Pediatric emergency care
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Pediatric emergency care · Aug 2005
Ankle sprain discharge instructions from the emergency department.
(1) To describe the incidence of inclusion of early mobilization components in emergency department (ED) discharge instructions; (2) to describe the prescribed follow-up appointments; and (3) to analyze the differences between the treatment of pediatric and adult patients. ⋯ Programs that train physicians who work in the ED need to include education on the proper treatment, rehabilitation, and follow up of patients with acute ankle sprains. Providing easy-to-complete discharge instruction templates can help providers give patients discharge instructions that may help patients minimize the risk of long-term sequelae.
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Pediatric emergency care · Aug 2005
The use of evidence-based medicine in the management of acutely ill children.
To determine the extent to which emergency medicine physicians are exposed to and implement evidence-based medicine (EBM). ⋯ Although a majority of emergency medicine physicians report having been exposed to EBM, respondents tended not to use EBM in the management of acutely ill children, regardless of years of experience.
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Pediatric emergency care · Aug 2005
Case ReportsArtificial nail aspiration masquerading as refractory croup.
Infants with an aspirated foreign body who present with acute onset of obstructed airflow should be readily diagnosed. When aspirated foreign body is overlooked, patients may present with recurrent inspiratory, biphasic, or expiratory stridor. We report an infant who repeatedly presented with varying degrees of inspiratory stridor. The diagnosis of aspirated foreign body was hampered by the presence of respiratory syncytial virus infection with the initial episode.
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Omeprazole; the first proton pump inhibitor (PPI) showing an effective acid inhibitory ability, provides the satisfactory therapy either in gastro-esophageal reflux symptom relief or in healing of erosive esophagitis. It's also effective in peptic ulcer disease. ⋯ We report a child who developed hepatitis following omeprazole intake. We believe that this is the first case report of omeprazole-induced hepatitis in pediatric population.
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Pediatric emergency care · Aug 2005
Capnography as a rapid assessment and triage tool for chemical terrorism.
The assessment and triage of victims of chemical terrorism in the emergency department and the prehospital setting has become an important priority. This article proposes the use of capnography as a prehospital assessment and triage tool for monitoring victims of chemical terrorism and for critically ill patients. ⋯ Further, the reliability of capnography is not affected by motion artifact or low perfusion and it is accurate and reliable in actively seizing patients. Emergency departments and emergency medical services systems should consider adding capnography to their chemical terrorism education and training.