Pediatric emergency care
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Pediatric emergency care · Dec 2010
ReviewA systematic review of crisis interventions used in the emergency department: recommendations for pediatric care and research.
In this systematic review, we evaluated the effectiveness of emergency department (ED)-based management interventions for mental health presentations with an aim to provide recommendations for pediatric care. ⋯ Pediatric studies have demonstrated that the use of specialized care models for mental health care can reduce hospitalization, return ED visits, and length of ED stay. Evaluation of these models using more rigorous study designs and the inclusion of patient-based outcomes will improve this evidence base. Adult-based studies provided recommendations for pediatric research including a focus on triage and restraint use.
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Pediatric emergency care · Dec 2010
Multicenter StudyPhysician practice variation in the pediatric emergency department and its impact on resource use and quality of care.
To evaluate variation in case-mix adjusted resource use among pediatric emergency department (ED) physicians and its correlation with ED length of stay (LOS) and return rates. ⋯ Significant variation exists in physician use of common ED resources. Higher resource use was associated with increased LOS but did not reduce return to ED. Practice variation such as this may represent an opportunity to improve health care quality and decrease costs.
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Pediatric emergency care · Dec 2010
ReviewEnhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.
The fast-paced and multifaceted nature of patient care in the emergency department makes our discipline especially prone to errors and adverse events. In recent years, strategies such as formal communication and medical team training have been proposed as potential means to enhance patient safety. ⋯ This article reviews concepts of communication and team training in medicine, including those learned from the aviation industry (known as crew resource management). Recent literature pertaining to teams and communication in medicine is reviewed.
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Pediatric emergency care · Dec 2010
Multicenter StudyOff-road vehicle trauma in children: a New South Wales perspective.
There is paucity of data on off-road vehicle injuries in children in Australia. We performed a retrospective study from 1998 to 2003 to analyze the frequency and nature of injuries in children involved in off-road vehicle crashes in the state of New South Wales. ⋯ Off-road motor vehicle injuries are a significant problem in children. There are no legal safety regulations for use of these vehicles. With the increasing sales of these vehicles, the incidence of injury may rise. There seems a need for education and legislation in relation to the safety issues concerned with these vehicles.
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Lunate and perilunate dislocations are uncommon, but devastating carpal injuries, which, if unrecognized in the emergency department and not treated promptly, lead to a high incidence chronic wrist pain and long-term functional disability. In this case report, we will review the wrist joint anatomy as pertaining to these injuries, mechanism of injury, signs and symptoms, radiological findings, and treatment of such injuries.