Intramuscular ketamine is superior to meperidine, promethazine, and chlorpromazine for pediatric emergency department sedation

Article Abstract:

Injected ketamine appears to offer superior sedative qualities than a mixture of meperidine, promethazine, and chlorpromazine (MPC) for children having emergency room procedures. MPC is commonly used, but studies have noted depression of breathing and failure of sedation. Fifteen children aged 6 months to 6 years received ketamine and 12 received MPC before undergoing suturing, wound cleaning, or lumbar puncture. Ketamine took effect at an average of 3 minutes versus 18 with MPC and behavioral distress scores were halved. No adverse effects were seen with either drug.

Evaluation, Chlorpromazine, Meperidine, Pediatric anesthesia, Promethazine

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Pediatric injury prevention: preparing residents for patient counseling

Article Abstract:

Pediatric medical residency programs may be effectively training residents to provide patient instruction in injury prevention. A researcher surveyed 135 chief pediatric residents about injury prevention training and their patient teaching practices. Almost every resident provided patient and parent training on at least one injury topic. In most cases, the residents were more likely to train about topics on which they had received instruction. Residents familiar with the American Academy of Pediatrics Injury Prevention Program provided more injury prevention training.

Prevention, Practice, Children, Training, Pediatric injuries, Residents (Medicine), Pediatricians, Children's accidents

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Childhood Victims of Violence: Hospital Utilization by Children With Intentional Injuries

Article Abstract:

Children who are intentionally injured use more health care resources than those who are accidentally injured. This was the conclusion of a study of 1,495 children admitted to a hospital with an injury. Ninety-five had been intentionally injured. One-third had been injured by child abuse, one-third by assaults and one-third by suicide attempts. Compared to accidentally injured children, intentionally injured children stayed longer in the hospital, had more medical consultations, and higher hospital bills.

Economic aspects, Medical care, Abused children, Wounds and injuries, Medical care utilization

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