Standardized Headache Therapy in the Pediatric Emergency Department Using Improvement Methodology.

Introduction: Primary headache is a common cause of pediatric emergency department (PED) visits. Without published guidelines to direct treatment options, various strategies lacking evidence are often employed. This study aims to standardize primary headache treatment in the PED by promoting evidence-based therapies, reducing nonstandard abortive therapies, and introducing dihydroergotamine (DHE) into practice.

"Devi Mangiare!" [You have to eat!]: Experiences of disordered eating among Italian-Australian women.

In this article, the researchers report findings on how food meanings, culture and gender intersect in the experiences of Italian-Australian women. In-depth narrative interviews were thematically analyzed using a feminist social constructionist framework informed by anthropological theories about "foodways" and culture. Three core themes were identified in the women's narratives: "" - "food is everything, food is love"; "" - "to make a good impression"; and "" - "it's my plate".

Effect of Intranasal Ketamine vs Fentanyl on Pain Reduction for Extremity Injuries in Children: The PRIME Randomized Clinical Trial.

Importance: Timely analgesia is critical for children with injuries presenting to the emergency department, yet pain control efforts are often inadequate. Intranasal administration of pain medications provides rapid analgesia with minimal discomfort. Opioids are historically used for significant pain from traumatic injuries but have concerning adverse effects.

Lessons learned from administration of high-dose methylprednisolone sodium succinate for acute pediatric spinal cord injuries.

OBJECTIVE Methylprednisolone sodium succinate (MPSS) has been studied as a pharmacological adjunct that may be given to patients with acute spinal cord injury (ASCI) to improve neurological recovery. MPSS treatment became the standard of care in adults despite a lack of evidence supporting clinical benefit. More recently, new guidelines from neurological surgeon groups recommended no longer using MPSS for ASCI, due to questionable clinical benefit and known complications.

Effectiveness of interventions to improve medication use during rapid-sequence intubation in a pediatric emergency department.

Purpose: Results of a study to determine whether checklist-based interventions improved the selection and administration of rapid-sequence intubation (RSI) medications in a pediatric emergency department (ED) are reported.

Methods: A retrospective study of data collected during a quality-improvement project was conducted. Data sources included the electronic health record and video review.

Sudden Collapse of a Preschool-Aged Child on the Playground.

Purpose: Primary cardiac events are rare in children. There is little information in the literature regarding the most appropriate emergency department (ED) management of this type of pediatric patient, especially with regard to medication use.

Summary: This case highlights the pediatric ED evaluation and treatment of sudden collapse in a child with an ultimate diagnosis of hypertrophic cardiomyopathy.

Pediatric emergency department discharge prescriptions requiring pharmacy clarification.

Objectives: The aims of the study were to analyze and classify reasons why retail pharmacies need to contact the pediatric emergency department (PED) for clarification on outpatient prescriptions generated using an electronic prescribing system and to categorize the severity of errors captured.

Methods: A retrospective chart review was conducted at a PED that cares for approximately 92,000 patients annually. All pharmacy callbacks documented in the electronic medical record between August 1, 2008 and July 31, 2009 were included.

Quality and cost of student lunches brought from home.

Importance: The nutritional quality and cost of lunches brought from home are overlooked and understudied aspects of the school food environment.

Objectives: To examine the quality and cost of lunches brought from home by elementary and intermediate school students.

Design, Setting, And Participants: An observational study was conducted in 12 schools (8 elementary and 4 intermediate) in one Houston, Texas, area school district from October 6, 2011, to December 5, 2011.

Campus-based snack food vending consumption.

Objective: To evaluate the purchases of university vending machine clientele and to understand what consumers purchase, purchase motivations, and purchase frequency after implementation of a vending policy designed to promote access to healthier snack options.

Methods: Cross-sectional data collection from consumers at 8 campus vending machines purposefully selected from a list of highest-grossing machines. Vending machines were stocked with 28.