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|00000590| 00 00 00 00 6b 34 05 00 | 00 00 00 00 24 55 6e 69 |....k4..|....$Uni|
|000005a0| 71 75 65 5f 49 44 7b 59 | 52 42 30 31 34 30 30 7d |que_ID{Y|RB01400}|
|000005b0| 0d 0a 24 54 69 74 6c 65 | 7b 54 68 65 20 55 73 65 |..$Title|{The Use|
|000005c0| 20 6f 66 20 43 68 72 6f | 6d 69 63 20 43 61 74 67 | of Chro|mic Catg|
|000005d0| 75 74 20 69 6e 20 74 68 | 65 20 50 72 69 6d 61 72 |ut in th|e Primar|
|000005e0| 79 20 43 6c 6f 73 75 72 | 65 20 6f 66 20 53 63 61 |y Closur|e of Sca|
|000005f0| 6c 70 20 57 6f 75 6e 64 | 73 20 69 6e 0d 0a 43 68 |lp Wound|s in..Ch|
|00000600| 69 6c 64 72 65 6e 7d 0d | 0a 24 41 75 74 68 6f 72 |ildren}.|.$Author|
|00000610| 7b 0d 0a 53 74 61 72 74 | 2c 20 4e 4a 0d 0a 41 72 |{..Start|, NJ..Ar|
|00000620| 6d 73 74 72 6f 6e 67 2c | 20 41 4d 0d 0a 52 6f 62 |mstrong,| AM..Rob|
|00000630| 73 6f 6e 2c 20 57 4a 7d | 0d 0a 24 41 66 66 69 6c |son, WJ}|..$Affil|
|00000640| 69 61 74 69 6f 6e 7b 52 | 6f 79 61 6c 20 4c 69 76 |iation{R|oyal Liv|
|00000650| 65 72 70 6f 6f 6c 20 43 | 68 69 6c 64 72 65 6e 27 |erpool C|hildren'|
|00000660| 73 20 48 6f 73 70 2c 20 | 45 6e 67 6c 61 6e 64 7d |s Hosp, |England}|
|00000670| 0d 0a 24 4a 6f 75 72 6e | 61 6c 7b 41 72 63 68 20 |..$Journ|al{Arch |
|00000680| 45 6d 65 72 67 20 4d 65 | 64 7d 0d 0a 24 56 6f 6c |Emerg Me|d}..$Vol|
|00000690| 75 6d 65 7b 36 7d 0d 0a | 24 50 61 67 65 7b 32 31 |ume{6}..|$Page{21|
|000006a0| 36 2d 32 31 39 7d 0d 0a | 24 44 61 74 65 7b 31 39 |6-219}..|$Date{19|
|000006b0| 38 39 7d 0d 0a 24 59 42 | 56 6f 6c 7b 31 39 39 31 |89}..$YB|Vol{1991|
|000006c0| 20 59 65 61 72 20 42 6f | 6f 6b 20 6f 66 20 45 6d | Year Bo|ok of Em|
|000006d0| 65 72 67 65 6e 63 79 20 | 4d 65 64 69 63 69 6e 65 |ergency |Medicine|
|000006e0| 7d 0d 0a 24 43 68 61 70 | 74 65 72 7b 35 2d 33 36 |}..$Chap|ter{5-36|
|000006f0| 7d 0d 0a 24 59 42 45 64 | 69 74 6f 72 7b 44 72 73 |}..$YBEd|itor{Drs|
|00000700| 2e 20 57 61 67 6e 65 72 | 2c 20 42 75 72 64 69 63 |. Wagner|, Burdic|
|00000710| 6b 2c 20 44 61 76 69 64 | 73 6f 6e 2c 20 52 6f 62 |k, David|son, Rob|
|00000720| 65 72 74 73 2c 20 61 6e | 64 20 53 70 69 76 65 79 |erts, an|d Spivey|
|00000730| 7d 0d 0a 24 54 61 62 6c | 65 7b 54 61 62 6c 65 20 |}..$Tabl|e{Table |
|00000740| 4f 6d 69 74 74 65 64 7d | 0d 0a 24 43 6f 6d 6d 65 |Omitted}|..$Comme|
|00000750| 6e 74 61 74 6f 72 7b 57 | 2e 50 2e 20 42 75 72 64 |ntator{W|.P. Burd|
|00000760| 69 63 6b 2c 20 4d 2e 44 | 2e 7d 0d 0a 0d 0a 43 6f |ick, M.D|.}....Co|
|00000770| 70 79 72 69 67 68 74 20 | 28 43 29 20 59 65 61 72 |pyright |(C) Year|
|00000780| 20 42 6f 6f 6b 20 4d 65 | 64 69 63 61 6c 20 50 75 | Book Me|dical Pu|
|00000790| 62 6c 69 73 68 65 72 73 | 2c 20 49 6e 63 2e 20 31 |blishers|, Inc. 1|
|000007a0| 39 39 31 0d 0a 0d 0a 31 | 39 39 31 20 59 65 61 72 |991....1|991 Year|
|000007b0| 20 42 6f 6f 6b 20 6f 66 | 20 45 6d 65 72 67 65 6e | Book of| Emergen|
|000007c0| 63 79 20 4d 65 64 69 63 | 69 6e 65 0d 0a 0d 0a 43 |cy Medic|ine....C|
|000007d0| 68 61 70 74 65 72 20 35 | 20 2d 2d 20 45 6d 65 72 |hapter 5| -- Emer|
|000007e0| 67 65 6e 63 79 20 50 72 | 6f 63 65 64 75 72 65 73 |gency Pr|ocedures|
|000007f0| 2c 20 54 65 63 68 6e 69 | 71 75 65 73 2c 20 61 6e |, Techni|ques, an|
|00000800| 64 20 49 6e 73 74 72 75 | 6d 65 6e 74 61 74 69 6f |d Instru|mentatio|
|00000810| 6e 0d 0a 0d 0a 54 72 65 | 61 74 6d 65 6e 74 20 4d |n....Tre|atment M|
