Pediatric emergency care
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Pediatric emergency care · May 2006
The interrater reliability of a validated bronchiolitis severity assessment tool.
We previously constructed and tested a bronchiolitis severity assessment tool in 2 independent hospitals. The model uses age, work of breathing, dehydration and tachycardia to successfully predict disease severity. ⋯ Overall interrater reliability for this bronchiolitis severity assessment tool is substantial.
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Pediatric emergency care · May 2006
Maternal and child factors affecting high-volume pediatric emergency department use.
To describe maternal and child characteristics associated with high-volume nonurgent pediatric emergency department (ED) use. ⋯ Marital status, high maternal use of the ED, perception of the ED as the place to seek care for a sick child, and lack of weekend hours for usual source of care are associated with high-volume ED use among children. Given similarities in patterns of ED use among mothers and children, further attention is needed to address clinical practice and system issues that contribute to familial use of EDs.
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Pediatric emergency care · May 2006
Randomized Controlled TrialBrief focal ultrasound with topical anesthetic decreases the pain of intravenous placement in children.
To determine whether brief, focal pretreatment of children's skin with low-frequency ultrasound followed by a 5-minute application of a 4% lidocaine topical anesthetic decreases the pain of intravenous (IV) catheter placement. ⋯ Visual analog scale scores measuring children's pain and parents' perception of the child's pain were lower in those who were pretreated with brief focal ultrasound and 5 minutes of 4% lidocaine cream when compared with those pretreated with ultrasound and placebo.