Articles: emergency-medicine.
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A pediatric focus in the emergency department requires an understanding of age-specific parameters of assessment and management. Differential considerations are unique in the pediatric patient reflecting both congenital and acquired conditions. Respiratory problems, meningitis, seizures, and child abuse require careful assessment and aggressive intervention. When approaching the ill child, attention must be directed toward reducing anxiety and pain in the patient.
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To obtain current demographic data and information regarding the opinion of a stratified random sample of emergency physicians about the greatest current challenges facing emergency medicine. ⋯ Overall, the ABEM Longitudinal Study participant responses to the 1995 interim survey describe a committed group of emergency physicians who are struggling and coping with the needs of a maturing specialty and with the crosscurrents and changes in American medicine.
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The objective of this survey was to determine the percentage of unfunded studies published in the four major emergency medicine journals and to examine the sources in funded studies. This study was a retrospective survey of all issues of the four general emergency medicine journals in 1994. Funding was categorized as public national, private, international, institutional, or unfunded. ⋯ Overall, significantly more of the emergency medicine articles in the four journals were unfunded (63% unfunded [95% CI = 56.7-69.1]; 37% funded [95% CI = 30.9-43.3]). The sources of funding for each of the journals varied, with most being private (45%). In conclusion unfunded research remains a major source of emergency medicine literature in the four main emergency medicine journals.
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Editorial Comment
Emergency medicine administrative managers for the 21st century.