Nonurgent Emergency Department Use by Pediatric Patients in the United States: A Systematic Literature Review
Conclusions
The findings of this review suggest tailored interventions to address parents'/caregivers' ED perceptions and health literacy in addition to access (ie, public policy). (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A 2-Phase Survey to Assess a Facility's Readiness for Pediatric Essential Emergency and Critical Care in Resource-Limited Settings: A Literature Review and Survey Development
Conclusions
A comprehensive 2-phase survey was created to evaluate facility readiness for pediatric critical care. Results will assist hospital administrators and policymakers to determine priority areas for quality improvement, enabling them to implement a Plan-Do-Study-Act cycle to improve care for the critically ill child. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Medications Without Borders: Themes in Caregiver Administration of Imported Medications in Pediatrics
Conclusions
Our study used qualitative methodology to gain important insights into the caregiver experience of a diverse patient population. We identify themes not previously published in the medication importation literature. These concepts can provide insights in educational strategies aimed at mitigating the potential dangers of imported medication use in pediatrics. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Measuring the Quality of Cardiopulmonary Resuscitation in the Emergency Department at a Quaternary Children's Hospital
Conclusions
In our study, CC fraction and CC rate were found to meet AHA targets for all age groups, whereas CC depth only met AHA targets for the 8- to 18-year-old group. The most difficult parameter was CC depth for the group of subjects younger than 1 year. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Guiding Fellows to Independent Practice: Current Trends in Pediatric Emergency Medicine Fellow Supervision
Conclusions
Current training practices that provide PEM fellows with conditional clinical independence are variable. Future work should aim to determine best practices of entrustment, identify ideal transition points, and mitigate barriers to graduated responsibility. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Consensus Minimal Dataset for Pediatric Emergency Medicine in Switzerland
Conclusions
A practical minimal dataset for PEM in Switzerland was developed through recognized consensus methodology. The Swiss PEM minimal dataset developed by Swiss PEM experts will facilitate international data sharing for PEM research and quality improvement projects. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Comparison of Bedside and Video-Based Capillary Refill Time Assessment in Children
Objectives
Capillary refill time (CRT) to assess peripheral perfusion in children with suspected shock may be subject to poor reproducibility. Our objectives were to compare video-based and bedside CRT assessment using a standardized protocol and evaluate interrater and intrarater consistency of video-based CRT (VB-CRT) assessment. We hypothesized that measurement errors associated with raters would be low for both standardized bedside CRT and VB-CRT as well as VB-CRT across raters.
Methods
Ninety-nine children (aged 1–12 y) had 5 consecutive bedside CRT assessments by an experienced critical care clinician fo...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Assessing the Variability of Antibiotic Management in Patients With Open Hand Fractures Presenting to the Pediatric Emergency Department
Conclusions
Pediatric open hand fractures have a variability of type and timing to antibiotics. Future initiatives should attempt to create standardized guidelines for management of open hand fractures. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Characteristics of a Pediatric Emergency Psychiatric Telephone Triage Service
Conclusions
A dearth of information on pediatric crisis telephone triage services exists; thus, developing an evidence base is an important area for future work. This information assists not only in our understanding of which, why, and how many youths are diverted from the ED but allows us to extrapolate significant costs that have been saved because of the utilization of the triage service. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Colchicine Poisoning Cases in a Pediatric Intensive Care Unit: A Twenty-Year Study
Conclusions
Colchicine poisoning has a high risk of mortality, and death can be seen in doses less than a single acute dose of 0.5 mg/kg. These patients need close monitoring because there is always a risk of them to require aggressive support. Prognosis is poor in patients who have rapidly developing hemodynamic failure. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Characteristics, Treatment, and Prognosis of Elemental Mercury Intoxication in Children: A Single-Center Retrospective Study
We present data on 49 children with mercury intoxication (MI) and 60 children with mercury exposure from Turkey.
Results
The most common source of mercury was broken thermometer in schools. Inhaling mercury vapor was the most common route of exposure. The median exposure time was 6 (6–16) hours in the MI group, and the time to 1st symptoms was 10 (0–24) hours. In the MI group, the median blood mercury level was 21 μg/L (13–32.3), the median spot urine mercury level was 40 μg/L (7.66–78), and the median 24-hour urine mercury level was 25.8 μg/L (11–64). The most common symptoms in patients with MI were m...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Cosmetic Outcomes of Simple Pediatric Facial Lacerations Repaired With Skin Adhesive Compared With Skin Adhesive With Underlying Adhesive Strips: A Randomized Controlled Trial
Objectives
A randomized controlled trial was designed to compare 2 methods of repairing simple pediatric facial lacerations. We hypothesized that wounds repaired with skin adhesive and underlying adhesive strips compared with skin adhesive alone would be superior in regard to cosmetic outcome.
Methods
Patients aged younger than 18 years presenting to the emergency department with simple facial lacerations requiring repair were eligible for enrollment. Patients were randomly assigned to repair with either skin adhesive alone or skin adhesive with underlying adhesive strips. Families were contacted by phone 1 week...
Source: Pediatric Emergency Care - October 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Teaching Cardiopulmonary Resuscitation and Defibrillation in Children
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Response to “Time of Observation in Xenobiotic Ingestion in Children: Is 6 Hours Too Long?”
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
The Neglected Fact: Pediatric Pulmonary Embolism
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
