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Risk of Urinary Tract Infection and Bacteremia in Infants Infected With COVID-19. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-12 Donna R Mendez,Krishna Paul,Joan Richardson,Dietrich Jehle
OBJECTIVE Our objective was to evaluate the risk of urinary tract infection (UTI) and bacteremia in infants 1 year or less of age infected with COVID-19. METHODS This was a retrospective study from TriNetX database in the United States. This study was from March 11, 2020, to May 11, 2023, during the COVID-19 pandemic. Patients were included if they were infants, 1 year or less, had a fever, and had
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Exploring the Impact of Race on Addressing Intimate Partner Violence in the Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-12 Leena Kasa,Kristine Alexander,Katherine Obenschain,Priyanka Joshi,Ashlee Murray
OBJECTIVES Research highlights racial disparities among those experiencing intimate partner violence (IPV), yet little is known about disparities in addressing IPV in the emergency department (ED). This study was designed to examine variability in offering IPV universal education to adult caregivers across patient race within an urban pediatric ED and to explore provider attitudes regarding the role
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Ultrasound Imaging of Various Ingested Foreign Bodies in an Ex Vivo Intestinal Model. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-12 Brandon M Wong,Sterling R Wong,Cem Nesiri,Unni Udayasankar,Michael C Larson
OBJECTIVE Foreign body ingestion is an increasingly prevalent issue for children who are in the preverbal to early verbal stages of life. Foreign bodies lodged in the gastrointestinal tract can cause issues such as obstruction, perforation, and fistulae. Radiographic imaging can often locate most foreign bodies; however, radiolucent objects may be missed. Ultrasound is an alternative imaging modality
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Point-of-Care Ultrasound Diagnosis of Early Pyomyositis in a Pediatric Patient: A Case Report. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-10 Julia A Ciurria,Allie Grither
Skin and soft tissue infections are common in the pediatric emergency department. Because pyomyositis occurs deep to the fascial plane, it is often difficult to appreciate on physical examination. The utility of point-of-care ultrasound for identifying pyomyositis is of great value to the pediatric emergency physician as this diagnosis has a different expected clinical course and requires different
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The Effect of Step Stool Use on Chest Compression Quality During CPR in Young Children: Findings From the Videography in Pediatric Emergency Research (VIPER) Collaborative. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-10 Anuj K Dutta,Aaron Donoghue,Alexis Sandler,Ramzy Ahmed,Tara Neubrand,Benjamin Kerrey,Sage Myers,Karen J O'Connell
OBJECTIVE This study aimed to determine the effect of stepstool use on chest compression (CC) quality during cardiopulmonary resuscitation (CPR) in young children. METHODS We conducted a prospective observational study of children <8 years of age who received CC for >2 minutes in the emergency department. Data were collected through CC monitor device and video review. Data were analyzed in "CC segments"
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Measuring Overcrowding in a Large Academic Tertiary Care Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-10 Yamini Jadcherla,Michael Stoner,Sara Helwig,Charmaine Lo,Junxin Shi,Doug MacDowell,Berkeley L Bennett
OBJECTIVE Overcrowding scores have been studied extensively in adult emergency departments (EDs), but few studies have determined utility in the pediatric setting. The objective of this study was to determine the association between a modified National Emergency Department Overcrowding Score (mNEDOCS) and established ED metrics in a large academic tertiary care pediatric ED. METHODS NEDOCS was modified
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Pediatric Off-Road Vehicle Injuries: Side-by-Sides Worse for the Upper Extremity. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-09-10 Mitchell A Solano,Gunner R Gilbert,Akshay R Krishnan,Eric R Siegel,Sean M Morell
OBJECTIVES Side-by-side (SXS) and all-terrain vehicles (ATVs) are different off-road vehicles (ORVs) but often categorized together in the literature. We hypothesized pediatric upper extremity (UE) fracture patterns and injury severity scores (ISS) differ between ORV types. METHODS The authors' home-state trauma repository identified 157 pediatric patients aged 0 to 17 years with UE fractures after
