Pediatric emergency care
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Pediatric emergency care · Feb 2008
Use of an automated electronic case log to assess fellowship training: tracking the pediatric emergency medicine experience.
The Accreditation Council for Graduate Medical Education has mandated the assessment of medical training across 6 core competencies. The patient care competency is at the core of medical training. ⋯ The combination of tracking data with other clinical information systems can be used to create an electronic case log to quantify the experience of fellows, thereby offering a summative measure of the patient care competency. We used an automated case log to assess clinical exposure in our pediatric emergency medicine fellowship.
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Pediatric emergency care · Feb 2008
The squeaky wheel gets the grease: parental pain management of children treated for bone fractures.
The purpose of this study was to examine parental pharmacological and nonpharmacological pain management practices after extremity fractures. ⋯ Based on these findings, it was concluded that children received few doses of analgesia at home after a fracture. Although quiet, withdrawn behaviors were exhibited more frequently, parents provided more analgesia if children exhibited active, loud behaviors. Future intervention should be developed to assist parents in recognizing the unique pain cues children exhibit and instructions for safe and effective pain management.
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialA randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm.
Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. ⋯ Use of a slab may increase the duration of pain, especially in patients who had more severe pain at presentation.
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Pediatric emergency care · Feb 2008
ReviewEmergency department management of community-acquired methicillin-resistant Staphylococcus aureus.
Staphylococcus aureus is a known cause of a variety of illnesses that present to the emergency department, including skin and soft tissue infections, pneumonia, and sepsis. Managing these conditions has become more difficult with the emergence of bacterial strains in the community that are resistant to traditional first-line antibiotics. Emergency care providers need to be aware of the increased prevalence of these resistant bacteria, to understand the characteristics of the infections with which they are associated, and to know the effective antibiotic options for treating these bacterial infections in the emergency department patient population.
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Pediatric emergency care · Feb 2008
Randomized Controlled TrialVeinlite transillumination in the pediatric emergency department: a therapeutic interventional trial.
We hypothesized that transillumination would increase peripheral intravenous (IV) insertion success rates in pediatric emergency department patients. Primary outcome was success in first attempt, and secondary outcome was success within 2 attempts. ⋯ After adjusting for multiple significant covariates and controlling for random effect of provider, our results indicated a benefit in the use of Veinlite transillumination for IV insertion in first attempt and within 2 attempts. This technique seemed to facilitate nonemergent IV placement in pediatric patients compared with standard practice.