Pediatric emergency care
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Pediatric emergency care · Dec 2002
Multicenter Study Comparative StudyRapid sequence intubation for pediatric emergency airway management.
To characterize current practice with respect to pediatric emergency airway management using a multicenter data set. ⋯ A large, prospective, multicenter observational study of pediatric EDIs was conducted at university-affiliated EDs. RSI is the method of choice for the majority of pediatric emergency intubations; it is associated with a high success rate and a low rate of serious adverse events. Pediatric intubation as practiced in academic EDs, with most initial attempts by emergency and pediatrics residents and fellows under attending physician supervision, is safe and highly successful.
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Pediatric emergency care · Dec 2002
Review Comparative Studybeta2-Agonists in acute asthma: the evolving state of the art.
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Pediatric emergency care · Dec 2002
Characteristics of nonurgent emergency department use in the first 3 months of life.
To determine the characteristics of nonurgent emergency department (ED) visits in the first 3 months of life. ⋯ Maternal and economic factors affected nonurgent ED utilization. Other critical factors still need to be explored. Interventions focused on decreasing nonurgent ED use in early infancy should be targeted at patients with the identified risk factors.
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Pediatric emergency care · Dec 2002
Tolerance of family presence during pediatric cardiopulmonary resuscitation: a snapshot of military and civilian pediatricians, nurses, and residents.
Family presence during cardiopulmonary resuscitation is becoming a more common and accepted practice. ⋯ Although in the minority, one third of the pediatricians surveyed are comfortable allowing parental presence during cardiopulmonary resuscitation. We conclude that pediatricians who have more frequent contact with seriously ill children are more likely to accept parental presence. Additionally, the exposure to parental presence during resuscitation efforts increases the likelihood of allowing parental presence in future resuscitation efforts.
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Pediatric emergency care · Dec 2002
Evaluation of the performance of general emergency physicians in pediatric emergencies: Obstructive airway diseases, seizures, and trauma.
In the Lübeck region, as is usual in Germany, hospital-based emergency physicians are called for outside emergencies. They evaluate and stabilize patients and transfer them to hospital facilities of their choice (no emergency department system). These physicians are mainly anesthesiologists, surgeons, and internists-not pediatricians. Numerous quality management studies have shown an overall excellent performance of this system, but it has not been evaluated for pediatric emergencies. ⋯ The high quality of the emergency physician service documented for adults is not reproduced in the pediatric population. Trauma and seizures with similarities to adult cases are handled in a fair manner. However, the most important pediatric diagnostic entity of obstructive airway disease is often not treated adequately. Intensified educational programs for emergency physicians are warranted.