1. Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department
- Author
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Adam A. Vukovic, Elizabeth Keiner, and Holly R. Hanson
- Subjects
Pediatric emergency ,lcsh:R5-920 ,medicine.medical_specialty ,Retrospective review ,Health (social science) ,orthopedic injury ,Leadership and Management ,business.industry ,Health Policy ,Sedation ,030208 emergency & critical care medicine ,Patient Experience Research Briefs ,medicine.disease ,Time line ,03 medical and health sciences ,pediatric ,0302 clinical medicine ,Orthopedic surgery ,medicine ,030212 general & internal medicine ,Medical emergency ,medicine.symptom ,lcsh:Medicine (General) ,business ,procedural sedation - Abstract
Objective: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. Methods: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. Interrater reliability and descriptive statistics were calculated. Results: A total of 189 patients were included. Co-abstracted data demonstrated excellent agreement. The median time to PS and length of stay (LOS) were 214 (interquartile range [IQR]: 160-282) and 320 (IQR: 257-402) minutes, respectively. Conclusion: Patients with orthopedic injuries requiring PS experience prolonged PED visits. Interventions should target safely reducing the time to PS and LOS.
- Published
- 2019
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