Pediatric emergency care
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Pediatric emergency care · Dec 2007
Knowledge of procedural sedation and analgesia of emergency medicine physicians.
Pediatric procedural sedation and analgesia (PSA) is unique. The goals of this study were to examine emergency medicine (EM) physicians' baseline knowledge of general and pediatric PSA compared with that of other nonanesthesiologist physicians and to test effectiveness of a seminar required for credentialing in PSA. ⋯ The EM physicians have stronger knowledge about general PSA than other nonanesthesiologist physician participants, but not for pediatric PSA, thus providing a target for future interventions. This course on PSA improved practitioners' knowledge of general and pediatric PSA and can be used as an educational model for PSA training. Further study is needed to determine decay rates for this knowledge and impact on patient care.
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Pediatric emergency care · Nov 2007
Welcome to the world: findings from an emergency medical services pediatric injury prevention program.
Unintentional injuries are the most common cause of morbidity and mortality in young children, and most injuries occur in the home. ⋯ Participating families had high rates of fire/burn hazards and unsafe storage practices. Paramedics can recognize common hazards in the home, can provide education and mitigation to reduce risks of pediatric injury, and can distribute home safety devices in a community injury prevention program.
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(1) To determine antibiotic choices, route of administration, and outcomes of children treated as outpatients with noncomplicated, nonfacial cellulitis at a tertiary care center. (2) To determine the number of visits and time spent in the emergency department (ED) for treatment. ⋯ Noncomplicated, nonfacial cellulitis is most commonly treated using first-generation cephalosporins. Treatment with oral antibiotics was effective and required fewer visits and less time in the ED compared with intravenous treatment. Twice-daily cefazolin and probenecid was associated with less treatment failures and admissions than cefazolin alone and may represent a reasonable alternative for children with nonfacial cellulitis requiring intravenous antibiotics.