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Pediatric/Neonatal Critical Care
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Your search returned 66 results
from the time period: last 90 days.
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Journal of intensive care medicine
We sought to characterize how citizens wish to be engaged in care and research in the intensive care unit (ICU).Interviewers administered questionnaires to visitors in 3 adult ICUs and 1 pediatric ICU.We surveyed 202 (adult [n = 130] and pediatric [n = 72]) visitors. Adults and pediatric visitors prioritized 3 patient care topics (family involvement in rounds, improving communication between ...
JAMA pediatrics 
AbstractText: Procedural sedation for children undergoing painful procedures is standard practice in emergency departments worldwide... examine the incidence and risk factors associated with sedation-related SAEs AbstractText: This prospective, multicenter, observational cohort study was conducted in 6 pediatric emergency departments in Canada between July 10, 2010, and February 28, 2015.
Emergency medicine journal : EMJ
... a systematic review on the validity of triage systems for paediatric emergency care AbstractText: Search in MEDLINE, Cochrane Library, Latin American and ... Triage and Acuity Scale (PedCTAS) and its adaptation for Taiwan (paediatric version of the Taiwan Triage and Acuity System); Emergency Severity Index version 4 (ESI v.4); Soterion Rapid Triage ...
Pediatrics (1), more mentions
Journal of intensive care medicine
AbstractText: Noise pollution in pediatric intensive care units (PICU) contributes to poor sleep and may increase risk of developing delirium. The Environmental Protection Agency (EPA) recommends <45 decibels (dB) in hospital environments. The objectives are to assess the degree of PICU noise pollution, to develop a delirium bundle targeted at reducing noise, and to assess the effect of the bundle ...
Delirium (6), more mentions
Emergency medicine journal : EMJ
AbstractText: The Paediatric Research in Emergency Departments International Collaborative (PREDICT) performs multicentre research in Australia and New Zealand ... on individual interests or prior work AbstractText: To identify the research priorities of paediatric emergency medicine (PEM) specialists working in Australia and New Zealand AbstractText: Online surveys were ... Keyword: Paediatric Emergency Medicine.
Sepsis (2), Asthma (1), more mentions
Circulation
... predicted (hospital mean of 6.18 deaths per 1000 admissions based on pre-implementation trends) and actual mortality rates (hospital mean of 6.48 deaths per 1000 admissions; P of 0.57. Conclusions -Implementation of medical emergency teams in a large sample of pediatric hospitals in the U.S was not associated with a reduction in hospital mortality beyond existing pre-implementation trends.
Heart Arrest (1), more mentions
The Journal of emergency medicine
Children who present to the emergency department (ED) with complaint of fever and new-onset joint or extremity pain can be a diagnostic dilemma for many emergency and consulting physicians.The purpose of our study was to identify the etiologies of pediatric fever and extremity pain presenting to a tertiary ...
Men's Health (4), Muscular and Skeletal Diseases (2)
Bacterial Arthritis (2), Bacterial Infection (2), Osteomyelitis (2), more mentions
Archives of disease in childhood 
AbstractText: To estimate the potential impact of enhanced primary care and new out-of-hospital models (OOHMs) on emergency department (ED) presentations by children and young people (CYP) AbstractText: Observational study AbstractText: Data collected prospectively on 3020 CYP 0â€"17.9 years from 6 London EDs during 14 days by 25 ...
Men's Health (2), more mentions
American journal of epidemiology
We estimate the risk of being discharged alive from the pediatric intensive care unit by a given day, under a range of static and dynamic regimes. We find that before adjustment, patients who follow the static regime 'never feed', are discharged by the end of the 5th day with a probability of 0.88 (95 % CI: 0.87 - 0.90), while for the ...
Archives of disease in childhood 
AbstractText: To determine the number of individual children admitted to Paediatric Intensive Care Units (PICUs) in England and Wales between 2004 and 2013 ... AbstractText: Anonymised demographic and epidemiological data were extracted from the Paediatric Intensive Care Audit Network (PICANet) database and analysed for all children resident in England and Wales admitted to PICUs of National ...
Pediatric emergency care
AbstractText: Adults presenting to pediatric emergency departments are transferred to general emergency departments in proportions between 20% and 60... We conducted a retrospective review of the electronic medical record and identified all patients 25 years and older presenting to a large urban freestanding pediatric emergency department from 2008 to 2013.
Pediatric emergency care
... value units for (1) both evaluation and management of visits and (2) procedures for 16 pediatric emergency medicine providers with more than 750 hours worked per year. Eligible shifts were in an urban, academic pediatric emergency department (ED) with 2 sites: a tertiary care main campus and a satellite community site ...
