Pediatric emergency care
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Pediatric emergency care · Oct 2009
Is higher ASA class associated with an increased incidence of adverse events during procedural sedation in a pediatric emergency department?
To prospectively investigate whether American Society of Anesthesiologists (ASA) class, as assigned by nonanesthesiologists, is associated with adverse events during procedural sedation in a pediatric emergency department. ⋯ Adverse events during procedural sedation are more common in patients with higher ASA class.
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Pediatric emergency care · Oct 2009
Barriers to sexual history taking in adolescent girls with abdominal pain in the pediatric emergency department.
Sexually transmitted infections are on the rise, yet a sexual history of adolescent girls presenting with abdominal pain is not routinely sought or recorded. We developed a survey to examine the barriers to taking a sexual history. ⋯ The barriers to taking a sexual history in adolescent girls are multifaceted. Further training is needed to expose learners' preconceived notions of sexuality as barriers to taking a sexual history, to provide practical methods for overcoming those barriers, and to further instill in learners the importance of doing so.
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Pediatric emergency care · Sep 2009
Randomized Controlled Trial Comparative StudyEffectiveness of fever education in a pediatric emergency department.
This study was designed to assess the impact of a brief educational video shown to parents during an emergency department visit for minor febrile illnesses. We hypothesized that a video about home management of fever would reduce medically unnecessary return emergency department visits for future febrile episodes. ⋯ A brief standardized video about home management of fever improved caregiver knowledge of fever but did not decrease emergency department use or increase medical necessity for subsequent febrile episodes.