1
40
4
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2004.12.015" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jemermed.2004.12.015</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Are one or two dangerous? Opioid exposure in toddlers
Publisher
An entity responsible for making the resource available
The Journal Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
The topic of the resource
Child; Humans; Analgesics; Preschool; infant; Dose-Response Relationship; Drug; Codeine/poisoning; Emergency Medicine/methods; Fentanyl/poisoning; Methadone/poisoning; Opioid/poisoning; Overdose; Pediatrics/methods; Poisoning/diagnosis/physiopathology/therapy; Tramadol/poisoning
Creator
An entity primarily responsible for making the resource
Sachdeva DK; Stadnyk JM
Description
An account of the resource
Ingestions of opioid analgesics by children may lead to significant toxicity as a result of depression of the respiratory and central nervous systems. A review of the medical literature was performed to determine whether low doses of opioids are dangerous in the pediatric population under 6 years old. Methadone was found to be the most toxic of the opioids; doses as low as a single tablet can lead to death. All children who have ingested any amount of methadone need to be observed in an Emergency Department (ED) for at least 6 h and considered for hospital admission. Most other opioids are better tolerated in ingestions as small as one or two tablets. Based on the limited data available for these opioids, we conclude that equianalgesic doses of 5 mg/kg of codeine or greater require 4 to 6 h of observation in the ED. Data for propoxyphene and all extended-release preparations are limited; their prolonged half-lives would suggest the need for longer observation periods. All opioid ingestions leading to respiratory depression or significant central nervous system depression require admission to an intensive care unit.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2004.12.015" target="_blank" rel="noreferrer">10.1016/j.jemermed.2004.12.015</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Analgesics
Backlog
Child
Codeine/poisoning
Dose-Response Relationship
Drug
Emergency Medicine/methods
Fentanyl/poisoning
Humans
Infant
Journal Article
Methadone/poisoning
Opioid/poisoning
Overdose
Pediatrics/methods
Poisoning/diagnosis/physiopathology/therapy
Preschool
Sachdeva DK
Stadnyk JM
The Journal Of Emergency Medicine
Tramadol/poisoning
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16495419" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16495419</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Defining mild, moderate, and severe pain by using the color analogue scale with children presenting to a pediatric emergency department
Publisher
An entity responsible for making the resource available
Academic Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
Subject
The topic of the resource
Child; Female; Humans; Male; Prospective Studies; adolescent; Preschool; Non-U.S. Gov't; Research Support; PedPal Lit; Hospital; Emergency Service; Wounds and Injuries/complications; Pediatrics/methods; Pain Measurement/methods; Abdominal Pain/classification/diagnosis; Arizona; Emergency Medicine/methods; Headache/classification/diagnosis; Pain/classification/diagnosis/etiology
Creator
An entity primarily responsible for making the resource
McConahay T; Bryson M; Bulloch B
Description
An account of the resource
OBJECTIVES: To define in centimeters what constitutes mild, moderate, and severe acute pain in children by using the Color Analogue Scale (CAS) for pain. METHODS: This was a prospective study, using convenience sampling, of all children presenting to a pediatric ED between the ages of 5 and 16 years with a complaint of pain. Children were excluded if they had altered sensorium, were clinically unstable or required admission to the ICU, or were developmentally delayed. Children were asked to mark their pain severity on the standardized 10-cm CAS. To use this measure, children were asked to slide the marker to the point on the scale that best described the pain they were currently experiencing. They then were asked to describe their pain as "none," "mild," "moderate," or "severe." RESULTS: A total of 169 children were enrolled with a mean age of 10.1 years (SD +/- 3.2 years). Males accounted for 94 (55%); 89 (52.7%) were Hispanic, 63 (37.3%) were white, 8 (4.7%) were African American, and 9 (5.3%) were "others." In children who considered their pain to be mild (n = 34), the median score was 3.5 cm, and the mean score was 3.47 cm (95% CI = 2.95 to 3.99). For those with moderate pain (n = 68), the median score was 6.0 cm, the mean score was 6.04 cm (95% CI = 5.67 to 6.41), and if the pain was considered severe (n = 67) the median score was 8.5 cm, and the mean score was 8.28 cm (95% CI = 7.85 to 8.71). CONCLUSIONS: This study quantifies what constitutes mild, moderate, and severe pain on the CAS scale. This information should be used to properly triage children with painful conditions and to identify appropriate patients for enrollment in analgesic studies.