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Comparison of the BIG Score and Pediatric Trauma Score for Predicting Mortality. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-27 Adem Az,Yunus Dogan,Ozgur Sogut,Tarik Akdemir
OBJECTIVES The BIG score (base deficit + [2.5 × international normalized ratio] + [15 - Glasgow Coma Score]) was compared with the Pediatric Trauma Score (PTS) for predicting mortality in pediatric patients with multiple trauma. METHODS This retrospective, single-center study included 318 consecutive pediatric patients (aged 1-18 years) with multiple trauma who were admitted to the emergency department
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A Comparison of Telesimulation Using the Virtual Resus Room and In Situ Simulation in Pediatric Emergency Medicine. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-26 Michael Hrdy,Walter Faig,Dennis Ren,Brian Lee,Khoon-Yen Tay,Brittany Guttadauria,Pavan Zaveri,Megan Lavoie,Xian Zhao
OBJECTIVES During the COVID-19 pandemic, there was a marked shift toward telesimulation in medical education. Limited studies exist comparing the effectiveness of online and offline simulation education. The goals of this study are to evaluate active learners' perceived effectiveness of telesimulation versus in situ simulation and to identify potential shortcomings of existing online teaching platforms
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Adolescent Acetaminophen and Ibuprofen Self-Poisoning, 2017-2022. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-26 Bernard Weigel,Axel Adams,Taylor Wahrenbrock,Michael Wahl
BACKGROUND Acetaminophen and ibuprofen are the most common agents involved in adolescent self-poisoning. With increasing suicidality observed during the COVID-19 pandemic, we sought to compare overdose trends, severity, and outcomes for both agents. METHODS We performed a retrospective analysis of the National Poison Data System for acetaminophen and ibuprofen single-substance exposures in teenagers
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Decreasing Invasive Urinary Tract Infection Screening in a Pediatric Emergency Department to Improve Quality of Care. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Felicia Paluck,Inbal Kestenbom,Gidon Test,Emma Carscadden,Olivia Ostrow
OBJECTIVES Obtaining urine samples in younger children undergoing urinary tract infection (UTI) screening can be challenging in busy emergency departments (EDs), and sterile techniques, like catheterization, are invasive, traumatizing, and time consuming to complete. Noninvasive techniques have been shown to reduce catheterization rates but are variably implemented. Our aim was to implement a standardized
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Impact of Surgical Team Involvement at the Time of Trauma Activation for Pediatric Patients With Motorized Cycle or All-Terrain Vehicle Injury Mechanism. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Katherine Bergus,Shruthi Srinivas,Celia Ligorski,Sydney Castellanos,Rajan Thakkar,Dana Schwartz
OBJECTIVES At our institution, level 2 trauma (L2T) activations are primarily managed by pediatric emergency medicine (PEM) physicians, whereas level 1 activations are co-managed by pediatric surgery and PEM. Starting in September 2019, the response to L2T activations due to all-terrain vehicles or motorized cycles (ATVs/MCs) changed to include surgical assessment upon patient arrival due to increased
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The Use of Point-of-Care Ultrasound in Pediatric Emergency Departments and Intensive Care Units: A Descriptive Study From Turkey. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Nihan Şık,Gazi Arslan,Ayla Akca Çağlar,Nazan Ülgen Tekerek,İlknur Fidancı,Özlem Tolu Kendir,Alkan Bal,Özden Özgür Horoz,Ayşe Berna Anıl,Dinçer Yıldızdaş,Murat Duman,Oğuz Dursun
OBJECTIVES The aim was to evaluate the current status of point-of-care ultrasound (POCUS), perceptions, education, training, and barriers to using POCUS in pediatric emergency departments (PEDs) and pediatric intensive care units (PICUs) in Turkey. METHODS A descriptive, multicenter, cross-sectional study through an online survey was developed using the REDCap online platform. The survey was distributed
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Impact of COVID-19 and Public Health Measures on Positive Suicide Screens Among Emergency Department Children. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Rachel Cafferty,Maya Haasz,Jan Leonard,Lilliam Ambroggio
