Pediatric emergency care
-
Pediatric emergency care · Dec 2006
Transitional medicine: will emergency medicine physicians be ready for the growing population of adults with congenital heart disease?
Currently, approximately 85% of children with significant congenital heart problems survive to adolescence and adulthood. This survival rate represents a dramatic improvement in the medical and surgical care of congenital heart disease (CHD) during the last 35 years. Nevertheless, these patients remain at increased risk for significant cardiac problems long after primary interventions are completed. They are more likely than the general population to seek urgent medical care, often in an emergency department setting. They represent a new and growing population of emergency department patients with a specialized set of problems not traditionally part of the training for emergency medicine (EM) physicians. ⋯ There seems to be a mismatch between the growing need for ACHD emergency care and the current state of this topic in both GEM residency and PEM fellowship training programs.
-
Pediatric emergency care · Dec 2006
Pharmacologic treatment of acute pediatric methamphetamine toxicity.
To report our experience with the use of benzodiazepines and haloperidol for sedation of pediatric patients with acute methamphetamine poisoning. ⋯ In this case series of pediatric patients poisoned with methamphetamine, parenteral benzodiazepines and haloperidol were used to control agitation. No serious adverse effects were observed from the use of these agents.
-
Pediatric emergency care · Dec 2006
Case ReportsBathing suit mesh entrapment: an unusual case of penile injury.
Penile injury is a rare chief complaint in the pediatric emergency department. The most common penile injuries are iatrogenic or postsurgical complications, blunt trauma, tourniquet injuries, fractures, and zipper injuries. We report a series of 3 cases of penile foreskin entrapment within the mesh lining of bathing suits as a new, recognized form of penile injury.
-
Pediatric emergency care · Nov 2006
Multicenter StudySurvey of parental willingness to pay and willingness to stay for "painless" intravenous catheter placement.
This study examined how much parents are willing to pay and/or willing to stay to make their child's intravenous (IV) catheter placement painless. ⋯ Parents are willing to spend both time and money to make their child's IV placement painless. This information should be considered when choosing therapies to reduce the pain of IV placement.