Pediatric emergency care
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Pediatric emergency care · Oct 2004
Clinical experience of removing aerodigestive tract foreign bodies with rigid endoscopy in children.
This study was undertaken to document the aerodigestive tract foreign body accidents among children, and to investigate the circumstances surrounding these events. ⋯ Foreign bodies in the airway and esophagus constitute a constant hazard in all age groups, which demands immediate approach and management. Although the rigid endoscopic removal of aerodigestive foreign bodies was successful in this series, the most effective treatment of foreign body accidents is their prevention.
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Pediatric emergency care · Oct 2004
Planning Emergency Medical Services for Children in Bolivia: part 2-results of a Rapid Assessment Procedure.
To obtain social and cultural data about factors affecting the development of Emergency Medical Services for Children (EMS-C) in La Paz, Bolivia. The points-of-view of potential consumers and providers were sought. ⋯ RAP methodology provided a detailed picture of current EMS-C in La Paz, including viewpoints from all major stakeholders. This information will be used to support the development of Emergency Medicine programs that are locally driven, culturally appropriate, and socially feasible.
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Pediatric emergency care · Oct 2004
Pediatric rapid sequence intubation: incidence of reflex bradycardia and effects of pretreatment with atropine.
The American College of Emergency Physicians (ACEP) recommends atropine as adjunctive therapy to prevent reflex bradycardia prior to laryngoscopy/tracheal intubation (L/TI) in pediatric patients. ⋯ Atropine is not routinely administered prior to L/TI in this pediatric ED. Pretreatment with atropine did not prevent bradycardia in all cases. These data suggest that use of atropine prior to L/TI may not be required for all pediatric patients. Some patients will experience bradycardia regardless of atropine pretreatment.
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Pediatric emergency care · Oct 2004
Comparative StudySalbutamol via metered-dose inhaler with spacer versus nebulization for acute treatment of pediatric asthma in the emergency department.
To assess the effectiveness of salbutamol delivered via a metered-dose inhaler with spacer versus a nebulizer for acute asthma treatment in the pediatric emergency department. ⋯ The administration of bronchodilators using a metered-dose inhaler with spacer is an effective alternative to nebulizers for the treatment of children with acute asthma exacerbations in the emergency department.