OBJECTIVE The aim of this study was to examine the association between prolonged time in the COVID-19 pandemic and rates of positive routine suicide screens among youth accessing healthcare in the pediatric emergency department. METHODS Participants were English- and Spanish-speaking youth aged 10-18 years presenting without an acute mental/behavioral health concern to the emergency department or urgent
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Ultrasound-Guided Hematoma Block for Distal Forearm Fracture Reduction in Adolescent With History of Difficult Airway: A Case Report. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Richard J Gawel,Aaron E Chen
Distal forearm fractures are frequently encountered in the pediatric emergency department and often require reduction. Procedural sedation is commonly used to facilitate reduction of these injuries, although it can be associated with potentially severe complications, particularly in patients with cardiorespiratory comorbidities. The ultrasound-guided hematoma block has been gaining popularity as an
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Video-Based Study of the Progression of Pediatric Emergency Medicine Fellows' Tracheal Intubation Performance During Training. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Phillip Thomas,Benjamin Kerrey,Katie Edmunds,Preston Dean,Mary Frey,Stephanie Boyd,Gary Geis,Karen Ahaus,Yin Zhang,Brad Sobolewski
BACKGROUND The lower clinical exposure of Pediatric Emergency Medicine (PEM) fellows to critical procedures may impede skill acquisition. We sought to determine the tracheal intubation learning curve of PEM fellows during training and compared PEM fellow success against standards for tracheal intubation success. METHODS This was a retrospective, video-based study of a cohort of PEM fellows at a single
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Factors Associated With Potentially Unnecessary Transfers for Children With Asthma: A Retrospective Cohort Study. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Gregory A Peters,Rebecca E Cash,Scott A Goldberg,Jingya Gao,Taylor Escudero,Lily M Kolb,Carlos A Camargo
OBJECTIVE Our objective was to identify the hospital- and community-related factors associated with the hospital-level rate of potentially unnecessary interfacility transfers (IFTs) for pediatric patients with asthma exacerbations. METHODS We analyzed California Emergency Department (ED) data from 2016 to 2019 to capture ED visits where a pediatric patient (age, 2-17 years) presented with an asthma
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Are We Imaging Gently in Indiana? A System-Wide Population-Based Study of Chest CT Use in the Pediatric Trauma Population. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-23 Sindhu Mannava,Amelia Collings,Cameron Colgate,Lava Timsina,Matthew Landman
OBJECTIVES Over the past decade, there has been a significant effort to decrease radiation exposure in pediatric trauma patients. The objective of this study was to determine if trauma centers (TCs) and nontrauma centers (non-TCs) are practicing in line with this effort. We hypothesized that TCs would demonstrate a significant decrease in the use of chest computed tomography (CT) during the study period
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Evaluation of Automated Finger Compression for Capillary Refill-Time Measurement in Pediatrics: Correspondence. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-15 Hinpetch Daungsupawong,Viroj Wiwanitkit
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Perspectives of Caregivers on Children Boarding With Mental Health Conditions. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-15 Samantha C Collins, Nicholas K Ferrigno, Roz King, Corrie E Chumpitazi, Rachel M Stanley, Christian D Pulcini
Addressing the acute mental healthcare needs of children is a national crisis. Despite the ongoing crisis, there are limited prior studies that capture caregiver perspectives on acute pediatric mental healthcare, notably in a general emergency department (ED) in a rural state. Based on these knowledge gaps, our objective was to assess caregiver opinions and perspectives of acute management for children
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Evaluation of the Clinical and Paraclinical Symptoms of Children Intoxicated With Amphetamines in Akbar Hospital of Mashhad, Iran 2021-2022. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-15 Arsalan Aria, Nafiseh Pourbadakhshan, Anahita Alizadeh
Amphetamine poisoning in children is a significant public health concern due to its potential for severe adverse effects on physical and mental health. In this article, we describe a case series of 29 children under the age of 14 presenting with sympathomimetic toxidrome due to confirmed amphetamine poisoning.
