Pediatric emergency care
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Pediatric emergency care · Mar 2011
ReviewSubcutaneous rehydration: updating a traditional technique.
Subcutaneous (SC) rehydration therapy (SCRT), originally referred to as "hypodermoclysis," shows promise as an alternative to intravenous (IV) fluid administration for treatment of dehydration. A simple, safe, and effective technique, SCRT is indicated for treatment of mild-to-moderate dehydration. Augmentation of SCRT with administration of a recombinant human formulation of the hyaluronidase enzyme at the infusion site gives rise to SC fluid administration rates up to 5-fold faster than those achieved without the enzyme, making the technique more clinically practical. ⋯ Subcutaneous rehydration therapy appears to be particularly useful in patients who present with mild-to-moderate dehydration and have had failed attempts at oral rehydration. The SC route also provides benefits in patients with small, collapsed, or difficult-to-visualize veins or in those who may be agitated or distressed by IV catheterization. Continued research will further clarify the role of recombinant human hyaluronidase-facilitated SCRT in the rehydration treatment algorithm.
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Pediatric emergency care · Mar 2011
ReviewUltrasound equipment for the pediatric emergency department: a review.
Ultrasound is gaining momentum for use in the pediatric emergency department. It is important to understand the fundamentals of ultrasound equipment as it relates to pediatric emergency medicine.
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Unwind or incise has been the standard of management for removing hair tourniquets. The hair ends are usually difficult to hold and unwind as they break at the ends easily, and using scalpels or needles to get under the hair tourniquet is difficult when the involved appendage is swollen and leads to more trauma to the injured area. This is the first case report that describes the removal of hair tourniquet using a depilatory cream.
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Pediatric emergency care · Feb 2011
Improving parent-provider communication in the pediatric emergency department: results from the clear and concise communication campaign.
We implemented and evaluated a quality improvement initiative targeting parents' communication with clinicians in a pediatric emergency department (ED). ⋯ The 3C initiative succeeded in improving parents' communication experience with emergency providers during the intervention period.
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Pediatric emergency care · Feb 2011
Case ReportsAlice in Wonderland syndrome in H1N1 influenza: case report.
The different aspects of the global H1N1 influenza and its complications are currently of great interest. Neurological complications of the disease and its frequency are still unknown. ⋯ This unique clinical syndrome was previously described in other diseases. The clinician's awareness of the existence of this syndrome in H1N1 influenza might save the child from undergoing extensive diagnostic procedures.