Arch Pediat Adol Med
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Arch Pediat Adol Med · Feb 1998
Randomized Controlled Trial Clinical TrialConsequences of inadequate analgesia during painful procedures in children.
To explore the effect of inadequate analgesia for painful procedures (bone marrow aspiration, lumbar puncture, or both) on the pain of subsequent procedures. ⋯ Inadequate analgesia for initial procedures in young children may diminish the effect of adequate analgesia in subsequent procedures.
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Arch Pediat Adol Med · Feb 1998
Predictors of death and neurologic impairment in pediatric submersion injuries. The Pediatric Risk of Mortality Score.
To evaluate the Pediatric Risk of Morality Score (PRISM score) as a tool to distinguish which patients presenting to the emergency department (ED) or pediatric intensive care unit (PICU) would survive neurologically intact from those who would die or survive with severe neurologic impairment following a submersion incident. ⋯ The PRISM scoring system accurately distinguished ED patients who would survive neurologically intact from those who would die or suffer neurologic impairment. There was not a specific PRISM score or probability of outcome that could distinguish PICU patients who would survive neurologically intact from those who would die or suffer severe neurologic impairment. The PRISM scoring system appeared to be more accurate in distinguishing intact survival from death or neurologic impairment in ED patients than in PICU patients.
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Arch Pediat Adol Med · Feb 1998
Social determinants of pediatric residents' injury prevention counseling.
Social norms imparted by preceptors and the requirements necessary to pass American Board of Pediatrics' examinations are potentially important contributors to physician behavior. ⋯ Perceived professional norms regarding injury prevention are related to pediatric residents' counseling, Preceptors should be aware that they transmit professional norms to residents. Also, the American Board of Pediatrics can increase residents' attention to injury prevention by informing them that it will be a topic included in the board examination.
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Arch Pediat Adol Med · Feb 1998
Oral fluid therapy. A promising treatment for vasodepressor syncope.
To investigate the predictive value of an intravenous fluid bolus during tilt table testing on clinical outcome and to evaluate of oral therapy is an effective treatment for patients with vasodepressor syncope. ⋯ Our data suggest that oral fluid therapy is an effective treatment for vasodepressor syncope in our population. Fluid bolus response during tilt table testing has a high positive but a low negative predictive value of response to oral fluid therapy. We now recommend oral fluid therapy as a primary intervention and reserve tilt table testing for oral fluid therapy failures.