• Impact of a Faster Computed Tomography Scanner on Sedation for Pediatric Head Computed Tomography Scans in 2 Large Emergency Departments-A Retrospective Study

    1 month ago - By Pediatric Emergency Care

    Objectives
    Children in the emergency department often require sedation for head computed tomography to ensure adequate image quality. Image acquisition time for a head CT using a conventional single-source CT scanner is approximately 12 seconds; however, after installation in November 2017 of 2 new dual-source dual-energy CT scanners, that time decreased to 1 to 3 seconds. We hypothesized that fewer patients would require sedation using the faster CT scanners.
    Methods
    We conducted a retrospective chart review of patients aged 0 to 18 years undergoing head CT at 2 pediatric EDs within 1...
    Read more ...

     

  • Risk Factors for Failure of Closed Forearm Fracture Reduction in the Pediatric Emergency Department

    Risk Factors for Failure of Closed Forearm Fracture Reduction in the Pediatric Emergency Department

    1 month ago - By Pediatric Emergency Care

    Objectives
    This study aimed to explore risk factors for failure of forearm fracture closed reduction in the pediatric emergency department and to suggest indications for initial surgery.
    Methods
    This retrospective cohort study included all patients aged 0 to 18 years who presented to our pediatric ED with an extraarticular forearm fracture treated with closed reduction between May 2017 and April 2021. We explored risk factors for procedural failure, defined as a need for surgical intervention within 6 weeks of the closed reduction attempt.
    Results
    Of 375 patients , 44 patients sustained a...
    Read more ...

     

  • Examining Parental Acceptance of Confidential Contraception Initiation in a Pediatric Emergency Department

    Examining Parental Acceptance of Confidential Contraception Initiation in a Pediatric Emergency Department

    1 month ago - By Pediatric Emergency Care

    Background
    The pediatric emergency department is a valuable site for contraceptive services among adolescents at risk for pregnancy. Studies have shown that adolescents are interested in such services; however, little is known about parental opinions on contraceptive care in the PED. We aimed to (1) assess parental acceptance of confidential provisions of contraception in the PED and (2) identify facilitators/barriers to parental acceptance of contraception in this setting.
    Methods
    This study included parents/guardians of females aged 14 to 19 years who presented to the PED with any chief...
    Read more ...