prove to facilitate patient flow during busiest periods of service demand.
-
Emerg Med Australas · Jun 2007
Randomized Controlled TrialRandomized controlled trial of an instructional DVD for clinical skills teaching.
To determine the efficacy of clinical skills teaching using a DVD-based teaching medium (interventional group) compared with the traditional, four-step, face-to-face approach (control group). The clinical skill selected for the study was that of paediatric intraosseous (IO) needle insertion. ⋯ The study suggests that the use of instructional DVD for clinical skills teaching results in improved learning outcomes compared with the traditional face-to-face didactic teaching method.
-
Randomized Controlled Trial Comparative Study
A randomized controlled trial comparing intranasal fentanyl to intravenous morphine for managing acute pain in children in the emergency department.
We compare the efficacy of intranasal fentanyl versus intravenous morphine in a pediatric population presenting to an emergency department (ED) with acute long-bone fractures. ⋯ Intranasal fentanyl delivered as 150 microg/mL at a dose of 1.7 microg/kg was shown to be an effective analgesic in children aged 7 to 15 years presenting to an ED with an acute fracture when compared to intravenous morphine at 0.1 mg/kg.