Pediatric emergency care
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Pediatric emergency care · Dec 2003
Review Comparative StudyCharacterization of nonfatal events and injuries resulting from youth violence in patients presenting to an emergency department.
To characterize the circumstances of youth intentional violence in emergency department patients and compare circumstances of events between gender and age groups. ⋯ This study characterizes the circumstances of youth intentional violence that result in emergency department visits for injuries. Although similarities exist between different age groups and genders, some key differences between the groups are illustrated. Understanding the differences between violent events in different age groups and genders may help clinicians recognize injury patterns and possibly guide alternative interventions.
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Pediatric emergency care · Dec 2003
ReviewThe safe and effective use of propofol sedation in children undergoing diagnostic and therapeutic procedures: experience in a pediatric ICU and a review of the literature.
To describe our experience using propofol sedation to facilitate elective diagnostic and therapeutic procedures, and to document the safety profile of propofol in this setting. ⋯ Pediatric intensivists can safely and effectively administer propofol to facilitate the performance of diagnostic and therapeutic procedures outside the operating room setting.
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Pediatric emergency care · Dec 2003
Practice Guideline GuidelineMild traumatic brain injury in children: practice guidelines for emergency department and hospitalized patients. The Trauma Program, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine.
Mild traumatic brain injury (MTBI) is a frequent occurrence in children. Current practice in treating such injuries varies in terms of evaluative studies, length of observation, need for inpatient hospitalization, sports restrictions, and follow-up. A multidisciplinary panel of experts from a level I pediatric trauma center was convened to develop and implement a clinical pathway to improve the quality and consistency of care provided to children after MTBI. ⋯ Standardized discharge instructions for MTBI were developed to provide comprehensive information in a succinct and easy-to-read format. The instructions for home management focus on expected symptoms and guidance for when to seek further medical attention. They also incorporate injury prevention, return to sports guidelines, and resources for additional information.
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To determine which model best simulates the actual IO procedure in children. ⋯ For IO research and teaching purposes, bone models should be age appropriate. This study suggests that there is great variability in preference with the chicken, turkey, and plastic models.
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Pediatric emergency care · Dec 2003
Comparative StudyMeasurement of central venous pressure from a peripheral vein in infants and children.
Previous studies in adults have demonstrated a clinically useful correlation between central venous pressure (CVP) measured from a peripheral intravenous catheter and that measured from a central venous catheter. The current study prospectively compares CVP measurements from a central catheter and a peripheral catheter in infants and children. ⋯ CVP can be measured from a peripheral IV catheter in infants and children provided that there is continuity with the central venous compartment demonstrated by showing an increase in the CVP from the peripheral IV catheter in response to a sustained inspiratory effort and by occlusion of the extremity above the site of the catheter.