Navigation Links
Advancing Emergency Care for Kids: Emergency Physicians Do It Again
Date:4/29/2013

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.

(Logo: http://photos.prnewswire.com/prnh/20100616/DC22034LOGO-d)

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 www.acep.org.

www.annemergmed.com
twitter.com/emergencydocs
For more information, visit:
http://newsroom.acep.org


'/>"/>
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:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... Dublin ... of the " Global Markets for Spectroscopy Equipment" ... This report focuses on the global ... including its applications in various applications. The report deals ... three main industries: pharmaceutical and biotechnology, food and beverage, ...
(Date:6/24/2016)... CLEMENTE, Calif. , June 24, 2016  American Respiratory Labs ... company, is now able to perform sophisticated lung assessments in patients, ... Technologies , Inc. Patients are no longer limited ... ndd,s EasyOne PRO ® , ARL patients like Jeanne R. of ... done in the comfort of her own home. ...
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
Breaking Medicine Technology:
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet supplements owned by ... to enhance the health of felines. The formula is all-natural and is made from ... the PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract ...
(Date:6/26/2016)... Lake Orion, Clarkston, Michigan (PRWEB) , ... June ... ... direction with respect to fertility once they have been diagnosed with endometriosis. These ... tolerable intercourse but they also require a comprehensive approach that can help for ...
(Date:6/25/2016)... ... June 25, 2016 , ... Austin residents seeking Mohs surgery services, can ... Surgery and to Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey ... cancer. The selective fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under ...
(Date:6/25/2016)... Aliso Viejo, California (PRWEB) , ... June 25, 2016 , ... ... preset to fit their specific project," said Christina Austin - CEO of Pixel Film ... all fully customizable and all within Final Cut Pro X . Simply select ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, ... and his M.D from the David Geffen School of Medicine at UCLA. He trained ... Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where ...
Breaking Medicine News(10 mins):