|00000820| 6f 64 61 6c 69 74 69 65 | 73 0d 0a 0d 0a 2d 2d 2d |odalitie|s....---|
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|00000850| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000860| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000870| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 0d 0a 54 68 65 |--------|---..The|
|00000880| 20 55 73 65 20 6f 66 20 | 43 68 72 6f 6d 69 63 20 | Use of |Chromic |
|00000890| 43 61 74 67 75 74 20 69 | 6e 20 74 68 65 20 50 72 |Catgut i|n the Pr|
|000008a0| 69 6d 61 72 79 20 43 6c | 6f 73 75 72 65 20 6f 66 |imary Cl|osure of|
|000008b0| 20 53 63 61 6c 70 20 57 | 6f 75 6e 64 73 20 69 6e | Scalp W|ounds in|
|000008c0| 20 43 68 69 6c 64 72 65 | 6e 0d 0a 0d 0a 53 74 61 | Childre|n....Sta|
|000008d0| 72 74 20 4e 4a 3b 20 41 | 72 6d 73 74 72 6f 6e 67 |rt NJ; A|rmstrong|
|000008e0| 20 41 4d 3b 20 52 6f 62 | 73 6f 6e 20 57 4a 0d 0a | AM; Rob|son WJ..|
|000008f0| 28 52 6f 79 61 6c 20 4c | 69 76 65 72 70 6f 6f 6c |(Royal L|iverpool|
|00000900| 20 43 68 69 6c 64 72 65 | 6e 27 73 20 48 6f 73 70 | Childre|n's Hosp|
|00000910| 2c 20 45 6e 67 6c 61 6e | 64 29 0d 0a 41 72 63 68 |, Englan|d)..Arch|
|00000920| 20 45 6d 65 72 67 20 4d | 65 64 20 36 3a 32 31 36 | Emerg M|ed 6:216|
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|00000c00| 65 64 20 61 66 74 65 72 | 20 35 20 64 61 79 73 2e |ed after| 5 days.|
|00000c10| 20 20 4d 6f 72 65 20 74 | 68 61 6e 20 37 35 25 20 |  More t|han 75% |
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|00001be0| 74 65 64 20 43 61 72 64 | 69 6f 70 75 6c 6d 6f 6e |ted Card|iopulmon|
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|00001c30| 6b 6d 61 6e 20 42 42 3b | 20 53 6f 6d 65 73 20 47 |kman BB;| Somes G|
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|00003710| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003720| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00003730| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 0d 0a 41 |--------|-----..A|
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|00004180| 43 61 72 65 2c 20 41 43 | 4c 53 0d 0a 0d 0a 2d 2d |Care, AC|LS....--|
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|000041b0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000041c0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000041d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 0d 0a 45 66 |--------|----..Ef|
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|000042b0| 31 31 32 31 2c 0d 0a 31 | 39 38 39 0d 0a 2d 2d 2d |1121,..1|989..---|
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|000042d0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000042e0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|000042f0| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00004300| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 0d 0a 0d 0a 41 |--------|---....A|
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|00005e90| 20 6f 66 20 74 68 65 20 | 50 65 64 69 61 74 72 69 | of the |Pediatri|
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|00005eb0| 75 72 76 65 79 20 6f 66 | 20 50 61 72 61 6d 65 64 |urvey of| Paramed|
|00005ec0| 69 63 73 0d 0a 0d 0a 47 | 61 75 73 63 68 65 20 4d |ics....G|ausche M|
|00005ed0| 3b 20 48 65 6e 64 65 72 | 73 6f 6e 20 44 50 3b 20 |; Hender|son DP; |
|00005ee0| 53 65 69 64 65 6c 20 4a | 53 0d 0a 28 48 61 72 62 |Seidel J|S..(Harb|
|00005ef0| 6f 72 2d 55 6e 69 76 20 | 6f 66 20 43 61 6c 69 66 |or-Univ |of Calif|
