Evaluation of Head Injury in a Pediatric Emergency Department: Pretrauma and Posttrauma System

Article Abstract:

The designation of a medical facility as a trauma center may increase the cost of treating minor head injuries in children without significantly improving outcomes. Researchers compared the treatment at an urban hospital before and after the facility was designated a level I trauma center. In the treatment of 320 children, the likelihood of undergoing CT imaging or an x-ray increased tremendously after the designation, and the number of laboratory tests showing no abnormalities rose. Good patient outcomes were almost universal in both years studied. Adult trauma protocols may increase the cost of pediatric trauma care for these patients.

Care and treatment, Evaluation, Children, Head injuries, Trauma centers

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Violence Prevention in the Primary Care Setting

Article Abstract:

Training pediatric residents in violence prevention may increase the frequency of violence prevention education during pediatric medical visits. Residents attended a 2.5 hour program on violence prevention strategies. In 93 patient visits before the program was implemented, only 10% of visits included a discussion of guns or violence. After the program, and six months later, 19% of pediatric patient visits included violence discussion. Residents praised the program as useful, and 93% believed they would use the skills they learned when seeing their patients.

United States, Prevention, Education, Residents (Medicine), Pediatricians, Violence

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