Pediatric emergency care
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Pediatric emergency care · Oct 2001
Case ReportsIatrogenic cardiopulmonary arrest during pediatric sedation with meperidine, promethazine, and chlorpromazine.
The pediatric sedative combination of meperidine, promethazine, and chlorpromazine (MPC) has been widely used for more than 40 years. Despite its relatively poor efficacy and questionable safety profile, many emergency departments (EDs) continue to stock specially formulated mixtures of these three agents. ⋯ Subsequently, we have removed MPC entirely from our ED and instituted a policy restricting ED procedural sedation privileges to emergency physicians. We urge other EDs to do likewise.
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To study emergency preparedness in public schools in a rural state. ⋯ EMS activation to schools is a common occurrence. Schools are ill prepared to care for this acuity of student or staff as assessed by equipment and emergency training. Schools in smaller communities, however, are better prepared for emergencies.
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Pediatric emergency care · Aug 2001
Comparative StudySafety and efficacy of rocuronium for controlled intubation with paralytics in the pediatric emergency department.
Controlled intubation in the pediatric emergency department (ED) requires a paralytic agent that is safe, efficacious, and of rapid onset. The safety of succinylcholine has been challenged, leading some clinicians to use vecuronium as an alternative. Rocuronium's onset is similar to that of succinylcholine. ⋯ Rocuronium is as safe and efficacious as vecuronium for CIP in the pediatric ED.