• Ontwikkeling van een triage-systeem voor kinderen die zichzelf schade aanbrengen

    Bibliotheek (Redactie Bibliotheek) woensdag 17 juni 2009, 19:53
    • Doorgeklikt: 668 keer |
    • Nog geen reacties

    Dieppe C, Stanhope B, Rakhra K. Children who harm themselves: development of a paediatric emergency department triage tool. Emerg Med J 2009 Jun;26(6):418-20

    Children who harm, hurt or kill themselves are a significant issue for health professionals in emergency departments (ED), with over 60 000 young people presenting to ED in the UK each year following self-harm

    Tags:    kindergeneeskunde triage zelfbeschadiging

  • Commentaar op het artikel over observationele pijnbeoordeling bij kinderen

    Bibliotheek (Redactie Bibliotheek) maandag 15 juni 2009, 15:27
    • Doorgeklikt: 835 keer |
    • Nog geen reacties

    Stewart B, Lawson J, Williams K. In support of observational pain tools for emergency medicine triage in children. Emerg Med J 2009 Jun;26(6):466-7

    We read with interest this article by Shavit et al1 comparing the Alder Hey triage pain score (AHTPS) with a subjective scoring tool. The finding of a discrepancy in scoring between the tools, with the AHTPS scoring lower, is entirely consistent with the similar finding we reported in our paper.2 The conclusion drawn by the authors that this indicates that observational scoring should not be recommended is not justified. The findings may reflect the fact that the observational tool is not fully refined and the weighting for the different elements needs further research and development.

    Tags:    kindergeneeskunde pijn spoedeisende hulp triage

  • Observationele pijnbeoordeling versus self-report in triage bij kinderen

    Bibliotheek (Redactie Bibliotheek) maandag 15 juni 2009, 15:16
    • Doorgeklikt: 832 keer |
    • Nog geen reacties

    Shavit I, Kofman M, Leder M, Hod T, Kozer E. Observational pain assessment versus self-report in paediatric triage. Emergency Medicine Journal 2008;25:552-555

    To examine if observational pain assessment can be used for purposes of triage in children aged >3 years. Methods: A prospective, single blind, controlled trial was undertaken in children who presented to the emergency department (ED) with pain. Pain was assessed in the waiting room and again at triage before any treatment was administered using the Alder Hey Triage Pain Score (AHTPS), an observational tool designed for triage, and a self-report tool, either the Wong-Baker Faces Pain Rating Scale (WBS) for 3–7-year-old children or a visual analogue scale (VAS) for 8–15-year-old children. Scores were compared by instrument (observational and self-report) and ED location (waiting room and triage room).

    Tags:    kindergeneeskunde pijn spoedeisende hulp triage

  • Een SEH-interventie om een gemiste groep risicokinderen te beschermen

    Bibliotheek (Redactie Bibliotheek) maandag 15 juni 2009, 13:03
    • Doorgeklikt: 633 keer |
    • Nog geen reacties

    Kaye P, Taylor C, Barley K, Powell-Chandler A. An emergency department intervention to protect an overlooked group of children at risk of significant harm. Emerg Med J 2009 Jun;26(6):415-7

    Parental psychiatric disorder, especially depression, personality disorder and deliberate self-harm, is known to put children at greater risk of mental illness, neglect or physical, emotional and sexual abuse. Without a reliable procedure to identify children of parents presenting with these mental health problems, children at high risk of significant harm can be easily overlooked. Although deliberate self-harm constitutes a significant proportion of emergency presentations, there are no guidelines which address the emergency physician's role in identifying and assessing risk to children of these patients

    Tags:    zelfbeschadiging spoedeisende hulp kindergeneeskunde interventie