Pediatric emergency care
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Pediatric emergency care · Aug 2008
Randomized Controlled TrialJet Injection of 1% buffered lidocaine versus topical ELA-Max for anesthesia before peripheral intravenous catheterization in children: a randomized controlled trial.
Peripheral intravenous (PIV) catheter insertion is a frequent, painful procedure that is often performed with little or no anesthesia. Current approaches that minimize pain for PIV catheter insertion have several limitations: significant delay for onset of anesthesia, inadequate anesthesia, infectious disease exposure risk from needlestick injuries, and patients' needle phobia. ⋯ J-Tip jet injection of 1% buffered lidocaine provided greater anesthesia than a 30-minute application of ELA-Max according to patient self-assessment of pain for children aged 8 to 15 years undergoing PIV catheter insertion.
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Pediatric emergency care · Aug 2008
Injury prevention in the emergency department: a caregiver's perspective.
Emergency medicine physicians and their staff care for high-risk injured patients, making the emergency department (ED) an appropriate place to discuss injury prevention (IP). ⋯ Many families surveyed in an urban pediatric ED wished for IP information in the ED setting. A simple IP intervention in an ED setting may encourage families to practice safer behaviors for their children.
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Pediatric emergency care · Aug 2008
Interactive TutorialCardiopulmonary resuscitation and pediatric advanced life support update for the emergency physician.
Although pediatric cardiopulmonary arrest is uncommon, out-of-hospital survival is dismal. Through international consensus conferences, the American Heart Association develops new treatment recommendations for cardiopulmonary resuscitation every few years. The recent changes in cardiopulmonary resuscitation and pediatric advanced life support, with some background information about these changes, will be reviewed.
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Pediatric emergency care · Jul 2008
Practice Guideline Multicenter StudyCroup management in Australia and New Zealand: a PREDICT study of physician practice and clinical practice guidelines.
Comparison of clinical practice guideline (CPG) recommendations and reported physician management of croup at PREDICT (Paediatric Research in Emergency Departments International Collaborative) sites as baseline for planned randomized controlled trials. ⋯ Croup management at PREDICT emergency departments is similar, based on oral steroids and nebulized adrenaline. The steroid and adrenaline regimens used by respondents and their CPGs were not consistent. This reflects limitations of available evidence for management of this common disease, highlighting the need for definitive trials, particularly in the management of mild croup.