Pediatric emergency care
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Pediatric emergency care · Jul 2007
Randomized Controlled TrialA randomized trial to assess the efficacy of point-of-care testing in decreasing length of stay in a pediatric emergency department.
To compare the effect of point-of-care (POC) testing versus traditional laboratory methods on length of stay in a pediatric emergency department (ED). ⋯ Point-of-care testing can significantly decrease the length of stay in select pediatric patients in an ED setting. Point-of-care devices may prove to facilitate patient flow during busiest periods of service demand.
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Pediatric emergency care · Jul 2007
The predictive value and appropriate ranges of prehospital physiological parameters for high-risk injured children.
To assess: (1) the relative importance of prehospital physiological measures in identifying high-risk children; (2) whether different age-based criteria should be used for each prehospital physiological measure; and (3) outcome-based appropriate ranges of physiological measures in injured children. ⋯ Prehospital GCS and respiratory compromise were the most important physiological measures in identifying high-risk injured children. Age-specific criteria should be considered for RR, heart rate, and SBP.
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Pediatric emergency care · Jul 2007
Prospective study of sudden-onset asthma exacerbations in children.
Sudden-onset asthma exacerbations among adults have more rapid treatment responses than do slower-onset exacerbations. We hypothesized that a similar pattern would be evident in children presenting to the emergency department (ED) with an asthma exacerbation. ⋯ Patients with sudden-onset exacerbations had similar acute asthma severity as those with slower-onset exacerbations but had shorter ED length of stay and were less likely to be admitted to the hospital, suggesting a more rapid response to treatment.
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Pediatric emergency care · Jul 2007
Releasing of zipper-entrapped foreskin: a novel nonsurgical technique.
This report describes a novel technique of releasing the zipper-entrapped penile skin. The thin blade of a small screwdriver is inserted between the outer and inner faceplates of the zip fastener, and twisting movement is made toward the median bar. ⋯ This technique was used in 12 children and was found to be safe, effective, simple, painless, and nontraumatic. This can be done by attending pediatrician even in nonhospital settings without resorting to surgical help.
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Pediatric emergency care · Jul 2007
Issues associated with dog bite injuries in children and adolescents assessed at the emergency department.
The aim of this study was to determine the pattern of dog bites seen at the emergency department of a university hospital. The information will be used to plan prevention and enhance management strategies. ⋯ In mammalian attacks, canines are most commonly involved. Most injuries are trivial, and the limbs are usually involved. However, younger children are at higher risk of facial injuries. Extent of pain and adverse psychological impacts are typically not documented in the emergency assessment.