Table 3 Diagnoses and Interventions seen in the PED for which there is Level III Evidence
From: Treatment in the pediatric emergency department is evidence based: a retrospective analysis
Diagnosis | Intervention | Number of Patients | Committee Comments |
|---|---|---|---|
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 | Â |
sprained digit | aluminum splint | 2 | would make a good RCT vs. placebo |
non-displaced fracture thumb metacarpal bone | thumb splint | 1 | Â |
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 | Â |
erythema multiforme | reactine (cetirizine) | 1 | Needs to be studied |