Pediatric emergency care
-
Pediatric emergency care · Mar 2021
Management and Outcome of Pediatric Patients With Transient Small Bowel-Small Bowel Intussusception.
The aim of this study was to assess the management and outcomes of healthy pediatric patients diagnosed radiologically with transient and benign small bowel-small bowel intussusception (SB-SBI). ⋯ Transient and benign SB-SBIs with reassuring radiologic and clinical features diagnosed in healthy pediatric patients are likely incidentally found and are unlikely to be associated with a pathologic lead point.
-
Pediatric emergency care · Mar 2021
Physicians' Risk Tolerance and Head Computed Tomography Use for Pediatric Patients With Minor Head Injury.
Traumatic brain injury is the leading cause of death and disability in children worldwide. The objective of this study was to determine the association between physician risk tolerance and head computed tomography (CT) use in patients with minor head injury (MHI) in the emergency department (ED). ⋯ Individual EP risk tolerance, as measured by RTS, was predictive of CT use in pediatric patients with MHI.
-
Pediatric emergency care · Mar 2021
Early Functional Treatment of Proximal Phalanx Fractures in Children: A Case Series Study.
The objective of this study was to assess proper indications a nonsurgical treatment regime for pediatric fractures of the proximal phalanx based on principles of early functional treatment. ⋯ Well-established criteria for surgical treatment of phalangeal fractures exist. However, in our experience, a majority of pediatric fractures of the proximal phalanx can be safely treated nonsurgically with dynamic splinting along with shorter intervals of immobilization of the affected fingers and faster restoration of overall hand function compared to surgical treatment.
-
Pediatric emergency care · Mar 2021
Antibiotic Prescription Practice for Pediatric Urinary Tract Infection in a Tertiary Center.
Prescribing antibiotics for suspected urinary tract infection (UTI) is common practice and may lead to unnecessary antibiotic exposure. We aimed to review UTI diagnosis and management in the emergency department and to identify targets for antimicrobial stewardship. ⋯ Current practice in managing suspected pediatric UTIs in our ED resulted in significant and unnecessary antibiotic exposure. We identified targets to reduce unnecessary antibiotic exposure including improving the diagnostic accuracy of UTIs, a process to discontinue antibiotics for negative cultures and standardizing antimicrobial duration.
-
Pediatric emergency care · Mar 2021
Practice Pattern Variation in Test Ordering for Low-Acuity Pediatric Emergency Department Patients.
Rising costs in healthcare have focused attention on interventions to optimize efficiency of patient care, including decreasing unnecessary diagnostic testing. The primary objective of this study was to determine the variability of laboratory and radiology testing among licensed independent providers (LIPs) with different training backgrounds treating low-acuity patients in a pediatric emergency department (PED). ⋯ Our study identified substantial variation in test ordering patterns for LIPs treating low-acuity patients. There were significant differences in ordering practices between providers from different training backgrounds, most significantly when comparing PEM with non-PEM providers. Further research should examine interventions to standardize practice across disciplines.