2006
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2006
Abdominal Pain/classification/diagnosis
Academic Emergency Medicine
Adolescent
Arizona
Backlog
Bryson M
Bulloch B
Child
Emergency Medicine/methods
Emergency Service
Female
Headache/classification/diagnosis
Hospital
Humans
Journal Article
Male
McConahay T
Non-U.S. Gov't
Pain Measurement/methods
Pain/classification/diagnosis/etiology
Pediatrics/methods
PedPal Lit
Preschool
Prospective Studies
Research Support
Wounds and Injuries/complications
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/S0196064404006365" target="_blank" rel="noreferrer">http://doi.org/10.1016/S0196064404006365</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Clinical practice guideline for emergency department ketamine dissociative sedation in children
Publisher
An entity responsible for making the resource available
Annals Of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
Subject
The topic of the resource
Child; Humans; Age Factors; Anesthetics; Emergency Service; Preschool; infant; Hospital; Emergency Medicine/methods; Pediatrics/methods; Dissociative/administration & dosage/contraindications; Ketamine/administration & dosage/contraindications
Creator
An entity primarily responsible for making the resource
Green SM; Krauss B
Description
An account of the resource
We present an evidence-based clinical practice guideline for the administration of the dissociative agent ketamine for emergency department pediatric procedural sedation and analgesia. Substantial research in recent years has necessitated updates and revisions to the widely disseminated 1990 recommendations. We critically discuss indications, contraindications, personnel requirements, monitoring, dosing, coadministered medications, recovery issues, and future research questions for dissociative sedation.
2004
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/S0196064404006365" target="_blank" rel="noreferrer">10.1016/S0196064404006365</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2004
Age Factors
Anesthetics
Annals Of Emergency Medicine
Backlog
Child
Dissociative/administration & dosage/contraindications
Emergency Medicine/methods
Emergency Service
Green SM
Hospital
Humans
Infant
Journal Article
Ketamine/administration & dosage/contraindications
Krauss B
Pediatrics/methods
Preschool
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">http://doi.org/10.2310/8000.2011.100298</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Esophageal coin removal by emergency physicians: a continuous quality improvement project incorporating rapid sequence intubation
Publisher
An entity responsible for making the resource available
Canadian Journal Of Emergency Medical Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
Subject
The topic of the resource
Child; Female; Humans; Male; Time Factors; Preschool; infant; retrospective studies; Emergency Medicine/methods; Quality improvement; Esophagus/injuries; Foreign Bodies/surgery; Intubation/methods; Numismatics
Creator
An entity primarily responsible for making the resource
Bhargava R; Brown L
Description
An account of the resource
OBJECTIVE: The objective of this study was to describe our experience removing esophageal coins from children in a tertiary care pediatric emergency department over a 4-year period. METHODS: We retrospectively reviewed a continuous quality improvement data set spanning October 1, 2004, through September 30, 2008. RESULTS: In 96 of 101 cases (95%), emergency physicians successfully retrieved the coin. The median age of the children was 19 months (interquartile range [IQR] 13-43 months; range 4 months-12.8 years). The median time to removal of coin from initiation of intubation was 8 minutes (IQR 4-14 minutes; range 1-60 minutes). Coins were extracted using forceps only in 56 cases, whereas forceps and a Foley catheter were used in the remainder. Succinylcholine and etomidate were used in almost all cases for rapid sequence intubation prior to coin removal. Complications were identified in 46 cases: minor bleeding (13), lip laceration (7), multiple attempts (5), hypoxia (3), accidental extubation (3), dental injuries (3), bradycardia (2), coin advanced (1), right main-stem bronchus intubation (1), and other (8). CONCLUSIONS: Emergency physicians successfully removed esophageal coins following rapid sequence intubation in most cases. Our approach may be considered for the management of pediatric esophageal coins, particularly in an academic pediatric emergency department.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.2310/8000.2011.100298" target="_blank" rel="noreferrer">10.2310/8000.2011.100298</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2011
Backlog
Bhargava R
Brown L
Canadian Journal Of Emergency Medical Care
Child
Emergency Medicine/methods
Esophagus/injuries
Female
Foreign Bodies/surgery
Humans
Infant
Intubation/methods
Journal Article
Male
Numismatics
Preschool
Quality Improvement
Retrospective Studies
Time Factors