Pediatric emergency care
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Pediatric emergency care · Jun 1998
Comparative StudyPhysicians' attire as perceived by young children and their parents: the myth of the white coat syndrome.
To determine if young children have a preference regarding whether physicians do or do not wear a white coat. ⋯ Physicians may wear a white coat without fear that they are negatively affecting their relationship with their pediatric patients four to eight years of age. The appropriateness of wearing a name tag is confirmed.
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Pediatric emergency care · Jun 1998
The childhood air gun: serious injuries and surgical interventions.
Increasingly powerful nonpowder firearms or air guns are frequently given to children as toys. We undertook the present study to evaluate the injuries caused by these firearms, based on the concern that they are capable of inflicting serious trauma. ⋯ Air guns can cause a variety of serious injuries, often requiring operative intervention. The long-term morbidity from some of these injuries is significant. Both parents and physicians should be aware that nonpowder guns are not toys, but weapons capable of inflicting serious trauma. The evaluation and treatment of air gun injuries should be similar to that currently used for powder weapon injuries. Recommendations for evaluation and treatment are made.
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Pediatric emergency care · Jun 1998
Clinical criteria for using radiography for children with acute knee injuries.
To evaluate clinical criteria for selective radiography for knee injuries in children. ⋯ Point tenderness was not a good predictor of knee fracture in children. Using the clinical criteria to select patients requiring knee radiography may greatly reduce the number of unnecessary x-rays.
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Pediatric emergency care · Jun 1998
Comparative StudyChest radiograph in the evaluation of first time wheezing episodes: review of current clinical practice and efficacy.
To evaluate the current clinical use and utility of chest radiographs (CXR) in the workup of pediatric patients with first time wheezing (FTW) episodes. ⋯ Clinicians in this setting do not routinely obtain a CXR in patients with FTW episodes. Retrospective examination of clinician practice revealed several clinical characteristics that were associated with increased use of CXR in FTW. Increased utility of the CXR was associated with patients having elevated temperature, an absence of a family history of asthma, and localized wheezes or rales by ausculatory examination.
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Pediatric emergency care · Jun 1998
Use of Emergency Medical Service transport system in medical patients up to 36 months of age.
To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). ⋯ EMS is utilized for inappropriate transportation in approximately 37% of our pediatric patients less than 36 months of age with medical complaints. In addition, 28% of these same patients utilized the EMS system on more than one occasion. It would appear that education of care providers in the appropriate use of EMS and use of alternate means of transportation would make the system more efficient and productive.