Pediatric emergency care
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Pediatric emergency care · Feb 2010
Comparative StudyPediatric mental health concerns in the emergency department: caregiver and youth perceptions and expectations.
The main purpose of this research was to identify the perceived mental health (MH) concerns of caregivers and youths who present to the emergency department (ED) for MH services. The concordance between caregiver and youth perceptions and clinician ratings of MH concerns were evaluated. Expectations for the visit and perceived stressors that triggered the event are described. ⋯ The top 5 caregivers and youths' main concerns for coming to the ED were similar. However, concordance between perceived concern and clinician assessment is low. Caregivers' expectations for coming to the ED highlight their lack of knowledge of referral procedures and MH services.
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Pediatric emergency care · Feb 2010
Intravenous amiodarone used alone or in combination with digoxin for life-threatening supraventricular tachyarrhythmia in neonates and small infants.
The purpose of this study was to report the efficacy of intravenous amiodarone alone or in combination with digoxin in neonates and small infants with life-threatening supraventricular tachyarrhythmia (SVT). ⋯ Intravenous amiodarone alone or in combination with digoxin was found to be safe and effective in controlling refractory and life-threatening SVT in neonates and small infants.
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Pediatric emergency care · Feb 2010
Randomized Controlled TrialToward improving the diagnosis and the treatment of adolescent pelvic inflammatory disease in emergency departments: results of a brief, educational intervention.
To assess the utility of an abbreviated teaching tool (ATT) in improving emergency medicine pediatricians' knowledge of the diagnosis and the treatment of pelvic inflammatory disease (PID). ⋯ Although the overall PID knowledge in our sample was low, the physicians with access to a 1-page teaching tool summarizing the CDC treatment recommendations for PID performed significantly better when asked questions involving PID treatment as compared with providers with access to the CDC Web site. Further studies should investigate whether access to a similar tool can improve patient care.
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Pediatric emergency care · Feb 2010
Case ReportsA penetrating neck injury: trivial trauma with serious consequences.
Life-threatening complications due to apparently minor penetrating neck injuries can occur. We present the case of a 16-year-old boy, who had what initially appeared to be a superficial stab wound to his neck. ⋯ This case underscores the importance of a careful evaluation after any penetrating neck injury, even one that initially appears to be trivial. The pertinent literature regarding penetrating neck trauma is reviewed.