Pediatric emergency care
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Pediatric emergency care · Jul 2018
Interventions to Increase Point-of-Care Ultrasound Use in a Pediatric Emergency Department.
We sought to determine which interventions have effectively increased point-of-care ultrasound (US) use in a pediatric emergency department (ED). ⋯ Point-of-care US use has increased over time for both fellows and attending physicians. We observed that an administrative mandate led to a significant increase in US use among attending physicians.
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Pediatric emergency care · Jul 2018
Case ReportsThe Beef Jerky Blues: Methemoglobinemia From Home Cured Meat.
Methemoglobinemia can result from ingestion of nitrite- or nitrate-containing foods. Here, we report a case where an adolescent girl and her father developed clinically significant methemoglobinemia after ingestion of "homemade" beef jerky prepared with sodium nitrate salt purchased at a local grocery store. ⋯ The daughter had a methemoglobin level of 44.2% and the father's methemoglobin level was 34.2%. Prompt recognition of methemoglobinemia is important for initiating antidotal therapy with methylene blue.
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Pediatric emergency care · Jul 2018
Incorporating a Computerized Cognitive Battery Into the Emergency Department Care of Pediatric Mild Traumatic Brain Injuries-Is It Feasible?
The use of computers to test cognitive function acutely after a concussion is becoming increasingly popular, especially after sport-related concussion. Although commonly performed in the community, it is not yet performed routinely in the emergency department (ED), where most injured children present. The challenges of performing computerized cognitive testing (CCT) in a busy ED are considerable. The aim of this study was to evaluate the feasibility of CCT in the pediatric ED after concussion. ⋯ Computerized cognitive testing is feasible in the ED. We highlight the unique challenges that should be considered before its implementation, including environmental and testing considerations, as well as personnel training.
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Pediatric emergency care · Jul 2018
Peer-Reviewed Journal Publication of Abstracts Presented at an International Emergency Medicine Scientific Meeting: Outcomes and Comparison With the Previous Meeting.
Scientific presentations at professional organization meetings have long been recognized as a method of providing up-to-date and novel information to both the medical and scientific community. After abstract presentation at a medical conference, the subsequent publication rate of full-text articles is variable, and few studies have examined this topic with respect to international emergency medicine conferences. ⋯ We found a reduction in publication rate from 33.2% in 2006 to 22.8% in 2008 and that the host country furnished a greater proportion of the abstracts. It would be interesting to examine how these potential trends played out over more extended periods.
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Pediatric emergency care · Jul 2018
Disaster Preparedness Medical School Elective: Bridging the Gap Between Volunteer Eagerness and Readiness.
Eager medical students may not be prepared for unanticipated complexities of disaster response. This study aimed to answer 2 questions: does an online disaster preparedness curriculum create a convenient method to educate medical students and motivate them to be better prepared to volunteer? ⋯ This disaster preparedness elective was envisioned to be a resource for students. Advantages of online availability are ease of student access and minimal demand on faculty resources. A voluntary, self-paced online elective in disaster preparedness has shown to create a stronger interest in disaster participation in medical students. Student readiness to volunteer improved; however, willingness remained stagnant.