Pediatric emergency care
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Pediatric emergency care · Oct 2007
Factors associated with ability to treat pediatric emergencies in US hospitals.
The purpose of this analysis is to investigate hospital and community factors associated with the availability of pediatric services, expertise, and supplies in US hospitals for treating pediatric emergencies. ⋯ To meet the 2001 guidelines, emergency departments need to improve their inventory of pediatric supplies, and hospitals that do not have specialized inpatient services need to implement written transfer agreements with other hospitals.
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Pediatric emergency care · Oct 2007
Comparative StudyEtomidate versus pentobarbital for computed tomography sedations: report from the Pediatric Sedation Research Consortium.
To compare efficacy, sedation duration, and adverse events after administration of etomidate or pentobarbital for diagnostic computed tomography (CT) scans. ⋯ Etomidate as given by emergency physicians was more effective and efficient than pentobarbital, with rare adverse events.
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Pediatric emergency care · Oct 2007
ReviewStrategies to improve flow in the pediatric emergency department.
As emergency departments (EDs) experience overcrowding, there is ever-growing pressure to improve patient flow. We present a review of strategies to increase efficiency of patient inflow, throughput, and output in the ED, with an emphasis on approaches that are under greater control of the ED itself and therefore more amenable to implementation without major institutional changes.
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Pediatric emergency care · Oct 2007
Comparative StudyRetrospective comparison of emergency department length of stay for procedural sedation and analgesia by nurse practitioners and physicians.
To determine if use of nurse practitioners (NPs) for procedural sedation and analgesia (PSA) compared with physicians (MDs) decreased overall length of stay (LOS) in the pediatric emergency department (PED). ⋯ Overall LOS and time to sedation were significantly improved when NPs independently managed patients requiring PSA without an increase in documented severe airway complication rates.