Navigation Links
Advancing Emergency Care for Kids: Emergency Physicians Do It Again

WASHINGTON, April 29, 2013 /PRNewswire-USNewswire/ -- Most children with isolated skull fractures may not need to stay in the hospital, which finding has the potential to save the health care system millions of dollars a year ("Isolated Skull Fractures: Trends in Management in U.S. Pediatric Emergency Departments").  In addition, a new device more accurately estimates children's weights, leading to more precise drug dosing in the ER ("Evaluation of the Mercy TAPE: Performance Against the Standard for Pediatric Weight Estimation").  Two studies published online this month in Annals of Emergency Medicine showcase some of the work emergency physicians are doing to improve care for children in the nation's emergency departments.


One study posits that most children who are hospitalized with isolated skull fractures may instead be discharged home safely from the ER. Researchers found that of children hospitalized with isolated skull fractures between 2005 and 2011, 85 percent were discharged within 1 day and 95 percent were discharged within 2 days. A very small number – 1.2 percent of all the children who were hospitalized – received repeated computed tomography (CT) imaging and one child required a neurosurgical procedure. Costs for hospitalized patients compared to patients discharged home from the emergency department were more than triple ($619 versus $2,064).

"Although only 1 percent of children evaluated in the emergency department for head trauma will require neurosurgical intervention, head trauma results in over 50,000 hospitalizations and $1 billion in hospitalization costs every year," said lead study author Rebekah Mannix , MD, MPH, of Boston Children's Hospital in Boston, Mass. "Further investigation is needed to determine whether so many admissions are warranted and if patient safety and cost-effectiveness might both be satisfied by discharging more children with skull fractures home."

In another study, researchers compared the accuracy of two new weight estimation devices called the 2D-Mercy TAPE and the 3D-Mercy TAPE against the Broselow method, which is currently the best available tool for estimating children's' weights.  (TAPE stands for TAking the guesswork out of Pediatric weight Estimation.) The proportion of children predicted within 10 percent and 20 percent of their actual weight was 76 percent and 98 percent for the 2D TAPE and 65 percent and 93 percent for the 3D TAPE. Excluding the one-third of children who were too tall to be measured, the Broselow tape predictions were within 10 percent and 20 percent of actual weight in 59 percent and 91 percent of children.

"The Mercy TAPEs outperformed the Broselow tape for pediatric weight estimation and can be used in a wider range of children, without the height restrictions of the Broselow tape that limit its use in approximately one-third of the pediatric population" said lead study author Susan Abdel-Rahman , Pharm.D, of the Children's Mercy Hospitals and Clinics in Kansas City, Mo. "It may prove useful for emergency care with perhaps an even bigger impact on the care of children in limited-resource settings."

The Mercy TAPE study was funded by a grant from the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Annals of Emergency Medicine is the peer-reviewed scientific journal for the American College of Emergency Physicians, the national medical society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research, and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies. For more information, visit
For more information, visit:

SOURCE American College of Emergency Physicians (ACEP)
Copyright©2012 PR Newswire.
All rights reserved

Related medicine technology :

1. Omeros Announces Toxicology Data that Support Advancing MASP-2 Inhibitor into Clinical Trials
2. Seahorse Bioscience Announces Asia Mito 2012 Travel Award Winners Advancing Cell Metabolism Research
3. Masimo iSpO2 Pulse Oximeter & EMMA Emergency Capnometer Earn JEMS Hot Products Awards at EMS Today 2013 Conference & Exposition
4. Life Technologies Supports Global Effort to Help Accelerate Emergency Screening of Avian Influenza (H7N9) Virus
5. Smart911 and In Case of Emergency Standard Partner to Enhance Availability of Life Saving Data for Greater Emergency Response
6. CSOS Launches the Guangdong-Hong Kong "999" Emergency Assistance Membership Programme
7. Emergency Contraception to Be Available on Store Shelves
8. Emergency Nurses Association Announces Corporate Sponsors for Leadership Conference
9. Scott & White to Open Emergency Hospital in Cedar Park
10. AJC Helps Barzilai Hospital in Ashkelon Acquire Emergency Medical Equipment
11. Emergency Nurses Association Announces Corporate Sponsors for Annual Conference
Post Your Comments:
(Date:10/13/2015)... , Oct. 13, 2015  SRI International ... to $100 million over five years by the ... part of the National Institutes of Health, for ... acute or delayed effects of radiation exposure. Under ... division of SRI International will provide services, facilities, ...
(Date:10/13/2015)... , Oct. 13, 2015  Nanomedical Diagnostics, a ... in research and diagnostics, announces the completion of ... led by Serra Ventures. ... providing low-cost, easy-to-use monitoring and diagnostic platforms that ... The funding round will enable the company to ...
(Date:10/13/2015)... , Oct. 13 2015 ... of the "US & European markets for ... to their offering. --> ) ... & European markets for Meniscal Repair - 16 ... --> Research and Markets ( ) ...
Breaking Medicine Technology:
(Date:10/13/2015)... ... October 13, 2015 , ... ... ENGAGE, at HIMSS’s Patient Engagement Summit . HealthAware is a technology company ... health programs and interventions via mobile devices that provide a framework for the ...
(Date:10/13/2015)... Houston, TEXAS (PRWEB) , ... October 13, 2015 ... ... firm and solution provider of IBM software products, introduced a new company, RightSensor™ ... sensor systems and data communications capability. RightSensor™ provides a fully-managed approach for ...
(Date:10/13/2015)... ... October 13, 2015 , ... NavaFit Inc. today announced the launch of its ... with, participate in local fitness & sporting events, and stay motivated. Users ... medical costs drive us to get more serious about fitness and wellness, individuals are ...
(Date:10/13/2015)... ... October 13, 2015 , ... ... kind product that targets the unique health needs of new moms. Postnatal ... Pregnancy Association ( ), utilizes Nordic Naturals’ exclusive, new, ultra-concentrated omega-3 ...
(Date:10/13/2015)... ... 13, 2015 , ... California Southern University has named Dr. ... her Doctor of Nursing Practice from the renowned Johns Hopkins University—comes to CalSouthern ... Dr. McLeod’s long and successful nursing practice included a variety of patient care, ...
Breaking Medicine News(10 mins):