Pediatric emergency care
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Pediatric emergency care · Jan 2004
The educational experience of pediatric emergency medicine fellows in the use and application of procedural sedation/analgesia.
The purpose of this study is to describe the clinical and educational experience provided to the pediatric emergency medicine (PEM) fellows in procedural sedation/analgesia during their course of training. ⋯ There is wide variation in the educational methods used by PEM fellowship training programs in procedural sedation/analgesia.
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Pediatric emergency care · Jan 2004
Case ReportsConservative management of large avulsions of the lip and local landmarks.
Large lip avulsion injuries that involve significant tissue loss to the lip vermilion and other local landmarks can often pose a surgical dilemma for the reconstructive surgeon. Immediate reconstruction of these injuries are frequently performed using local flaps and adjacent tissue transfer to close the defect, but these repairs frequently suffer from the unfortunate consequence of increased associated scarring and further permanent distortion of the local anatomy. ⋯ A single minor surgical revision of 1 patient's cupid's bow was performed 1 year after injury. In cases of significant traumatic avulsion involving the lip vermilion and the perioral composite soft tissue, even with injuries including delicate anatomic landmarks, healing by secondary intention can be instituted as the initial treatment of choice in younger patients, often providing optimal results.