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A Randomized Controlled Comparison of Guardian-Perceived Cosmetic Outcome of Simple Lacerations Repaired With Either Dermabond, Steri-Strips, or Absorbable Sutures. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-15 Margaret S Barton, Maureen Saint Georges Chaumet, Jessica Hayes, Cassandra Hennessy, Christopher Lindsell, Blair A Wormer, Salam A Kassis, Daisy Ciener, Holly Hanson
The aim of this study was to compare the guardian-perceived 3-month cosmetic outcome for pediatric lacerations repaired with absorbable sutures, Dermabond, or Steri-Strips. Secondarily, pain and satisfaction with the procedure from both guardian and provider perspectives were compared.
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Central Venous Oxygen Saturation in Children With Cancer. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-14 Nadja Hawwa Vissing, Kia Hee Schultz Dungu, Frederik Mølkjær Andersen, Mette Bondo Mønster, Lisa Lyngsie Hjalgrim, Kjeld Schmiegelow, Ulrikka Nygaard
Central venous saturation (ScvO2) can guide resuscitation of children with septic shock. The normal range of ScvO2 is typically considered as 0.70-0.80, but has not been established in children with cancer. Children with cancer are particularly prone to develop sepsis due to their immunosuppressive therapy, and usually have a permanent central venous catheter, making ScvO2 readily available. We aimed
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The Impact of Legalizing Recreational Cannabis on the Children of a Neighboring State. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-08-12 Benny Chen, Lynne Fullerton, Susan Smolinske, Steven Seifert, Rachel Tuuri
In the United States, cannabis is legal for adult recreational use in 24 states and Washington, DC. Unintentional pediatric cannabis exposures have increased in many states following legalization.We evaluated the relationship between recreational cannabis legalization and the rates of unintentional pediatric exposures in a neighboring state that had not undergone legalization.
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Extracorporeal Cardiopulmonary Resuscitation: CME Review. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-7-31 Michael Stratton, Katherine Edmunds
Extracorporeal cardiopulmonary resuscitation (eCPR) is increasingly being used for refractory cardiac arrest for both in-hospital and out-of-hospital cardiac arrests. The term eCPR refers to cannulating a patient to an extracorporeal membrane oxygenation (ECMO) circuit to provide perfusion after cardiac arrest refractory to standard cardiopulmonary resuscitation. Extracorporeal cardiopulmonary resuscitation
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Usability Testing Via Simulation: Optimizing the NEAR4PEM Preintubation Checklist With a Human Factors Approach. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-26 Robyn Wing, Michael P Goldman, Monica M Prieto, Kelsey A Miller, Mariju Baluyot, Khoon-Yen Tay, Anita Bharath, Deepa Patel, Emily Greenwald, Ethan P Larsen, Lee A Polikoff, Benjamin T Kerrey, Akira Nishisaki, Joshua Nagler
To inform development of a preintubation checklist for pediatric emergency departments via multicenter usability testing of a prototype checklist.
