Pediatric emergency care
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Pediatric emergency care · Mar 2008
Randomized Controlled Trial Comparative StudyCosmetic outcomes of absorbable versus nonabsorbable sutures in pediatric facial lacerations.
We sought to compare the long-term cosmetic outcomes of absorbable versus nonabsorbable sutures for facial lacerations in children and to compare the complication rates and parental satisfaction in the 2 groups. ⋯ The use of fast-absorbing catgut suture is a viable alternative to nonabsorbable suture in the repair of facial lacerations in children.
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Pediatric emergency care · Mar 2008
Randomized Controlled TrialPediatric fingertip injuries: do prophylactic antibiotics alter infection rates?
Fingertip injuries are common in the pediatric population. Considerable controversy exists as to whether prophylactic antibiotics are necessary after repair of these injuries. Our goal was to compare the rate of bacterial infections among subgroups treated with and without prophylactic antibiotics. The study hypothesis was that infection rates were similar in the 2 groups. ⋯ This study suggests that routine prophylactic antibiotics do not reduce the rate of infection after repair of distal fingertip injuries.
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Pediatric emergency care · Mar 2008
Case ReportsManagement of pediatric penetrating oropharyngeal trauma.
Penetrating oropharyngeal trauma (OPT) is common in young children. Complications are rare but can be severe and with delayed onset. Controversy exists about the evaluation and management of OPT, although most injuries in the stable child can be managed in the outpatient setting. Two pediatric OPT cases and a brief review of the literature are presented.
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Pediatric emergency care · Mar 2008
Randomized Controlled TrialRandomized trial of a case management program for assault-injured youth: impact on service utilization and risk for reinjury.
The purposes of this study were to (1) assess receptiveness of families to violence prevention interventions initiated after an assault injury and (2) assess the effectiveness of a case management program on increasing service utilization and reducing risk factors for reinjury among assault-injured youth presenting to the emergency department. ⋯ Youth and parents were receptive to this violence prevention intervention initiated after an emergency department visit. This pilot case management program, however, did not increase service utilization or significantly reduce risk factors for injury. More intensive violence prevention strategies are needed to address the needs of assault-injured youths and their families.