Articles: pediatrics.
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Randomized Controlled Trial Clinical Trial
Does the lateral chest radiograph help pediatric emergency physicians diagnose pneumonia? A randomized clinical trial.
To determine whether the addition of the lateral chest radiograph to the frontal view influences the pediatric emergency physician's diagnosis and management of patients with pneumonia. ⋯ The addition of the lateral chest radiograph to the frontal view did not improve the sensitivity or specificity of pediatric emergency physicians in their diagnosis of pneumonia in children.
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Randomized Controlled Trial Clinical Trial
Office preparedness for pediatric emergencies: a randomized, controlled trial of an office-based training program.
Many children enter the emergency medical system through primary care offices, yet these offices may not be adequately prepared to stabilize severely ill children. We conducted this study to evaluate the effectiveness of an office-based educational program designed to improve the preparation of primary care practices for pediatric emergencies. ⋯ The findings suggest that the intervention was well received and motivated practices to take concrete actions to prepare for pediatric emergencies.
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Arch Pediat Adol Med · Jul 2003
Randomized Controlled Trial Clinical TrialDoes telephone triage delay significant medical treatment?: Advice nurse service vs on-call pediatricians.
Advice nurse call centers are used to ensure access to medical advice, thereby potentially reducing the costs of health services. ⋯ The proportions of callers who sought unadvised medical care and who received unadvised significant care were not significantly different in the advice nurse and pediatrician groups. This suggests that advice nurses do not delay significant medical treatment when compared with pediatricians.
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Arch Pediat Adol Med · Mar 2003
Randomized Controlled Trial Clinical TrialEffect of an intervention standardization system on pediatric dosing and equipment size determination: a crossover trial involving simulated resuscitation events.
Pediatric medication dosing has been recognized as a high-error activity with the potential to cause serious harm. Few studies assess systems approaches to error reduction in pediatrics. ⋯ Color coding was associated with a significant reduction in deviation from recommended doses in simulated pediatric emergencies. Numerous potentially clinically significant deviations from recommended doses and equipment sizes were avoided. Future studies should measure impact in the real clinical setting.
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Clinical pediatrics · Mar 2003
Randomized Controlled Trial Clinical TrialAddition of ipratropium to nebulized albuterol in children with acute asthma presenting to a pediatric office.
A prospective, randomized, double-blind study was conducted to determine whether there was any benefit to the addition of ipratropium to a single nebulized albuterol treatment in infants and children with mild to moderate acute asthma presenting to a pediatric office. There were no significant differences between the albuterol group and the combined albuterol-ipratropium group in the relief of the respiratory distress, disposition of the patients from the office, or in the incidence of relapse. The addition of ipratropium to nebulized albuterol is of no added benefit in the treatment of infants and children with mild-to-moderate acute asthma presenting to a pediatric office.