• Emergency Medical Services Utilization by Children

    1 month ago - By Pediatric Emergency Care

    Objective
    The aim of this study was to compare demographic and clinical features of children who arrived at general emergency departments by emergency medical services to those who arrived by private vehicles and other means in a rural, 3-county region of northern California.
    Methods
    We reviewed 507 ED records of children who arrived at EDs by EMS and those who arrived by other means in 2013. We also analyzed prehospital procedures performed on all children transported to an area hospital by EMS.
    Results
    Children arriving by EMS were older (9.0 vs 6.0 years; P
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  • Is Radiography Necessary for Pediatric Emergency Department Clinicians to Safely Manage Ankle Injuries?

    Is Radiography Necessary for Pediatric Emergency Department Clinicians to Safely Manage Ankle Injuries?

    1 month ago - By Pediatric Emergency Care

    Objectives
    Ankle radiography in the pediatric emergency department exposes a radiosensitive population to harmful ionizing radiation and is costly to health care systems. This study aimed to determine if ankle injuries in children could be managed safely and effectively without radiography.
    Methods
    This prospective study enrolled 94 patients with ankle injuries between July 14, 2015, and December 16, 2015. Participating clinicians filled out a tick-box questionnaire describing their predicted diagnosis and management. In March 2016, we looked retrospectively at TRAK to determine how these...
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  • The Complex Association of Race/Ethnicity With Pain Treatment Quality in an Urban Medical Center With 2 Pediatric Emergency Departments

    The Complex Association of Race/Ethnicity With Pain Treatment Quality in an Urban Medical Center With 2 Pediatric Emergency Departments

    1 month ago - By Pediatric Emergency Care

    Objective
    This study aimed to explore racial differences in analgesia quality.
    Methods
    A retrospective cross-sectional study of 24,733 visits by individuals 21 years or younger with pain scores of 4 to 10 was performed using electronic medical records. We compared 2 process metrics, treatment with any analgesics within 60 minutes and treatment with opioids within 60 minutes, and one outcome metric, a reduction in pain score by 2 or more points within 90 minutes. Multivariable logistic regression adjusted for the effects of patient characteristics and health status. We also determined...
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