|00005f00| 6f 72 6e 69 61 2c 20 4c | 6f 73 20 41 6e 67 65 6c |ornia, L|os Angel|
|00005f10| 65 73 2c 20 4d 65 64 20 | 43 74 72 2c 20 54 6f 72 |es, Med |Ctr, Tor|
|00005f20| 72 61 6e 63 65 2c 20 43 | 61 6c 69 66 29 0d 0a 41 |rance, C|alif)..A|
|00005f30| 6e 6e 20 45 6d 65 72 67 | 20 4d 65 64 20 31 39 3a |nn Emerg| Med 19:|
|00005f40| 31 37 33 2d 31 37 38 2c | 20 31 39 39 30 0d 0a 2d |173-178,| 1990..-|
|00005f50| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005f60| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005f70| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005f80| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00005f90| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 0d 0a 0d |--------|-----...|
|00005fa0| 0a 41 62 73 74 72 61 63 | 74 0d 0a 0d 0a 20 20 20 |.Abstrac|t....   |
|00005fb0| 20 20 50 61 72 61 6d 65 | 64 69 63 73 20 61 72 65 |  Parame|dics are|
|00005fc0| 20 72 65 71 75 69 72 65 | 64 20 69 6e 20 6d 6f 73 | require|d in mos|
|00005fd0| 74 20 65 6d 65 72 67 65 | 6e 63 79 20 6d 65 64 69 |t emerge|ncy medi|
|00005fe0| 63 61 6c 20 73 65 72 76 | 69 63 65 73 20 73 79 73 |cal serv|ices sys|
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|00006000| 74 61 6c 20 73 69 67 6e | 73 20 6f 66 20 61 6c 6c |tal sign|s of all|
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|00006050| 77 69 74 68 20 74 68 65 | 20 75 73 65 20 6f 66 20 |with the| use of |
|00006060| 66 69 65 6c 64 20 61 73 | 73 65 73 73 6d 65 6e 74 |field as|sessment|
|00006070| 20 70 61 72 61 6d 65 74 | 65 72 73 20 69 6e 20 74 | paramet|ers in t|
|00006080| 68 65 20 70 65 64 69 61 | 74 72 69 63 20 61 67 65 |he pedia|tric age|
|00006090| 0d 0a 67 72 6f 75 70 2e | 0d 0a 20 20 20 20 20 41 |..group.|..     A|
|000060a0| 20 74 77 6f 2d 70 61 72 | 74 20 73 74 75 64 79 20 | two-par|t study |
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|00006120| 74 74 69 74 75 64 65 73 | 20 6f 66 0d 0a 70 61 72 |ttitudes| of..par|
|00006130| 61 6d 65 64 69 63 73 20 | 74 6f 77 61 72 64 20 61 |amedics |toward a|
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|00006170| 74 20 73 74 75 64 79 2c | 0d 0a 4c 6f 73 20 41 6e |t study,|..Los An|
|00006180| 67 65 6c 65 73 20 43 6f | 75 6e 74 79 20 70 72 65 |geles Co|unty pre|
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|00006210| 2d 4e 6f 76 65 6d 62 65 | 72 20 31 39 38 34 2e 20 |-Novembe|r 1984. |
|00006220| 20 54 68 65 20 70 65 64 | 69 61 74 72 69 63 20 70 | The ped|iatric p|
|00006230| 61 74 69 65 6e 74 73 20 | 72 61 6e 67 65 64 20 69 |atients |ranged i|
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|000062a0| 0a 6d 6f 6e 74 68 73 2c | 20 37 20 6d 6f 6e 74 68 |.months,| 7 month|
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|000062d0| 2c 20 61 6e 64 20 31 33 | 2d 31 38 20 79 65 61 72 |, and 13|-18 year|
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|00006320| 68 61 74 20 74 68 65 20 | 66 72 65 71 75 65 6e 63 |hat the |frequenc|
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|000063c0| 61 6c 20 63 6f 6e 74 61 | 63 74 20 68 61 64 0d 0a |al conta|ct had..|
|000063d0| 6f 63 63 75 72 72 65 64 | 20 69 6e 20 32 36 25 20 |occurred| in 26% |
|000063e0| 6f 66 20 74 68 65 20 63 | 61 73 65 73 2e 20 20 56 |of the c|ases.  V|
|000063f0| 69 74 61 6c 20 73 69 67 | 6e 73 20 77 65 72 65 20 |ital sig|ns were |
+--------+-------------------------+-------------------------+--------+--------+