Men's Health (6), more mentions
Pediatric emergency care
Weight errors can lead to medication-dosing errors.This study examined the frequency and consequences of weight errors occurring at 1 children's hospital and 2 general hospitals.Using an electronic medical record database, 79,000 emergency department encounters of children younger than 5 years were analyzed. Extreme weights were first identified using weight percentiles.
Pediatric emergency care
Abstract: Although ultrasound-guided peripheral nerve block has recently been introduced into pediatric emergency departments, knowledge of its use is limited. We present here a case demonstrating the safety and effectiveness of ultrasound-guided popliteal sciatic nerve block for a pediatric spoke injury in a pediatric emergency department setting..
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
BACKGROUND: Investigators have derived cervical spine injury (CSI) decision support tools from physician observations. There is a need to demonstrate that prehospital emergency medical services (EMS) providers can use these tools to appropriately determine the need for spinal motion restrictions and make field disposition decisions. OBJECTIVES: The objective was to determine the interobserver agreement between EMS and emergency department (ED) providers for CSI risk assessment variables and overall gestalt for CSI in children after blunt trauma. METHODS: This was a planned, substudy of a four-site, prospective cohort of children < 18 years transported by EMS to pediatric EDs for evaluation of CSI after blunt trauma. Inclusion criteria were trauma team activation and/or EMS-initiated spinal motion restriction. Exclusion criteria were penetrating trauma, transfer to another facility for definitive care, state custody, or substantial language barrier. For each eligible child, the transporting EMS provider and treating ED provider independently recorded their clinical assessment for CSI. This included mechanism of injury and patient history and physical examination findings. We assessed each paired variable for interobserver agreement between EMS and ED provider using kappa (κ) analysis. We considered variables with κ lower confidence interval values ≥0.4 to have moderate or better agreement. RESULTS: We obtained 1,372 paired observations for 29 variables. After finding prevalence and observer bias were adjusted for, all variables achieved moderate to better agreement including eight variables previously shown to be independently associated with CSI in children: diving mechanism, high-risk motor vehicle collision, altered mental status, focal neurologic findings, neck pain, torticollis, substantial torso injury, and predisposing medical condition. EMS and ED providers, however, showed less than moderate agreement for their overall gestalt for CSI in children. Of note, both EMS and ED providers did not assess for neck pain, inability to move the neck, and/or cervical spine tenderness in more than 10% of study patients. CONCLUSIONS: Emergency medical services and ED providers achieved at least moderate agreement in the assessment of CSI risk factors in children after blunt trauma. However, EMS and ED providers did not achieve moderate agreement on gestalt for CSI and some risk factors went unassessed by providers. These findings support the development of a pediatric CSI risk assessment tool for EMS and ED providers to reduce interventions for those children at very low risk for CSIs while still identifying all children with injury.
Men's Health (8)
Neck Pain (2), Torticollis (1), more mentions
Pediatric emergency care
The aim of this study is to explore current community emergency department (ED) experiences available to pediatric emergency medicine (PEM) trainees and estimate the proportion of graduates taking positions that involve working in a community ED setting.We conducted an e-mail-based survey among PEM fellowship directors and assistant ...
Men's Health (5), more mentions
The Journal of emergency medicine
... following cases describe 3 pediatric patients in Washington state who presented to a tertiary care children's hospital emergency department (ED) with altered mental status, later found to have urine toxicology screening positive for ... before the diagnosis was made; 2 were discharged home and 1 was admitted to the pediatric intensive care unit.
Men's Health (2)
Lethargy (3), Craniocerebral Trauma (1), Ataxia (1), more mentions
Pediatric emergency care
... 70% (N20 70%) is an excellent medication for procedural analgosedation in a pediatric emergency department... rate of adverse events using N20 70% with and without INF AbstractText: Children who received N20 70% in a tertiary children's hospital emergency department from January 1, 2014 to June 30, 2015 were included in ...
Pediatric emergency care
AbstractText: The purpose of this study was to understand pediatric emergency department (ED) and primary care (PC) health care provider attitudes and beliefs regarding the intersection between childhood adversities and health care AbstractText: We conducted in-depth, semistructured interviews in 2 settings (ED and PC) within an urban health care ...
Men's Health (3), more mentions
Critical care medicine
... and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress.Cross-sectional, online survey.Pediatric critical care practices in the United States.Pediatric critical care physicians.None.A nonrandom sample of 253 physicians completed an ... burnout have considered leaving their practice.Burnout is high among pediatric critical care physicians in the United States.
Mental Disorders (1), more mentions
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