Pediatric emergency care
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Over the past 10 years the reported incidence of acute isoniazid (INH)-related poisonings has increased, with 507 cases reported in 1996. Parenteral pyridoxine is the antidote for INH-induced seizures, but 5-g aliquot recommended to treat an ingestion of unknown quantity of INH is not always readily available to emergency physicians. ⋯ Our results imply that between one third and one half of the respondents would be ill-equipped to treat acute INH neurotoxicity. Establishing regional distribution centers may alleviate this deficiency, specifically in urban areas with a high incidence or a positive percent increase in TB.
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Pediatric emergency care · Feb 1999
ReviewPriorities for research in emergency medical services for children: results of a consensus conference.
To arrive at a consensus on the priorities for future research in emergency medical services for children. ⋯ The panel was able to develop a list of important topics for future research in emergency medical services for children that can be used by foundations, governmental agencies, and others in setting research agenda for such services.
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To define injuries from short vertical falls (SVF) in infants, and to compare those with minor or no injuries to those with significant injury. ⋯ The most common mechanism of a SVF was rolling off a bed. Most patients sustained minor or no injury. No child sustained an intracranial hemorrhage from a SVF. The child with intracranial injury and/or multiple injuries warrants an investigation. Being dropped appears to be a greater risk for significant injury than rolling off or falling from furniture.
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Pediatric emergency care · Feb 1999
Comparative StudyParental estimates of their child's weight: accurate for resuscitation drug doses.
The aim of this study was to assess parental reliability in estimating child body weight in emergency situations, when weighing the child is often impossible. ⋯ Parents, especially mothers, can estimate their child's body weight within clinically acceptable limits. These estimations can reliably be used to calculate drug doses in prehospital and emergency department situations, when children's weight is not known and cannot be measured.