Pediatric emergency care
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Pediatric emergency care · Jun 2008
Case ReportsPediatric tramadol ingestion resulting in seizurelike activity: a case series.
Tramadol has been reported to cause seizures in therapeutic dosing and in overdose. We present a series of 2 infants poisoned with tramadol, both presenting with abnormal neurologic findings: either seizures or seizurelike activity. Tramadol poisoning should be considered in the differential diagnosis of dystonia and seizures.
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Pediatric emergency care · Jun 2008
Comparative StudyPowered intraosseous insertion provides safe and effective vascular access for pediatric emergency patients.
For decades, intraosseous (IO) access has been a standard of care for pediatric emergencies in the absence of conventional intravenous access. After the recent introduction of a battery-powered IO insertion device (EZ-IO; Vidacare Corporation, San Antonio, TX), it was recognized that a clinical study was needed to demonstrate device safety and effectiveness for pediatric patients. ⋯ The results of this study support the use of the powered IO insertion device for fluid and drug delivery to children in emergency situations. The rare and minor complications suggest that the powered IO device is a safe and effective means of achieving vascular access in the resuscitation and stabilization of pediatric patients.
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Pediatric emergency care · Jun 2008
Comparative StudyComparison of neonates born outside and inside hospitals in a children emergency unit, southwest of Nigeria.
To describe the effects of out-of-hospital birth on early neonatal morbidity and outcome among referred newborns. ⋯ Out-of-hospital births had greater risk of morbidity than hospital births. There is need to retrain and monitor the activities of birth attendants and midwives involved in births outside the hospitals closer than it is presently done.
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Pediatric emergency care · Jun 2008
Comparative StudyComparative clinical practice of residents and attending physicians who care for pediatric patients in the emergency department.
The purpose of our study was to explore the effect of the physician's training level on the emergency management of common illnesses in the pediatric emergency department (ED). Our hypothesis was that physicians in training used more resources than attending physicians did in caring for pediatric patients in the ED. ⋯ Residents treating pediatric patients in the ED spent more time and used more medical resources than attending physicians did. An important educational objective is to improve physicians' diagnostic skills to reduce resource utilization and to improve outcomes.