Pediatric cervical spine clearance: implications for nursing practice.
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Biomedical subjects
Publications and source records attributed to Becky S Cook.
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This prospective research study evaluated the parent's perception of their child's quality of life at 1 and 6 months following injury, using the Child Health Questionnaire to measure outcomes. At both 1 and 6 months postinjury, the physical summary and psychosocial summary scores were significantly lower than US norms for all levels of injury severity. Predictors of lower physical and psychosocial scores, such as the Injury Severity Score and specific location of injury, were determined. This study demonstrates the long-term impact of injury and validates the need for earlier intervention and anticipatory guidance for the child and family.
We hypothesized that using the teachable moment associated with an injured classmate, school-aged children would demonstrate improved retention of injury prevention education. The injured child's class and one control with presentation class received an injury prevention presentation. Prospective evaluation was performed using pre, immediate post, and 1-month posttesting. Immediately following the presentation, 83% of classes in both groups demonstrated significant improvement in test scores. At 1 month, 100% of the injured child's and only 66% of control with presentation classrooms maintained significant improvements. This unique program results not only in immediate but also in long-term retention of injury prevention information.
Traumatic pancreatic injury is infrequently encountered in children. Diagnosis and treatment of this injury can be complicated. Signs and symptoms are often subtle with presentation frequently delayed leading to increased morbidity and mortality. This delay is compounded by lack of specific diagnostic tools to aid diagnosis. Clinicians should maintain a high index of suspicion for pancreatic injury in any child who sustains blunt abdominal trauma. Ongoing clinical evaluation is essential. This article presents a case study of a child with a traumatic pancreatic injury and discusses tools utilized to aid diagnosis of pancreatic injury, treatment options, and potential complications.