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Using the Electronic Health Record to Implement Expedited Partner Therapy in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-25 Angela M Brown, Stephanie S Kennebeck, Melissa J Kerlin, Michelle L Widecan, Yin Zhang, Jennifer L Reed
Expedited partner therapy (EPT) is a partner treatment strategy for sexually transmitted infections (STIs) including gonorrhea and chlamydia as well as trichomoniasis in some states. The process allows healthcare providers to write prescriptions for STI treatment among partners of infected patients without a previous medical evaluation. The Centers for Disease Control (CDC) has recommended EPT as a
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Video Versus Nonvideo in a Rabbit Training Model for Establishing an Emergency Front of Neck Airway in Children: A Prospective Trial. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-25 Francesca Amato, Christian P Both, Elena Alonso, Pedro D Wendel-Garcia, Birgit Diem, Celine Schneider, Anna Schmidt, Michael Kemper, Achim Schmitz, Jörg Thomas
Simulating a realistic "cannot intubate, cannot oxygenate" (CICO) situation to train an "emergency front of neck airway" is difficult. It further remains unclear if provision of regular technical refreshers improves performance in the setting of a real CICO situation. The purpose of this prospective study on an established surgical rabbit cadaver tracheostomy model was to evaluate the benefit of viewing
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Validation of the Emergency Department Work Index in a Pediatric Freestanding Community Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-25 Sarah M Chen, Gregory Stewart, Emily Sentman, Sara Helwig, Laura Rust, Jeffrey Hoffman, Maegan Reynolds, Berkeley Bennett
The Emergency Department Work Index (EDWIN) is a validated overcrowding score shown to correlate well with staff assessment of adult emergency department (ED) overcrowding and the potential need for diversion. It derives from the number of staffed ED beds, attending physicians on duty, patients within each triage category, and admitted patients. To date, no study has validated EDWIN in a pediatric
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A Protocol for Using Point-of-Care Ultrasound as an Adjunct in Pediatric Cardiac Arrest: Pediatric Ultrasound for Life-Supporting Efforts. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-23 Julie I Leviter, Megan Feick, Antonio Riera, Lauren J White
Pediatric cardiac arrest is a rare but time-critical event that poses significant challenges to health care providers. Initiation of point-of-care ultrasound (POCUS) early in resuscitation can help optimize the location of chest compressions, identify inadequate compressions, evaluate for sonographic pulse, and help direct management. Although several algorithms currently exist to incorporate POCUS
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Caregiver Intent and Willingness to Accept COVID-19 Vaccine in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-23 Rebecca J Hart, Harshini Srivisetty, Anam Ahmed, Taryn Kerley, Madison Swartz, Kristina A Bryant, Michelle D Stevenson
While COVID-19 vaccine (CV) acceptance is improving, little is known about parental acceptance of CV in the pediatric emergency department (PED).
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Comparing the Use of Crotaline-Polyvalent Immune Fab (Ovine) Versus Observation in Children. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-23 Stephen Rohl, Mark Meredith, Tucker Anderson, Alexander Clark, Mark Snider, Rebecca Bruccoleri, Saralyn Williams, Tristan Hayes, Elizabeth Tolley, Andrew J Gienapp, Donna Seger
In the United States, studies are inconclusive regarding the indications for polyvalent antivenom administration for crotaline envenomation. We compared polyvalent antivenom administration versus observation used at 2 separate institutions. We hypothesized that deferring antivenom leads to increased hospital length of stay and surgical interventions.
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Identified Needs in Pediatric Education for Emergency Medicine Physicians: A Qualitative Analysis. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-23 Regina L Toto, Jason Fischer, Mira Mamtani, Kevin R Scott, Brooke Bauman, Eva M Delgado
General emergency medicine (EM) physicians provide most pediatric emergency care in the United States, yet EM physicians feel underprepared to manage pediatric emergencies. Pediatric emergency medicine (PEM) education during EM residency is variable, and learner preferences regarding educational experiences have not been widely explored through a qualitative lens. We aimed to better describe EM physicians'
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From Their Perspective: Pediatric Patients With Acute Mental Health Needs and Prolonged Emergency Department Stays. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-10 Julianne Lapsa, Erin O'Donnell, Lisa Yanek, Thuy Ngo
The pediatric emergency department (PED) is experiencing a rising volume of patients with mental health concerns, leading to prolonged boarding times and delays in initiating active therapeutic plans. A paucity of research exists for the self-reported pediatric patient experience during such boarding.
