Pediatric emergency care
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Pediatric emergency care · Aug 2008
Randomized Controlled TrialJet Injection of 1% buffered lidocaine versus topical ELA-Max for anesthesia before peripheral intravenous catheterization in children: a randomized controlled trial.
Peripheral intravenous (PIV) catheter insertion is a frequent, painful procedure that is often performed with little or no anesthesia. Current approaches that minimize pain for PIV catheter insertion have several limitations: significant delay for onset of anesthesia, inadequate anesthesia, infectious disease exposure risk from needlestick injuries, and patients' needle phobia. ⋯ J-Tip jet injection of 1% buffered lidocaine provided greater anesthesia than a 30-minute application of ELA-Max according to patient self-assessment of pain for children aged 8 to 15 years undergoing PIV catheter insertion.
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Pediatric emergency care · Aug 2008
Injury prevention in the emergency department: a caregiver's perspective.
Emergency medicine physicians and their staff care for high-risk injured patients, making the emergency department (ED) an appropriate place to discuss injury prevention (IP). ⋯ Many families surveyed in an urban pediatric ED wished for IP information in the ED setting. A simple IP intervention in an ED setting may encourage families to practice safer behaviors for their children.
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Pediatric emergency care · Aug 2008
Interactive TutorialCardiopulmonary resuscitation and pediatric advanced life support update for the emergency physician.
Although pediatric cardiopulmonary arrest is uncommon, out-of-hospital survival is dismal. Through international consensus conferences, the American Heart Association develops new treatment recommendations for cardiopulmonary resuscitation every few years. The recent changes in cardiopulmonary resuscitation and pediatric advanced life support, with some background information about these changes, will be reviewed.