Pediatric emergency care
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Pediatric emergency care · Mar 2005
Comparative StudyElectrocardiogram interpretation and management in a pediatric emergency department.
To determine the accuracy of electrocardiogram (ECG) interpretation by pediatric emergency physicians through comparison with a pediatric cardiologist and to determine the intrarater and interrater reliability for pediatric emergency physicians and cardiologists. ⋯ When compared with interpretation by a pediatric cardiologist, ECG interpretation by pediatric emergency physicians was relatively inaccurate; intrarater and interrater agreement among emergency physicians was good and poor, respectively, and the intrarater and interrater agreement among pediatric cardiologists was excellent.
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Pediatric emergency care · Mar 2005
Epidemiology and etiology of malpractice lawsuits involving children in US emergency departments and urgent care centers.
To obtain epidemiologic outcome information about pediatric lawsuits that originate in the emergency department and urgent care center. ⋯ Malpractice suits most often involved fractures, meningitis, and appendicitis. Most suits are settled; many are apparently frivolous. Paid indemnities have dramatically increased in recent years. Verdicts decided by juries favored the doctor in 80% of suits.
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Pediatric emergency care · Mar 2005
Factors predicting early diagnosis of foreign body aspiration in children.
To analyze the clinical spectrum of tracheobronchial foreign bodies in children and explore the clinical features which could facilitate early diagnosis. ⋯ In children with an unequivocal choking event while eating even with normal physical and radiographic findings, FBA requires to be excluded by thorough investigations in such instances. Similarly, in toddlers with unexplained persistent cough with refractory parenchymal infiltrates, unrecognized FBA should also be considered. A witnessed choking event is the most important historical information to make an early diagnosis of FBA.