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Clinical Characteristics, Outcomes, and Interobserver Agreement of Point-of-Care Ultrasound Detected Mesenteric Adenitis in Nonsurgical Pediatric Abdominal Pain: A Retrospective Cohort Study. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-10 James W Tsung, Dana E Stone, Jennifer E Sanders
Point-of-care ultrasound (PoCUS) in the emergency department (ED) may facilitate the diagnosis of nonsurgical sources of abdominal pain after surgical causes are excluded. Identifying mesenteric adenitis is a feasible PoCUS application due to its ease of use and speed. However, there are scant data regarding the diagnosis of mesenteric adenitis by PoCUS. The objective of this study was to describe
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Splinting of Low-Risk Pediatric Fractures. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-7-1 Andrew F Miller, Megan M Hannon
This review covers common orthopedic injuries seen after acute traumatic injury. A thorough physical examination and radiographic review of these injuries are key to ensuring appropriate management. Although many injuries may require urgent or emergent orthopedic consultation and management, this review focuses on injuries that are low-risk and amenable to splinting with outpatient orthopedic follow-up
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Impact of a Helmet Distribution Program in the Pediatric Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 Nicolas Delacruz, Kathryn Varghese, Allan Pulliam, Angelica Almader-Ruiz, Ee Tein Tay
Bicycle helmet use has repeatedly been shown to protect riders from serious injury. Despite this, a majority of children and adolescents do not regularly wear helmets. Our primary objective was to determine if an emergency department (ED)-based helmet distribution program could increase the amount of time children report wearing helmets.
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Creation and Validation of a Novel 3-Dimensional Pediatric Hip Ultrasound Model. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 Francesca R Nichols, Justin R Ryan, John A Skinner, Jonathan M Morris, Mylinh T Nguyen, Atim Ekpenyong, Kathryn H Pade
The aim of this study was to create and validate a 3-dimensional (3D) ultrasound model with normal and abnormal pediatric hip joint anatomy that is comparable to a pediatric hip joint in appearance and anatomy and replicates sonographic characteristics of a pediatric hip joint.
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Changes in Urine Drug Screen Sensitivity in Adolescent Opioid Presentations to the Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 Alexander Sidlak, Mannet Dhaliwal
Adolescent overdoses have been rising over the past decade. Emergency department (ED) visits for both acute overdoses and for adolescents in opioid withdrawal have risen post-COVID. Urine drug screens have poor utility in the ED but are routinely obtained for medical clearance and in the management of patients with substance use disorder. Our primary goal was to measure the sensitivity of the opiate
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Clinical Practice Guideline Development in Pediatric Emergency Medicine Departments Across the United States: A Cross-sectional Study. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 Chidiebere V Ugwu, Andrew Jergel, Brittany Murray, Chris A Rees, Shabnam Jain
This cross-sectional study aimed to assess the process of clinical practice guideline (CPG) development in pediatric emergency medicine departments (PEDs) across the United States, with a focus on identifying areas for improvement to enhance the quality of CPGs.
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Preferences for Management of Pediatric Pneumonia: A Clinician Survey of Artificially Generated Patient Cases. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 Sriram Ramgopal, Thomas Belanger, Douglas Lorenz, Susan C Lipsett, Mark I Neuman, David Liebovitz, Todd A Florin
It is unknown which factors are associated with chest radiograph (CXR) and antibiotic use for suspected community-acquired pneumonia (CAP) in children. We evaluated factors associated with CXR and antibiotic preferences among clinicians for children with suspected CAP using case scenarios generated through artificial intelligence (AI).
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Point-of-Care Ultrasound Evaluation of Pediatric Osteomyelitis in the Emergency Department: A Case Series. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-07-01 James W Tsung, Munaza B Rizvi, Joni E Rabiner
Musculoskeletal and soft tissue complaints commonly present to the pediatric emergency department and literature supports the use point-of-care ultrasound (POCUS) in the diagnosis of these complaints. The diagnosis of osteomyelitis typically involves laboratory testing with inflammatory biomarkers, imaging with x-ray, and often magnetic resonance imaging with test results often not immediately available
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The Impact of an Online Preceptorship Training Program on Preceptor Self-Efficacy among Nurse Case Managers Working in an Acute Care Setting. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-17 Jonelle M O'Connor, Patricia MacCulloch
The U.S. health care system is experiencing a critical workforce shortage of nurse case managers exacerbated by an older workforce and looming retirements and the growth of this specialty. This quality improvement project aimed to develop an online case manager preceptor training program and examine its impact on the nurse case manager preceptors' self-efficacy.
