Pediatric emergency care
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Pediatric emergency care · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialParent visual analogue scale ratings of children's pain do not reliably reflect pain reported by child.
To determine whether parent and child visual analogue scale (VAS) scores for the pain associated with acute conditions in the child agree sufficiently for these methods of measurement to be considered interchangeable in pain and analgesia research. ⋯ Parents' VAS score ratings of their children's pain correlate only moderately with the children's VAS pain scores and show poor levels of agreement. The difference between the measures is variable and appears to be more marked when the child reports a higher VAS score. This research raises doubt about whether parental rating of a child's pain is an appropriate surrogate marker in pediatric pain and analgesia research.
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Pediatric emergency care · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialCosmetic outcome of scalp wound closure with staples in the pediatric emergency department: a prospective, randomized trial.
The purpose of this study is to compare the cosmetic outcome of scalp wound closure with staples to traditional skin sutures. ⋯ Stapling appears to be a fast and cosmetically acceptable alternative to suturing for simple scalp lacerations.
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Pediatric emergency care · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialIntroducing a simple, weight-based, color-coded, medication dosing device.
To compare the time required to withdraw various pediatric resuscitation medications using traditional techniques and the Per-Kilo Doser (PKD), a new weight-based dosing device. ⋯ The PKD decreases medication withdrawal time.
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Pediatric emergency care · Jun 2002
Comparative StudyA comparison of pediatric emergency medicine and general emergency medicine physicians' practice patterns: results from the Future of Pediatric Education II Survey of Sections Project.
This survey was conducted to obtain information about career and practice issues facing pediatric emergency medicine (PEM) physicians and general emergency medicine (GEM) physicians. We hypothesized that PEM physicians work fewer clinical hours and perform more teaching and research in their positions than GEM physicians. ⋯ According to our sample, GEM and PEM physicians worked the same number of clinical hours in the ED but reported significant differences in how those hours are spent. Job changes and extended leaves were common in both groups. These results suggest that PEM and GEM physicians face similar vocational challenges, especially in the areas of balancing of family time, clinical hours, and academic productivity. These data also have important implications for workforce projection for the PEM physician supply, given the current estimated attrition rate, frequency of leave from clinical duties, and projection for increased need for PEM physicians in the future.
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Pediatric emergency care · Jun 2002
Comparative StudyCurrent use and perceived utility of ultrasound for evaluation of pediatric compared with adult trauma patients.
The objective of this study was to evaluate the current use and perceived utility of ultrasound in the assessment of pediatric compared with adult trauma patients. ⋯ We conclude that ultrasound for the assessment of trauma patients is widely used by general emergency physicians and trauma surgeons, whereas pediatric emergency physicians report less use and perceived utility.