CJEM
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Meta Analysis
Inhaled nitrous oxide for painful procedures in children and youth: a systematic review and meta-analysis.
The objective of this study was to synthesize indication-based evidence for N2O for distress and pain in children. ⋯ There is sufficient evidence to recommend N2O plus topical anesthetic for IV insertion and laceration repair. Adverse effects are greater when combined with other sedating agents.
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This is the first study to take an in-depth qualitative approach to identify motivating factors for caregivers who chose the paediatric emergency virtual care option in Canada during the SARS-CoV-2 pandemic. The role that virtual care may play moving forward is also considered. ⋯ Our study indicates that virtual care was an attractive option for caregivers due to the safety, reassurance, and convenience provided. The strong patient desire for continued availability post-pandemic will be important considerations in this rapidly developing area of care.
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Workplace-based assessments are an important tool for trainee feedback and as a means of reporting expert judgments of trainee competence in the workplace. However, the literature has demonstrated that gender bias can exist within these assessments. We aimed to determine whether gender differences in the quality of workplace-based assessment data exist in our residency training program. ⋯ We did not find faculty or resident gender differences in the quality of workplace-based assessments completed in our training program. While the literature has previously demonstrated gender bias in trainee assessments, our results are not surprising as assessment culture varies by institution and program. Our study cautions against generalizing gender bias across contexts, and offers an approach that educators can use to evaluate whether gender bias in the quality of trainee assessments exists within their program.