Pediatric emergency care
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Pediatric emergency care · Feb 2007
Comparative StudyPediatric and neonatal transport teams with and without a physician: a comparison of outcomes and interventions.
To determine whether a transport team composed of advanced practice nurses could function as effectively as a physician-nurse team, as measured by patient outcome. ⋯ Outcomes for the 2 types of teams were equivalent. Nonphysician teams responded more quickly and spent less time at the referring facility.
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Pediatric emergency care · Feb 2007
Case ReportsGravel gut: small bowel perforation due to a blunt ingested foreign body.
The ingestion of foreign bodies remains a common occurrence in children. Most ingested foreign bodies pass spontaneously, although up to 1% will result in intestinal perforation. ⋯ We report a case of ileal perforation due to a blunt ingested foreign body in a child in whom the diagnosis was unclear until laparotomy. This case highlights the difficulties in managing pediatric ingested foreign bodies, including the risk of perforation even with a blunt object.