Annals of emergency medicine
-
To establish the frequency of use of pediatric emergency departments by adult patients and the spectrum of disease with which they present. ⋯ Adults frequently present to pediatric EDs for both minor and serious illnesses. Training in adult emergency medicine should be a part of all pediatric emergency medicine fellowship programs.
-
To characterize the role of tissue adhesion as an adjunct in wound closure. ⋯ Our report indicates that tissue bonding may be a preferred and cost-effective method of repair of appropriate traumatic lacerations in the ED.
-
Randomized Controlled Trial Comparative Study Clinical Trial
A randomized, controlled trial comparing a tissue adhesive with suturing in the repair of pediatric facial lacerations.
To compare the tissue adhesive Histoacryl Blue with suturing in the repair of pediatric facial lacerations. ⋯ Histoacryl Blue is a faster and less painful method of facial laceration repair that has cosmetic results similar to the use of sutures.
-
Randomized Controlled Trial Clinical Trial
Effect of needle changing and intravenous cannula collection on blood culture contamination rates.
We tested the hypotheses that blood culture positivity and contamination rates were not increased by not changing needles between venipuncture and inoculation of blood culture bottles or by taking blood for culture by freshly inserted IV cannulae. ⋯ The results of this study do not support the practice of changing needles before inoculating blood samples into blood culture bottles. Collection of blood for culture through freshly inserted IV cannulae is associated with a low contamination rate and is an acceptable alternative to direct venipuncture. Sources of bias in this study suggest that further research is needed to determine the optimal technique for collecting blood cultures.