Pediatrics
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Randomized Controlled Trial Comparative Study
Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.
Poor communication and teamwork may contribute to errors during neonatal resuscitation. Our objective was to evaluate whether interns who received a 2-hour teamwork training intervention with the Neonatal Resuscitation Program (NRP) demonstrated more teamwork and higher quality resuscitations than control subjects. ⋯ Trained participants exhibited more frequent teamwork behaviors (especially the HFT group) and better workload management and completed the resuscitation more quickly than did control subjects. The impact on team behaviors persisted for at least 6 months. Incorporating team training into the NRP curriculum is a feasible and effective way to teach interns teamwork skills. It also improves simulated resuscitation quality by shortening the duration.
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Multicenter Study
Childhood obesity and survival after in-hospital pediatric cardiopulmonary resuscitation.
We hypothesized that childhood obesity would be associated with decreased likelihood of survival to hospital discharge after in-hospital, pediatric cardiopulmonary resuscitation (CPR). ⋯ Childhood obesity is associated with a lower rate of survival to hospital discharge after in-hospital, pediatric CPR.
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Randomized Controlled Trial Comparative Study
Interpreters: telephonic, in-person interpretation and bilingual providers.
Language barriers affect health care interactions. Large, randomized studies of the relative efficacy of interpreter modalities have not been conducted. ⋯ Both telephonic and in-person interpretation resulted in similar concordance in understanding of discharge diagnosis compared with bilingual providers. In general, noninferiority was also seen on qualitative measures, although there was a trend favoring telephonic over in-person interpretation.
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Emergency department (ED) crowding prevents the efficient and effective use of health services and compromises quality. Patients who use the ED for nonemergent health concerns may unnecessarily crowd ED services. In this article we describe characteristics of pediatric patients in the United States who use EDs for nonemergent visits. ⋯ Children's sociodemographic characteristics were predictors of nonemergent use of ED services.
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Endotracheal intubation is a common procedure in newborn care. The purpose of this clinical report is to review currently available evidence on use of premedication for intubation, identify gaps in knowledge, and provide guidance for making decisions about the use of premedication.