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C Colwell

Publications and source records attributed to C Colwell.

11 recordsLinked to original sources
PubMed2001

Abdominal pain in a child after blunt abdominal trauma: an unusual injury.

We report a case of perforation of a walled off appendiceal abscess in a 5-year-old boy who sustained blunt abdominal trauma. The past medical history was significant only for a 4-day episode of abdominal pain 1 month prior to this presentation. Initial laboratory studies were unremarkable, and radiographic studies showed free fluid in the pelvis with no evidence of solid organ injury, but inflammation of the right colon. The final diagnosis was made at laparotomy. We emphasize this unique presentation and review the literature on traumatic appendicitis in children.

Abdominal Injuries↗
PubMed2001

Assessment clues.

Explore the source record for details and available documents.

Decision Making↗
PubMed1996

Postoperative use of pediatric pain scales: children's self-report versus nurse assessment of pain intensity and affect.

The purpose was to examine nurses' use of pediatric pain scales and to compare their estimate of the child's pain intensity and affect with the child's self-report. The Analog Chromatic Continuous Scale (ACCS) was used for pain intensity and the McGrath Affective Faces Scale (MAFS) for pain affect. Self-report of pain was obtained from 124 hospitalized postoperative children aged 5 to 17 years and compared with estimates of 44 pediatric nurses randomly assigned to either an experimental or control group. Experimental nurses used the ACCS and MAFS to obtain pain ratings whereas control nurses made estimates according to their customary method of assessment. Findings revealed that only 36% of the nurses had at any time used a pediatric pain scale. Correlations between the experimental nurses' ratings and the child's self-report were significantly higher than the control nurses' estimates and the child's self-report. The correlation between the child's self-report of pain intensity on the ACCS and of affect on the MAFS was r = .612, suggesting that nurses' use of both an intensity and affect pediatric pain scale would more accurately reflect the child's pain experience.

Affect↗
PubMed1994

Geriatric trauma: aggressive intensive care unit management is justified.

The United States population older than 65 years increased 21 per cent from 1980 to 1990. Attempts to characterize geriatric trauma have failed to yield a consensus on basic descriptors or physiologic parameters predictive of outcome. We reviewed the records of 170 trauma patients, aged 60 or above, admitted to our institution in a recent 50-month period. Mortality was 21.8 per cent. None of the 54 general care patients died; 79 (68%) of the 116 ICU patients survived. ICU deaths correlated with number of organ systems failing and severe head injury. Although these results justify aggressive ICU treatment, average hospital stay was 15 days, and one third of patients required skilled nursing facilities for ultimate recovery, so the resource cost is high.

Aged↗