Pediatric emergency care
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Pediatric emergency care · Apr 2007
ReviewIs cardiopulmonary resuscitation warranted in children who suffer cardiac arrest post trauma?
The use of cardiopulmonary resuscitation (CPR) is accepted universally for patients with cardiovascular compromise. However, outcomes from CPR in subsets of trauma patients may not be as good as initially thought. This article reviews the literature on outcomes from traumatic arrest in both adults and children. ⋯ Finally, we discuss possible reasons to resuscitate. Organ donation and the ethics of nontherapeutic ventilation and other strategies to increase the donor pool are discussed. We hope to stimulate discussion around a very difficult issue.
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Pediatric emergency care · Apr 2007
Comparative StudyAccuracy of weight estimation methods for children.
To evaluate differences in accuracy of 2 weight estimation methods for children when compared with measured weights: the Broselow-Luten tape (patient's height as the predictor) and the devised weight estimation method (DWEM) (patient's height and body habitus as predictors). ⋯ Although both the Broselow-Luten and DWEM weight estimations show statistical correlation with measured weights, the Broselow-Luten method underestimates weights in all weight classes, and the DWEM underestimates weights in the weight classes greater than 20 kg.
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Pediatric emergency care · Apr 2007
Case ReportsPresentation of systemic lupus erythematosus in emergency department.
Systemic lupus erythematosus (SLE) is a multisystem inflammatory disease that is often difficult to diagnose in the emergency department. It is an autoimmune disease with great variability in presentation and course. ⋯ The emergency physician must maintain a high degree of suspicion for the early diagnosis and management of this important condition. We present 3 children who presented to emergency department with different initial manifestations of SLE.
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Pediatric emergency care · Apr 2007
Evaluation of a child guidance model for visits for mental disorders to an inner-city pediatric emergency department.
To address a rising trend of emergency department (ED) visits for mental disorders (VMD), our ED implemented a child guidance model for their efficient evaluation and disposition. ⋯ This study suggests that children with VMD visits contribute a substantial resource burden in the ED, and focused interventions such as the child guidance model in the ED can significantly decrease LOS and reduce ED costs.