Pediatric emergency care
-
Pediatric emergency care · Jun 2004
Outcomes of children referred to an emergency department by an after-hours call center.
After-hours call centers are increasingly prevalent, yet there is little patient outcomes data. We sought to determine compliance with referral to an emergency department (ED) and describe outcomes and clinical characteristics of referred patients including triage classifications, therapeutic interventions, diagnostic testing, diagnoses, and hospitalization rates. ⋯ In this study, we report the outcomes and clinical characteristics of children referred to the ED by an after-hours call center. Data such as these may be used by call centers in the assessment of management advice and referral practices.
-
Pediatric emergency care · Jun 2004
Comparative StudyA comparison of the influence of hospital-trained, ad hoc, and telephone interpreters on perceived satisfaction of limited English-proficient parents presenting to a pediatric emergency department.
Latinos are the fastest growing minority group in the United States with a significant percentage of this population having limited English proficiency. ⋯ Hospital-trained interpreters are a valuable and needed resource to facilitate communication with limited English-proficient patients and families. Other interpretation services are useful but have limitations.
-
Pediatric emergency care · Jun 2004
Case ReportsValue of rigid bronchoscopy in the management of critically ill children with acute lung collapse.
To describe the potential uses of a rigid bronchoscopy in pediatric patients, as well as explaining the advantage of a rigid bronchoscopy versus a flexible bronchoscopy in pediatric patients with acute lung collapse. ⋯ This report demonstrates the value of rigid bronchoscopy in pediatric patients with severe atelectasis and pneumonia. Although bronchoscopy may not be indicated as an initial procedure to remove respiratory tract secretions, it may provide a beneficial option in cases where less invasive methods prove ineffective in removing secretions and mucous plugs.
-
Pediatric emergency care · Jun 2004
Use of emergency department chief complaint and diagnostic codes for identifying respiratory illness in a pediatric population.
(1) To determine the value of emergency department chief complaint (CC) and International Classification of Disease diagnostic codes for identifying respiratory illness in a pediatric population and (2) to modify standard respiratory CC and diagnostic code sets to better identify respiratory illness in children. ⋯ Diagnostic and CC codes have substantial value for emergency department syndromic surveillance. Adapting our respiratory code sets to a pediatric population forced a tradeoff between sensitivity and specificity.