Articles: emergency-department.
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To assess the safety of pediatric procedural sedation performed by emergency physicians working within a structured sedation protocol. ⋯ Emergency physicians using a structured sedation protocol can safely perform ED pediatric procedural sedation. Where intravenous access is not already present, intramuscular ketamine, administered in the doses described, is a safe and effective agent for pediatric sedation.
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To determine the frequency of use and the success rates of intraosseous (IO) vascular access in the emergency department. ⋯ IO success rates were high despite infrequent use.
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To discuss ethical and legal aspects of physicianś attitudes in emergency departments under the light of Braziĺs codes and laws. ⋯ The commentaries presented in the article try to explain to the pediatrician how to identify ethical and legal conflicts in the emergency department and to prepare him (her) to assume attitudes based on codes and legal statements, as well as to respect the patient's rights.