Clinical pediatrics
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Clinical pediatrics · Sep 2012
Incidental findings on computed tomography scans in children with mild head trauma.
Computed tomography (CT) scans are frequently used in managing traumatic brain injuries in children. ⋯ Incidental findings in minor head trauma are common. Clinicians should be prepared to address these findings if clinically indicated.
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Clinical pediatrics · Aug 2012
Family-centered rounds and communication about discharge between families and inpatient medical teams.
Family-centered rounds (FCRs) are believed to enhance family-medical team communication. ⋯ Families on teams that conduct FCRs are knowledgeable of discharge goals but less knowledgeable of discharge day and medications. Spanish-speaking and Hispanic families are less likely to report knowing discharge plans compared with English-speaking and non-Hispanic counterparts.
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Simulation provides a means to educate, monitor, evaluate, and potentially document the competency of emergency physicians. The evolution of high-fidelity simulators has led to a surge of enhanced medical applications that fit nicely into the core of emergency medicine training. ⋯ Although improved outcomes from simulation are not well established, there is a general consensus regarding the added value over current training. And finally, simulation provides the ability to construct training to match the current educational efforts related to individual physicians or system-level improvements in communication and patient safety.
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Clinical pediatrics · Jul 2012
Early pediatric emergency department return visits: a prospective patient-centric assessment.
A substantial percentage of emergency department (ED) patients return within 72 hours of their initial evaluation. Quality reviews typically demonstrate that most revisits do not seem to be directly related to problematic care provided on the first evaluation. We examined the possibility that return visits are related to nonmedical issues on the first visit, most notably patient discharge education. Objective We prospectively surveyed a convenience sample of caregivers in a pediatric ED to determine why they returned with their children within 72 hours of their initial ED visit. ⋯ Among children who are discharged from the emergency department and return within 72 hours, most caregivers are satisfied with the care and instructions provided on their first visits. Though most patients have a PMD, many do not call them prior to their return ED visit, and those who do either cannot schedule an appointment or are told to return to the ED. The majority of patients return for clinical progression of illness.
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Clinical pediatrics · Jul 2012
Embracing international children's rights: from principles to practice.
As clinicians, pediatricians need to be cognizant of the how the principles of equity, social justice, and children's rights help to inform and guide us as we strive for the health and well being of all children. Children of the world are frequently the most vulnerable global citizens facing poverty, displacement, and lack of life's basic necessities. ⋯ These include the Community Pediatric Section's Children's Rights Curriculum dedicated to increasing awareness of the UN Convention on the Rights of the Children and the relationship between public policy, advocacy, and children's health. In addition, the American Academy of Pediatrics' Section on International Child Health is committed to improving the health and well-being of the world's children through education, advocacy, research, and the delivery of health services and the creation of effective global partnerships.