A Google Custom Search
DATABASES: MEDICAL :
MEDICINE: EMERGENCY :
MEDICINE: PEDIATRIC :
The Pediatric Emergency Medicine Database
The Pediatric Emergency Medicine Database
Archive by Month of Research Studies
Journal of Emergency Medicine
PED Discussion List
PEM STUDIES CONTENT SAMPLE
PEM Studies January 2017
PEM studies, January 2017
PEM studies, January 2017
Incorporating a Computerized Cognitive Battery Into the Emergency Department Care of Pediatric Mild Traumatic Brain Injuries-Is It Feasible?
Pain Assessment in Children Younger Than 8 Years in Out-of-Hospital Emergency Medicine: Reliability and Validity of EVENDOL Score
Perceptions on the Impact of a Just-in-Time Room on Trainees and Supervising Physicians in a Pediatric Emergency Department
The utility of a handheld metal detector in detection and localization of pediatric metallic foreign body ingestion
Development of a Global Respiratory Severity Score (GRSS) for Respiratory Syncytial Virus Infection in Infants
Benchmarking Prehospital and Emergency Department Care for Argentine Children with Traumatic Brain Injury: For the South American Guideline Adherence Group
Pediatric Sacroiliitis: Clinical and Microbiologic Differences Between Infants and Children-Adolescents
Predictors of Intrathoracic Injury after Blunt Torso Trauma in Children Presenting to an Emergency Department as Trauma Activations
Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents
Characteristics of mesenteric lymphadenitis in comparison with those of acute appendicitis in children
A host-protein based assay to differentiate between bacterial and viral infections in preschool children (OPPORTUNITY): a double-blind, multicentre, validation study
Children presenting in delayed fashion after minor head trauma with scalp swelling: do they require further workup?
Lung Ultrasound as First-Line Examination for the Diagnosis of Community-Acquired Pneumonia in Children
A Novel Method of Intraosseous Infusion of Adenosine for the Treatment of Supraventricular Tachycardia in an Infant
Use of a Low Literacy Written Action Plan to Improve Parent Understanding of Pediatric Asthma Management: A Randomized Controlled Study
Use of radiography and ultrasonography for nasal fracture identification in children under 18 years of age presenting to the emergency department
Interpretation of Cerebrospinal Fluid White Blood Cell Counts in Young Infants With a Traumatic Lumbar Puncture
Emergency medical services (EMS) versus non-EMS transport among injured children in the United States
Evaluation of new two-thumb chest compression technique for infant cardiopulmonary resuscitation performed by novice physicians. A randomized, crossover, manikin trial
Association of Hospital Resources and Imaging Choice for Appendicitis in Pediatric Emergency Departments
Somatic symptom disorder was common in children and adolescents attending an emergency department complaining of pain
Secondhand Smoke Exposure, Illness Severity and Resource Utilization in Pediatric Emergency Department Patients with Respiratory Illnesses
JANUARY 14, 2017
A Computerized Sexual Health Survey Improves Testing for Sexually Transmitted Infection in a Pediatric Emergency Department
The Use of Ultrasound-Measured Optic Nerve Sheath Diameter to Predict Ventriculoperitoneal Shunt Failure in Children
Genital and Extragenital Gonorrhea and Chlamydia in Children and Adolescents Evaluated for Sexual Abuse
Outcomes From Referrals and Unscheduled Visits From Community Emergency Departments to a Regional Pediatric Emergency Department in Canada
Clinical Pathway Effectiveness: Febrile Young Infant Clinical Pathway in a Pediatric Emergency Department
Association Between Early Lactate Levels and 30-Day Mortality in Clinically Suspected Sepsis in Children
Association Between Initial Emergency Department Lactate and Use of Vasoactive Medication in Children With Septic Shock
Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment
Point of care lung ultrasound of children with acute asthma exacerbations in the pediatric emergency department
Crystalloid Fluid Choice and Clinical Outcomes in Pediatric Sepsis: A Matched Retrospective Cohort Study
Assessment of Splints Applied for Pediatric Fractures in an Emergency Department/Urgent Care Environment
'Single-checked' Patient Group Directions during initial nurse assessment within paediatric emergency departments of the UK and Ireland
In patients presenting to the emergency department with skin and soft tissue infections what is the diagnostic accuracy of point-of-care ultrasonography for the diagnosis of abscess compared to the current standard of care? A systematic review and meta-analysis
Anaphylaxis in Children: Experience of 485 Episodes in 1,272,482 Patient Attendances at a Tertiary Paediatric Emergency Department from 2007 to 2014
Arch Dis Child. 2017 Jun 10. pii: archdischild-2017-312860. doi: 10.1136/archdischild-2017-312860. [Epub ahead of print]
The role of nurses' clinical impression in the first assessment of children at the emergency department.
To assess the diagnostic value and determinants of nurses' clinical impression for the recognition of children with a serious illness on presentation to the emergency department (ED).
Secondary analysis of a prospective cohort.
SETTING AND PATIENTS:
6390 consecutive children <16 years of age presenting to a paediatric ED with a non-surgical chief complaint and complete data available.
MAIN OUTCOME MEASURES:
Diagnostic accuracy of nurses' clinical impression for the prediction of serious illness, defined by intensive care unit (ICU) and hospital admission. Determinants of nurses' impression that a child appeared ill.
Nurses considered a total of 1279 (20.0%) children appearing ill. Sensitivity of nurses' clinical impression for the recognition of patients requiring ICU admission was 0.70 (95% CI 0.62 to 0.76) and specificity was 0.81 (95% CI 0.80 to 0.82). Sensitivity for hospital admission was 0.48 (95% CI 0.45 to 0.51) and specificity was 0.88 (95% CI 0.87 to 0.88). When adjusted for age, gender, triage urgency and abnormal vital signs, nurses' impression remained significantly associated with ICU (OR 4.54; 95% CI 3.09 to 6.66) and hospital admission (OR 4.00; 95% CI 3.40 to 4.69). Ill appearance was positively associated with triage urgency, fever and abnormal vital signs and negatively with self-referral and presentation outside of office hours.
The overall clinical impression of experienced nurses at the ED is on its own, not an accurate predictor of serious illness in children, but provides additional information above some well-established and objective predictors of illness severity.
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
Accident & Emergency; Epidemiology
DATABASE SEARCH RESULTS
(CONCUSSION OR CONCUSSIONS OR "BRAIN TRAUMA") AND (TREATMENT OR THERAPY OR INTERVENTIONS) AND ADOLESCENTS
<a href="tel:%28215%29%20204-4584" value="+12152044584" target="_blank">(215) 204 - 4584
General Internet & Print Resources
The Russell Conwell Learning Center Research Guide:
THE COLLEGE LEARNING CENTER
Temple University Site Map
Bushell, R. & Sheldon, P. (eds),
Wellness and Tourism: Mind, Body, Spirit,
Place, New York: Cognizant Communication Books.
Wellness Tourism: Bibliographic and Webliographic Essay
David P. Dillard
RailTram Discussion Group
From the Union Pacific to BritRail and Beyond
Improve Your Chances for Indoor Gardening Success
HEALTH DIET FITNESS RECREATION SPORTS TOURISM
|Free forum by Nabble||Edit this page|