Pediatric emergency care
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Pediatric emergency care · Dec 2010
State trait anxiety in the emergency department: an analysis of anticipatory and life stressors.
To determine the relationship between stress indicators and state anxiety among pediatric emergency department (ED) patients, as a background to develop appropriate psychoeducational and behavioral interventions. ⋯ The ED experience produces fear/anxiety, particularly in younger patients with a chief complaint of pain and/or trauma. Findings may lead to the development of psychoeducational and behavioral interventions that focus on anxiety reduction.
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Pediatric emergency care · Dec 2010
Case ReportsInaccurate trauma history due to fear of health care personnel involving law enforcement in children of noncitizen immigrants.
Two cases illustrating intentional withholding of information by noncitizen parents of children with major trauma are described. The difficulties and the results of not obtaining an accurate history in the initial assessment of accidental trauma victims are discussed. The core problem in these cases seems to be a fear of health care providers and a false perception that emergency medical services and emergency department personnel are extensions of law enforcement. These cases illustrate potential issues in managing the children of noncitizen immigrants.
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Pediatric emergency care · Nov 2010
ReviewLaryngospasm during emergency department ketamine sedation: a case-control study.
The objective of this study was to assess predictors of emergency department (ED) ketamine-associated laryngospasm using case-control techniques. ⋯ This case-control analysis of the largest available sample of ED ketamine-associated laryngospasm did not demonstrate evidence of association with age, dose, or other clinical factors. Such laryngospasm seems to be idiosyncratic, and accordingly, clinicians administering ketamine must be prepared for its rapid identification and management. Given no evidence that they decrease the risk of laryngospasm, coadministered anticholinergics seem unnecessary.