Pediatric emergency care
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Pediatric emergency care · Dec 2007
Case ReportsThe missing "Bratz" doll: a case of vaginal foreign body.
Young female patients with gynecologic complaints, including vaginal discharge, commonly seek care in the emergency department. Prepubertal vaginal discharges have various potential etiologies including nonspecific vulvovaginitis, infections, inflammatory or dermatologic processes, precocious puberty, malignancy, anatomical anomaly, trauma, sexual abuse, and foreign body. ⋯ The foreign body was part of a toy, the lower half of the patient's missing "Bratz" (MGA Entertainment) doll. Although it is well known that a vaginal foreign body can cause a vaginal discharge, the unusual nature of the foreign body in this case and the revealing radiograph made this a case of particular interest.
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Pediatric emergency care · Dec 2007
Multicenter StudyA survey of emergency department management of acute urticaria in children.
To describe emergency department management of acute urticaria in children and to determine factors associated with management strategies and adherence to practice guidelines. ⋯ Minimal awareness and use of existing guidelines, and low concordance with published recommendations exist. Management practices vary and are influenced by training, practice setting, and clinical experience.
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Pediatric emergency care · Dec 2007
Ketamine-propofol combination sedation for fracture reduction in the pediatric emergency department.
To evaluate the time of onset and recovery from and the efficacy and safety of intravenous ketamine-propofol sedation for reduction of forearm fractures in the pediatric emergency department setting. ⋯ In this pilot study, the combination of ketamine and propofol provided effective sedation with rapid recovery and no clinically significant complications for children requiring closed reduction of forearm fractures.
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Pediatric emergency care · Dec 2007
Does length-based resuscitation tape accurately place pediatric patients into appropriate color-coded zones?
To determine relationship between length-based resuscitation tape (LBT)-based color-coded zones and actual weight-based color-coded zones. ⋯ Overall, LBT reasonably estimates appropriate color zones for drug dosing. However, LBT tends to underestimate color zones among younger obese children and adolescents. Potential implications of the rising trend of overweight children on resuscitation practice and drug administration must be considered.