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Development of a Complex Care Transition Team to Improve the Transition of Patients With Complex Care Needs to the Community. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-17 Brittane T Valles, Sydney P Etzler, Jillian R Meyer, Laura D Kittle, Michelle R Burns, Skye A Buckner Petty, Belinda L Curtis, Cathleen M Zehring, Ariana L Peters, Benjamin S Dangerfield
Health care systems have historically struggled to provide adequate care for patients with complex care needs that often result in overuse of hospital and emergency department resources. Patients with complex care needs generally have increased expenses, longer length of hospital stays, an increased need for care management resources during hospitalization, and high readmission rates. Mayo Clinic in
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Neck Point-of-Care Ultrasound for the Identification of Tongue-Base Cysts in Infants With Stridor: A Case Series. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-14 Keiichi Tomita, Shunsuke Nosaka, Koushin Kuroki, Goro Koinuma, Noriko Morimoto, Akira Ishiguro, Satoko Uematsu
Tongue-base cysts, which are occasionally categorized as vallecular cysts, are a rare yet potentially life-threatening cause of stridor in pediatric patients. Studies reporting the use of point-of-care ultrasound (POCUS) to identify tongue-base cysts are lacking. We present the case series of four infants in whom tongue-base cysts were detected using neck POCUS.
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Evaluation of Automated Finger Compression for Capillary Refill Time Measurement in Pediatrics. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-14 Amanda J Nickel, Shen Jiang, Natalie Napolitano, Aaron Donoghue, Vinay M Nadkarni, Akira Nishisaki
Early shock reversal is crucial to improve patient outcomes. Capillary refill time (CRT) is clinically important to identify and monitor shock in children but has issues with inconsistency. To minimize inconsistency, we evaluated a CRT monitoring system using an automated compression device. Our objective was to determine proper compression pressure in children.
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Triage Discordance in an Academic Pediatric Emergency Department and Disparities by Race, Ethnicity, and Language for Care. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-07 Kaileen Jafari, Brian Burns, Dwight Barry, Cassandra Koid, Tina Tan, Emily Hartford
Minoritized patients are disproportionately represented in low-acuity emergency department (ED) visits in the United States in part caused by lack of timely access to primary and urgent care. However, there is also the possibility that implicit bias during triage could contribute to disproportionate representation of minority groups in low-acuity ED visits. Triage discordance, defined as when ED resources
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Presence of Microscopic Hematuria Does Not Predict Clinically Important Intra-Abdominal Injury in Children. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-07 Stephanie C Papillon, Christopher P Pennell, Shannara E Bauer, Aubrey DiBello, Sahal A Master, Rajeev Prasad, L Grier Arthur, Harsh Grewal
Screening for blunt intra-abdominal injury in children often includes directed laboratory evaluation that guides need for computed tomography. We sought to evaluate the use of urinalysis in identifying patients with clinically important intraabdominal injury (ci-IAI).
