Arch Pediat Adol Med
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To identify the current practice patterns of emergency medicine practitioners and the typical criteria used in discontinuing cervical spine immobilization (CSI) in the pediatric patient. ⋯ Discontinuing CSI without obtaining radiographs is common, especially among those with residency training in pediatrics and those in practice for less than 10 years. Knowledge of current practice is essential to future development of guidelines for managing pediatric trauma patients for whom cervical spine injury is a consideration.
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To describe the use of a computer education station placed within a pediatric emergency department. ⋯ Pediatric residents are willing to use an educational computer placed in the emergency department. Choice of form and content should take into account the likelihood of short interactions and the demonstrated interest of allied health professionals.
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Arch Pediat Adol Med · Feb 2001
Review Practice Guideline GuidelineConsensus statement for the prevention and management of pain in the newborn.
To develop evidence-based guidelines for preventing or treating neonatal pain and its adverse consequences. Compared with older children and adults, neonates are more sensitive to pain and vulnerable to its long-term effects. Despite the clinical importance of neonatal pain, current medical practices continue to expose infants to repetitive, acute, or prolonged pain. ⋯ Management of pain must be considered an important component of the health care provided to all neonates, regardless of their gestational age or severity of illness.
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Arch Pediat Adol Med · Feb 2001
Randomized Controlled Trial Clinical TrialThe addition of ceftriaxone to oral therapy does not improve outcome in febrile children with urinary tract infections.
To determine whether the addition of a single dose of ceftriaxone sodium to a 10-day course of trimethoprim and sulfamethoxazole hastens urine sterilization or resolution of clinical symptoms in febrile children with urinary tract infections. ⋯ The addition of a single dose of intramuscular ceftriaxone to a 10-day course of oral trimethoprim-sulfamethoxazole for urinary tract infection with fever resulted in no difference at 48 hours in the urine sterilization rate, degree of clinical improvement, or subsequent hospital admission rate.