Pediatric emergency care
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Pediatric emergency care · Aug 2002
Comparative StudyPigtail catheters versus large-bore chest tubes for pneumothoraces in children treated in the emergency department.
We sought to compare the efficacy (pneumothorax resolution and hospitalization days), pain (narcotic usage), and safety (need for repositioning or replacement) associated with placement of large-bore chest tubes versus pigtail catheters in children with pneumothoraces. ⋯ Pigtail catheters offer a safe and effective alternative to large-bore chest tubes for patients receiving treatment for pneumothoraces in the ED.
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Pediatric emergency care · Aug 2002
Ceftriaxone use in the emergency department: are we doing it right?
To evaluate the patterns of ceftriaxone use in an urban pediatric emergency department (PED) and to determine if overuse exists based on published guidelines for management of febrile infants. ⋯ Based on published guidelines, ceftriaxone use in the PED was not justified in the majority of cases.
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Pediatric emergency care · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialParent visual analogue scale ratings of children's pain do not reliably reflect pain reported by child.
To determine whether parent and child visual analogue scale (VAS) scores for the pain associated with acute conditions in the child agree sufficiently for these methods of measurement to be considered interchangeable in pain and analgesia research. ⋯ Parents' VAS score ratings of their children's pain correlate only moderately with the children's VAS pain scores and show poor levels of agreement. The difference between the measures is variable and appears to be more marked when the child reports a higher VAS score. This research raises doubt about whether parental rating of a child's pain is an appropriate surrogate marker in pediatric pain and analgesia research.
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Pediatric emergency care · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialCosmetic outcome of scalp wound closure with staples in the pediatric emergency department: a prospective, randomized trial.
The purpose of this study is to compare the cosmetic outcome of scalp wound closure with staples to traditional skin sutures. ⋯ Stapling appears to be a fast and cosmetically acceptable alternative to suturing for simple scalp lacerations.