Pediatric emergency care
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Pediatric emergency care · Jan 2007
Comparative StudyMeasurement accuracy of fever by tympanic and axillary thermometry.
As the basic sciences develop, temperature measurement methods and devices were improved. For hundreds of years both in clinics and home, mercury-in-glass thermometer was the standard of human temperature measurements. In this study, we aimed to compare tympanic infrared thermometers with the conventional temperature option, mercury-in-glass thermometer, which is historical standard in the clinical conditions. ⋯ Our results showed that there is a significant difference in each recording with different thermometers, and this variance was present in both higher and lower readings. We recommend thathome-use infrared tympanic thermometer could be used for screening but must not be considered as a tool to decide patients follow-up.
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Pediatric emergency care · Dec 2006
Randomized Controlled Trial Comparative StudySingle-dose oral dexamethasone in the emergency management of children with exacerbations of mild to moderate asthma.
To compare the efficacy of a single dose of oral dexamethasone (Dex) versus 5 days of twice-daily prednisolone (Pred) in the management of mild to moderate asthma exacerbations in children. ⋯ A single dose of oral Dex (0.6 mg/kg) is no worse than 5 days of twice-daily prednisolone (1 mg/kg per dose) in the management of children with mild to moderate asthma.
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Pediatric emergency care · Dec 2006
ReviewReview of bispectral index monitoring in the emergency department and pediatric intensive care unit.
Sedation is a key component in the management of pediatric patients both in the pediatric emergency department (PED) and pediatric intensive care unit (PICU) for the treatment of pain and anxiety. Bispectral (BIS) index monitoring has been developed to help clinicians assess degree of hypnosis with anesthesia and may be useful in these environments. ⋯ Bispectral values correlate fairly well with commonly used clinical sedation scores, but more variability in the scores has been observed at lighter levels of sedation. More studies are needed to assess the value of titrating sedation in the PED and PICU within specific BIS parameters to reduce morbidity and costs associated with over-sedation.