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Diagnoses and Interventions seen in the PED for which there is Level III Evidence |
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| Diagnosis |
Intervention |
Number of Patients |
Committee Comments |
|
|
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| femur shaft fracture |
closed reduction & spica cast |
1 |
could likely do an RCT of open vs closed reduction |
| metatarsal fracture |
cast |
1 |
one dissentor from the committee |
| contusion hand |
volar slab |
1 |
|
| sprained digit |
aluminum splint |
2 |
would make a good RCT vs. placebo |
| non-displaced fracture thumb metacarpal bone |
thumb splint |
1 |
|
| cellulitis |
PO antibiotics |
1 |
RCT needed for PO vs IV antibiotics |
| cellulitis |
IV antibiotics |
3 |
RCT needed for PO vs IV antibiotics |
| pneumonia |
PO antibiotics |
5 |
need higher quality of evidence as we probably over-treat |
| pneumonia |
IV antibiotics |
3 |
see above comment |
| intussusception |
air contrast enema |
1 |
need an RCT of air contrast vs barium enema |
| dental abscess |
drainage & PO antibiotics |
1 |
|
| erythema multiforme |
reactine (cetirizine) |
1 |
Needs to be studied |
Waters et al. BMC Pediatrics 2006 6:26 doi:10.1186/1471-2431-6-26 |
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