Clinical pediatrics
-
Clinical pediatrics · Mar 2012
Bilious vomiting does not rule out infantile hypertrophic pyloric stenosis.
To describe the incidence of bilious vomiting in infants with infantile hypertrophic pyloric stenosis that presented to a pediatric emergency department. ⋯ Bilious emesis was the presenting symptom in a small proportion of infants with infantile hypertrophic pyloric stenosis.
-
Clinical pediatrics · Mar 2012
Family-centered rounds: views of families, nurses, trainees, and attending physicians.
To study the impact of family-centered rounds for general pediatrics inpatients. ⋯ Family participation may shorten inpatient rounds. Families and staff were satisfied with family-centered rounds, though senior resident autonomy requires attention.
-
Clinical pediatrics · Feb 2012
Randomized Controlled TrialThe impact of an interactive Web-based module on residents' knowledge and clinical practice of injury prevention.
To determine the effectiveness of an interactive Web-based module on knowledge acquisition, retention, and clinical practice by residents. ⋯ The noninteractive module was more effective in promoting knowledge acquisition. Residents successfully demonstrated knowledge retention with completion of either module. The modules were insufficient to change clinical practice.
-
Clinical pediatrics · Feb 2012
Management of an apparent life-threatening event: a survey of emergency physicians practice.
The etiology of an apparent life-threatening event (ALTE) has been attributed to a wide range of causes. Physicians rely on caregiver narratives, which are often unreliable given the distressing nature of the event, which in turn leads to variation in the evaluation and management. The objective of this study was to study this variation in the management of ALTE among emergency physicians in Michigan. ⋯ There is a wide variation in the evaluation and management of ALTE among emergency medicine physicians in Michigan. These children with ALTE are very likely to be seen by pediatric subspecialists subsequently.