Pediatric emergency care
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Pediatric emergency care · Apr 1998
Randomized Controlled Trial Clinical TrialSaline with benzyl alcohol as intradermal anesthesia for intravenous line placement in children.
It has been suggested that saline with benzyl alcohol preservative has anesthetic properties when injected intradermally. We compared the pain associated with intravenous line (i.v.) placement in patients who received intradermal lidocaine, intradermal saline + benzyl alcohol preservative, or no anesthesia. ⋯ Saline with benzyl alcohol and 1% lidocaine are equally effective as intradermal anesthetics for i.v. line placement in children, and are both more effective than no anesthesia.
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Pediatric emergency care · Apr 1998
Comparative StudyChanges in treatment and outcomes of children receiving care in the intensive care unit for severe acute asthma.
Significant changes have occurred in the intensity of treatment of children with severe asthma in the last decade. The objectives of this study are 1) to describe the changes in treatment of asthmatic children needing care in the intensive care unit (ICU) initially treated in our emergency department (ED) in 1983 to 1985 (I) and in 1990 to 1992 (II), and 2) to examine if these changes correspond to changes in clinical outcomes. ⋯ Despite recent dramatic ED and ward treatment changes, ICU admission rates for pediatric asthma remain relatively constant. However, intensive treatment may have contributed to the decrease in ICU admissions via the ED to ward route in slightly less critical cases.
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Pediatric emergency care · Apr 1998
Comparative StudyPediatric emergency medicine practice patterns: a comparison of pediatric and general emergency physicians.
To determine whether differences exist between general emergency physicians (GEMs) and pediatric emergency physicians (PEMs) in the emergency care of children with common pediatric emergencies. ⋯ With some notable exceptions, GEMs and PEMs have similar pediatric practice patterns despite differences in training and practice environments.