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Developing a Mental Health Screening Questionnaire in an Asian Children's Hospital Emergency Setting. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-06-07 Siok Hoon Ang, Juliet Sher Kit Tan, Jia Hui Lee, Vicknesan Jeyan Marimuttu, Xin Yi Lim, Lois Ling'en Teo, Shannon Natasha Edward, Mavis Teo, Joyce Soo Ting Lim, Sashikumar Ganapathy, Angelina Su Yin Ang
Mental health concerns among adolescents are increasingly prevalent, yet underrecognized. Adolescents with psychological distress often present to the emergency department (ED) with somatic symptoms. Due to inadequate time for rapport building and lack of familiarity of ED clinicians with psychosocial evaluation, these concerns often get missed. We describe the development and implementation of the
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Addressing the Healthcare Needs of Transgender Youth in the Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-5-30 Malek Mazzawi, Angela Maxwell
Transgender is a term that refers to individuals who identify with a gender that is different from the sex assigned to them at birth. In addition to gender dysphoria, many transgender youth experience a number of challenges including homelessness, violence, and mental health problems such as suicidality. Although transgender people represent a growing subset of the population, most providers receive
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Comparing Leadership Skills of Senior Emergency Medicine Residents in 3-Year Versus 4-Year Programs During Simulated Pediatric Resuscitation: A Pilot Study. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-30 Kyle Schoppel, Ashley Keilman, Jabeen Fayyaz, Patricia Padlipsky, Maria Carmen G Diaz, Robyn Wing, Mary Hughes, Marleny Franco, Nathan Swinger, Travis Whitfill, Barbara Walsh
The majority of pediatric patients in the United States (US) are evaluated and treated at general emergency departments. It is possible that discrepancies in length of emergency medicine (EM) residency training may allow for variable exposure to pediatric patients, critical resuscitations, and didactic events. The goal of this pilot study was to compare leadership skills of graduating EM residents
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In Reply: The Optimal Dose of Lidocaine for Bier Blocks. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-24 Carmen D Sulton
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Letter to the Editor Response: Work-Life Integration for Women in Pediatric Emergency Medicine. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-24 Brielle Stanton Skotnicki,Janet M Kinnane,Maren M Lunoe
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Process and Impact of Development of an Adolescent Emergency Psychiatry Unit at a Large Urban Hospital. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-24 Ilene Claudius, Juliana Tolles, Ross Fleischman, Vikram Muller, Patricia Padlipsky, Patrick Kelly, Mohsen Saidinejad
Boarding of adolescent patients with mental health concerns requiring ongoing observation and treatment is of increasing concern across US emergency departments. The objective was a proof of concept of developing an adolescent psychiatric emergency unit and assessment of the impact of this unit on lengths of stay (LOS).
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Letter to the Editor on "Work-Life Integration for Women in Pediatric Emergency Medicine: Themes Identified Through Group Level Assessment". Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-23 Courtney E Harris,Meridith J Englander,Eman Ansari
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Diaphragmatic Ultrasound in Children With Asthma Exacerbations. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-23 Elaine Chiang, David O Kessler, Melissa Liebman, Joni E Rabiner
Asthma is a leading cause of pediatric emergency department visits, yet few tools exist to objectively measure asthma severity. Diaphragmatic ultrasound (DUS) is a novel method of assessing respiratory distress; however, data are lacking for children.Our primary aim was to determine if diaphragmatic excursion (DE), diaphragmatic thickening (DT), or diaphragmatic thickening fraction (TF) correlated
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Incidence of Bacteremia and Serious Bacterial Infections in Hyperpyrexic Infants Offered Universal Pneumococcal Conjugate Vaccine 13 and Haemophilus influenzae B Immunization. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-23 Moria Be'er, Ayelet Rimon, Or Segev, Adi Huber, Dennis Scolnik, Miguel Glatstein
High fevers, especially in young children, often alarm clinicians and prompt extensive evaluation based on perceptions of increased risk of serious bacterial infection (SBI), and even brain damage or seizure disorders.
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Clinical Characteristics and Delayed Diagnosis of Pediatric Patients Presenting to the Emergency Department With a Newly Diagnosed Central Nervous System Tumor: A Single Institutional Experience. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-23 Vanessa Tamas, Kathryn Hollenbach, Fareed Saleh, John Crawford, David J Gutglass
Due to the varied symptomatology and inconsistent features on neurologic exam, central nervous system (CNS) tumors are difficult to diagnosis in a timely manner.
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Adverse Events in Patients Aged 90 Days or Younger Receiving Ketamine in the Emergency Department. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-22 Lauren A Mills, Heather M Kuntz
The aim of this study was to identify the incidence of adverse events of ketamine administration in the pediatric emergency department in patients aged 90 days or younger in order to demonstrate the safety and efficacy of administration in this patient population.
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The Optimal Dose of Lidocaine for Bier Block. Pediatr. Emerg. Care (IF 1.2) Pub Date : 2024-05-15 Ju-Tae Sohn