Pediatric emergency care
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Pediatric emergency care · Nov 2014
Parental Asthma Education and Risks for Nonadherence to Pediatric Asthma Treatments.
Targeted parental education reduces acute visits for pediatric asthma. Whether the use of education sources readily available to parents relates to nonadherence to asthma treatments is uncertain. This study describes asthma education sources and assesses for a relationship to risks for nonadherence. ⋯ The use of more asthma education sources was not associated with reduced risks for nonadherence. Of the education sources, a primary care provider may benefit ED parents, who also need refills and education about medications. Spanish-speaking parents report more risks for nonadherence, warranting further study of Spanish-language asthma education.
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Pediatric emergency care · Nov 2014
Observational StudyEvaluation of an After-Hours Call Center: Are Pediatric Patients Appropriately Referred to the Emergency Department?
There is concern that after-hours nurse telephone triage systems are overwhelming the emergency department (ED) with nonemergent pediatric referrals. ⋯ Our study identifies that a third of unnecessary pediatric visits to the ED occurred as a result of the nurse triage telephone system in question. We recommend review of the algorithms stated to reduce strain on local ED resources.
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Pediatric emergency care · Nov 2014
Sedation for Children With Intraoral Injuries in the Emergency Department: A Case-Control Study.
Intraoral procedures (IOPs) are performed within the oral cavity of a spontaneously breathing, deeply sedated child. The objective of this study was to retrospectively evaluate the safety of sedation for IOP in a pediatric emergency department. ⋯ Findings of this study suggest that when performed by a skilled provider, sedation for an IOP is as safe as sedation for a fracture reduction.
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Pediatric emergency care · Nov 2014
Case ReportsElevated Lidocaine Serum Concentration After Subcutaneous Lidocaine Administration Using a Needle-Free Device in Pediatric Patients.
We report several cases in which pediatric patients at our institution have elevated lidocaine levels in toxicology screens after subcutaneous injection of lidocaine using a needle-free device. The purpose of this article is to report 4 cases in which pediatric patients have elevated lidocaine levels in toxicology screens after J-Tip administration. ⋯ Although the literature has reported the device to be effective with no significant untoward effects in children as young as 3 years, it seems that no information is available for children younger than 3 years. From a quality assurance/safety perspective, a summary is provided as our institutional response to concerns raised over what is typically thought to be a benign and beneficial intervention in children.
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Pediatric emergency care · Nov 2014
Case ReportsChest pain and anxiety in an adolescent: an unusual etiology.
Chest pain in children is commonly caused by benign etiologies but may be caused by conditions that carry significant morbidity if not treated. Emergency medicine physicians must identify the patients that require further evaluation and treatment. We describe a case of a 13-year-old boy with 10 months of progressive chest pain that had been attributed to anxiety and was ultimately diagnosed as an esophageal duplication cyst requiring surgical repair.