Pediatric emergency care
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Pediatric emergency care · Oct 1998
Comment Letter Comparative StudyPediatric emergency medicine practice patterns: a comparison of pediatric and general emergency physicians.
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Pediatric emergency care · Oct 1998
Randomized Controlled Trial Clinical TrialPrilocaine-phenylephrine topical anesthesia for repair of mucous membrane lacerations.
To compare the effectiveness of prilocaine-phenylephrine (Prilophen), a new topical anesthetic that does not contain cocaine, to that of lidocaine infiltration during repair of lacerations on or near mucous membranes in children. ⋯ Prilophen is a new topical anesthetic alternative to lidocaine infiltration for closure of lacerations on or near mucous membranes, where use of tetracaine-adrenaline-cocaine is contraindicated. The performance of Prilophen was rated by two of the observer groups as statistically inferior to that of lidocaine infiltration; however, the differences in pain scores were small and may not be clinically significant. Further investigation of this new topical anesthetic is warranted.
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Pediatric emergency care · Aug 1998
Review Case ReportsAn unusual complication of endotracheal intubation: ingestion of a laryngoscope bulb.
Many well described complications can result from endotracheal intubation in neonates during resuscitation. Ingestion of a laryngoscope bulb is a rare event with potentially serious consequences. We are reporting this unusual complication in a neonate during delivery room resuscitation and point to the importance of checking the integrity of the equipment prior to resuscitative efforts.
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Pediatric emergency care · Aug 1998
Comparative StudyPediatric ambulance utilization in a large American city: a systems analysis approach.
Research on utilization of ambulances by pediatric patients lacks an objective, reproducible tool for the evaluation of patterns of ambulance use by both the providers and the users of this resource. ⋯ The PANE tool compared favorably to admission rates as a measure of the severity of illness of patients arriving by ambulance. Applying the PANE tool, we conclude that the majority of requests for ambulances are appropriate, and that the majority of the time dispatchers were able to dispatch the appropriate level of care. However, there is room for significant improvement in utilization of ambulances, and tools like the PANE will be useful in achieving this goal.