Pediatric emergency care
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Pediatric emergency care · Jun 2006
Randomized Controlled Trial Comparative StudyVomiting of liquid corticosteroids in children with asthma.
Oral corticosteroids are an essential part of the management of children with acute asthma exacerbations. Vomiting is a frequently cited problem attributed to oral corticosteroids. A new formulation of prednisolone, Orapred, claims to have improved palatability that may decrease the incidence of vomiting. ⋯ In our study population, Orapred was associated with a significant less incidence of vomiting and better taste score compared to the generic prednisolone.
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Pediatric emergency care · Jun 2006
Comparative StudyAdverse events in pediatric ketamine sedations with or without morphine pretreatment.
To assess outcomes between 2 groups of patients receiving ketamine for procedural sedations in our pediatric emergency department. Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment. ⋯ We found no increase in the number of adverse events with morphine pretreatment in ketamine sedations for children. Prospective studies to validate these findings, including an effect of timing of analgesia administration, are warranted.
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Pediatric emergency care · Jun 2006
Clinical TrialImpact of a pediatric primary care office-based mock code program on physician and staff confidence to perform life-saving skills.
Previous studies have described that pediatric offices are ill-prepared for medical emergencies. Pediatric "mock codes" have been utilized to increase the emergency preparedness of inpatient medical units for several decades. These practice drills have been shown to both increase practitioners' confidence and decrease anxiety during actual resuscitations. Although the use of mock codes is recommended in the outpatient setting, these benefits have yet to be demonstrated for office-based practitioners. ⋯ The results of this study support the recommendation that mock codes should be performed in the pediatric primary care setting to improve practitioner confidence and decrease practitioner anxiety.
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Pediatric emergency care · Jun 2006
Decrease in emergency department length of stay as a result of triage pulse oximetry.
Many emergency departments do not perform pulse oximetry in triage, in spite of its potential for altering management decisions. We attempted to quantify the decrease in patient throughput time in a pediatric emergency department following the introduction of triage pulse oximetry. ⋯ Institution of triage pulse oximetry significantly decreases ED throughput times. Clinical exam alone is not a replacement for measurement of oxygen saturation.
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Pediatric emergency care · Jun 2006
Risk of pediatric back-over injuries in residential driveways by vehicle type.
Research suggests that children experience driveway back-over injuries at a significant rate and the severity of the resulting injuries differ by type of vehicle. Yet, no US study attempted to quantify "back-over risk" for classes of vehicles because of the difficulties with determining exposure. Using vehicle registration information, we set out to estimate the relative risk of driveway back-over injuries to children by type of vehicle. ⋯ Findings suggest that when assessing driveway back-over injuries, larger high-profile vehicles are associated with a higher incidence and severity of injuries when compared with injuries resulting from passenger cars.