Pediatric emergency care
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Pediatric emergency care · Aug 2001
Comparative StudySafety and efficacy of rocuronium for controlled intubation with paralytics in the pediatric emergency department.
Controlled intubation in the pediatric emergency department (ED) requires a paralytic agent that is safe, efficacious, and of rapid onset. The safety of succinylcholine has been challenged, leading some clinicians to use vecuronium as an alternative. Rocuronium's onset is similar to that of succinylcholine. ⋯ Rocuronium is as safe and efficacious as vecuronium for CIP in the pediatric ED.
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Pediatric emergency care · Aug 2001
Practitioners of pediatric emergency medicine: a 5-year longitudinal study.
To describe the evolution of the responsibilities, goals and expectations of sub-Board-certified practitioners of pediatric emergency medicine (PEM) over a 5-year period. ⋯ The priorities of this cohort of PEM sub-Board-certified physicians have changed as the physicians grow older. Lifestyle issues must be taken into consideration to ensure longevity in the subspecialty.
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To describe our experience using ketamine sedation to facilitate pediatric critical care procedures, and to document the safety profile of ketamine in this setting. ⋯ Pediatric intensivists skilled in ketamine administration can safely and effectively administer this drug to facilitate critical care procedures. Despite the ill nature of our patient sample, adverse effects were uncommon.