Pediatric emergency care
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To evaluate the experience of a pediatric trauma system with specific reference to prehospital, trauma center resuscitation, and critical care phases of treatment. ⋯ Deviations from care occur, even in a dedicated pediatric trauma system. Mortality of and by itself is not an adequate indicator of the quality of function of a trauma system. Since most primary filters occurred outside of the trauma center, improvement in trauma outcome may be expected with better training of personnel involved in the prehospital care of injured children. A comprehensive review of death and disability should include audit filters of prehospital care, triage, definitive care, and rehabilitation.
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Pediatric emergency care · Aug 1996
Family member presence during pediatric emergency department procedures.
Exclusion of family members (FM) during pediatric procedures in the emergency department (ED) is an accepted practice. This study questions the validity of such a practice. ⋯ FM presence during ED procedures is a practice favored by both parents and ED staff at our institutions. This practice should not be limited to minimally invasive procedures in stable patients but should be considered for procedures such as lumbar punctures and intubations even in critically ill patients.
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Pediatric emergency care · Aug 1996
ReviewThe ED on line: computerization of the pediatric emergency department.
Computers are becoming an increasingly important tool in the management of emergency departments across the United States. Many emergency physicians are unfamiliar with computer systems and are uncomfortable with the idea of implementing computer technology into their departments. This article summarizes the benefits of computerized patient tracking systems and outlines the process by which such a program can be selected and incorporated into an emergency center.
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Pediatric emergency care · Aug 1996
Alterations of end-tidal carbon dioxide during the intrahospital transport of children.
To determine the effect of manual ventilation during intrahospital transport on end-tidal carbon dioxide concentrations in children. ⋯ Unintentional hyperventilation occurs during the intrahospital transport of children. End-tidal CO2 values less than 25 torr were noted 62% of the time.
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Pediatric emergency care · Aug 1996
Comparative StudyNoninvasive capnometry in a pediatric population with respiratory emergencies.
This study was designed to investigate the reliability, safety, and efficacy of measuring end tidal CO2 (ETCO2) in nonintubated pediatric patients presenting to an emergency department (ED) with respiratory emergencies. ⋯ Dependable ETCO2 values can be obtained using an oral/nasal capnometry circuit, and they consistently correlate with CapCO2 in a pediatric population with upper and lower respiratory diseases. Noninvasive ETCO2 analysis is safe and reliable within the limitations of this study group. Further exploration is necessary to determine the value of this technology in assisting with clinical decisions in the patient with impending respiratory failure.