Pediatric emergency care
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To describe a pediatric patient with a severe abdominal injury following a roller coaster crash, and to review the relevant literature of lap belt injuries and roller coaster safety regulations. ⋯ Roller coaster restraint systems do not have the same federal or state oversights as motor vehicles and can result in life-threatening injuries.
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Pediatric emergency care · Jun 1997
Case ReportsPosttraumatic distress in children and families after intubation.
Posttraumatic stress disorder symptoms are seen in children who have experienced significant trauma. Respiratory arrest with subsequent intubation can be associated with terror, helplessness, and the threat of death. ⋯ Children with a history of emergency intubation should be evaluated for possible posttraumatic stress disorder symptoms.
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Pediatric emergency care · Apr 1997
Randomized Controlled Trial Clinical TrialA prospective, randomized study comparing intramuscular midazolam with intravenous diazepam for the treatment of seizures in children.
To compare treatment of ongoing seizures using intramuscular (IM) midazolam versus intravenous (IV) diazepam. ⋯ IM midazolam is an effective anticonvulsant for children with motor seizures. Compared to IV diazepam, IM midazolam results in more rapid cessation of seizures because of more rapid administration. The IM route of administration may be particularly useful in physicians' offices, in the prehospital setting, and for children with difficult IV access.