Pediatric emergency care
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Pediatric emergency care · Sep 2009
Randomized Controlled Trial Comparative StudyEffectiveness of fever education in a pediatric emergency department.
This study was designed to assess the impact of a brief educational video shown to parents during an emergency department visit for minor febrile illnesses. We hypothesized that a video about home management of fever would reduce medically unnecessary return emergency department visits for future febrile episodes. ⋯ A brief standardized video about home management of fever improved caregiver knowledge of fever but did not decrease emergency department use or increase medical necessity for subsequent febrile episodes.
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Pediatric emergency care · Sep 2009
Comparative Study Controlled Clinical TrialUse of a discharge facilitator improves recall of emergency department discharge instructions for acute gastroenteritis.
To determine whether the use of a bilingual discharge facilitator (DF) improves parental recall of discharge instructions in acute gastroenteritis in a pediatric emergency department (ED). ⋯ Verbal reinforcement of written discharge instructions by a bilingual DF improves parental recall of discharge instructions for gastroenteritis.
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Pediatric emergency care · Sep 2009
Comparative StudyInitial base deficit as predictors for mortality and transfusion requirement in the severe pediatric trauma except brain injury.
The initial base deficit (BD) is an important indicator of shock in adult trauma patients, but its value is unclear in pediatric trauma patients. This study assessed the ability of the initial BD to predict mortality and blood transfusion requirements in children except severe brain injury patients. ⋯ The initial BD in pediatric trauma patients except severe brain injury was an independent predictor of mortality and blood transfusion requirement within 24 hours. Mortality and blood transfusion requirement were significantly high when initial BD was less than -8 mEq/L.
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Pediatric emergency care · Sep 2009
Comparative StudyPediatric emergency medicine fellowship research curriculum: a survey of fellowship directors.
To determine how pediatric emergency medicine (PEM) fellowship directors organize research training and to identify factors believed to be associated with successful research training. ⋯ Besides the fellow's eagerness to apply self, scheduling adequate time for research was reported as a highly important factor in achieving research competency among PEM fellows. Providing protected (no clinical responsibilities) research months to fellows and arranging more opportunities for PEM faculty to serve as research mentors may maintain or possibly improve the likelihood of PEM fellows to becoming research competent.