Pediatric emergency care
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Pediatric emergency care · Oct 1998
Comparative StudyAdvised follow-up after emergency treatment of adolescents with violence-related injuries.
To compare the rate of advised medical follow-up for adolescents with violence-related, nonsuicidal injuries versus other complaints. ⋯ Adolescents sustaining violence-related injuries were less likely to have follow-up advised at the time of their ED visit than were adolescents presenting with other complaints. Violently injured adolescents, at risk for recurrent violent injuries and psychosocial sequelae, were less likely to have follow-up advised at the time of their ED visit than were adolescents presenting with other complaints.
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Pediatric emergency care · Oct 1998
Prehospital fentanyl analgesia in air-transported pediatric trauma patients.
To review the 5.5-year safety record of a protocol guiding fentanyl administration to pediatric trauma patients undergoing aeromedical transport. ⋯ Retrospective review of more than five years of prehospital fentanyl administration revealed no untoward events. Although prospective definitive demonstration of fentanyl's field use is pending, it is reasonable to continue discretionary fentanyl administration to injured pediatric children in pain.
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Pediatric emergency care · Oct 1998
Randomized Controlled Trial Clinical TrialPrilocaine-phenylephrine topical anesthesia for repair of mucous membrane lacerations.
To compare the effectiveness of prilocaine-phenylephrine (Prilophen), a new topical anesthetic that does not contain cocaine, to that of lidocaine infiltration during repair of lacerations on or near mucous membranes in children. ⋯ Prilophen is a new topical anesthetic alternative to lidocaine infiltration for closure of lacerations on or near mucous membranes, where use of tetracaine-adrenaline-cocaine is contraindicated. The performance of Prilophen was rated by two of the observer groups as statistically inferior to that of lidocaine infiltration; however, the differences in pain scores were small and may not be clinically significant. Further investigation of this new topical anesthetic is warranted.
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Pediatric emergency care · Oct 1998
Physician bias during patient selection in the pediatric emergency department.
To evaluate whether pediatric or emergency medicine residents exhibit a bias when they select patients from triage based on the chief complaint, ie, medical versus surgical in the pediatric emergency department (PED). ⋯ Recognizing that bias in the selection of patients seen exists is important in ensuring a balanced education experience.