Assessment of Pediatric Emergency Medicine Fellow Competency in Procedural Sedation: An Adjunct to the Recently Published Pediatric Emergency Medicine Procedural Sedation Training: Consensus Educational Guidelines
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Efficacy of Ketamine Use in Refractory Status Epilepticus Associated With Hemimegalencephaly
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
Amyand Hernia: As Seen on Point-of-Care Emergency Ultrasound
We present a case of Amyand hernia visible on point-of-care ultrasound performed by a pediatric emergency medicine physician. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
Use of POCUS in the Diagnosis of Paradoxical Vocal Cord Movement
Point-of-care ultrasound has been instrumental in allowing providers to make prompt diagnoses at the bedside but has been historically underutilized for the diagnosis of upper airway processes, including paradoxical vocal fold motion (PVFM), also known as vocal cord dysfunction. PVFM is characterized by adduction of the vocal cords during inspiration, resulting in stridor and shortness of breath. This case report describes a teenage girl who presented to the pediatric emergency department (ED) with difficulty breathing. Point-of-care ultrasound diagnosed PVFM, which was confirmed with bedside flexible laryngoscopy by otorh...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Reviews Source Type: research
Malrotation With Midgut Volvulus in an Adolescent Male
We present an unusual occurrence of high-grade obstruction because of malrotation and volvulus in an adolescent male. His symptoms at presentation, abdominal pain and vomiting, were similar to previous episodes in which he had been diagnosed with constipation or viral gastroenteritis and discharged home. His main criteria for admission for this occurrence were related to his degree of dehydration. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Illustrative Case Source Type: research
California Children Presenting to an Emergency Department for Mental Health Emergencies: Trajectories of Care
This study examines the trajectory of pediatric patients presenting with mental health emergencies to better understand availability of specialty care resources in regional networks.
Methods
This retrospective cohort study used a California Office of Statewide Health Planning and Development linked ED and Inpatient Discharge Dataset (2005–2015) to study pediatric patients (5–17 years) who presented to an ED with a primary mental health diagnosis. Outcomes were disposition: discharge, admission, or transfer.
Patients transferred were further analyzed for disposition. Regression models to identify characteristi...
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Resources for Improving Pediatric Readiness and Quality of Care in Rural Communities and Emergency Departments
Conclusions
The resources we provided from our regional, urban children's hospital to 2 rural LEMSAs facilitated improvements in a regionalized system of care for critically ill and injured children. Our shared resources framework can be adapted by other regional children's hospitals to increase readiness and quality of pediatric emergency care in rural and underserved communities and LEMSAs. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Aligning Provider Prescribing With Guidelines for Soft Tissue Infections
Conclusions
Our data show antibiotic prescription for nonpurulent cellulitis as a potential area of standardization and optimization of care at our center. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Are We in Control of Our Demons?: Understanding Compassion Satisfaction, Compassion Fatigue and Burnout in an Asian Pediatric Emergency Department in a Pandemic
Conclusions
Being a pediatric emergency physician puts one at greater risk of experiencing CF and BO because of work and nonwork stressors, especially during a global pandemic, influenced by sociocultural factors. A positive and supportive work environment should be created while providing culturally adapted strategies to improve individual physician resilience to maintain their well-being. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Emergence of Extended-Spectrum β-Lactamase-Producing Pathogens in Community-Acquired Urinary Tract Infections Among Infants at a Pediatric Emergency Department
Conclusions
Extended spectrum β-lactamase–producing organisms are an increasing cause of UTIs in infants presenting at a pediatric ED, and outpatient management may be reasonable for infants older than 2 months. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Children's Hospital Transfers From Referring Emergency Departments: Which Patients Bypassed the Pediatric Emergency Department?
Conclusions
At a tertiary hospital with a high rate of DA among patients transferred from other EDs, we identified factors that were associated with the use of direct versus ED admission. Our results identify specific populations in which future work could inform admission processes for interfacility transfers. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
High Rate of Emergency Department Care in Youth With Abdominal Pain–Associated Functional Gastrointestinal Disorders
Conclusions
The ED is the most common location for care for youth with AP-FGIDs and, for the majority, seems to be the only location. This seems to be particularly true for Hispanic and African American patients. Given the often complex psychosocial needs of this patient group, processes need to be developed to transition these patients into the outpatient setting, ideally to programs specializing in chronic pain. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Nonutility of Diagnostic Testing in Ambulatory Patients With Supraventricular Tachycardia
Conclusions
Patients undergoing ED management of uncomplicated SVT are likely to undergo laboratory investigation and unlikely to have abnormal studies impacting their care. Given the associated risk of false-positive studies, the discomfort to the patient and parent, and cost of these studies, routine laboratory or radiographic investigation in this population may be unwarranted. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
A Brief, Just-in-Time Sedation Training in the Pediatric Emergency Department Improves Performance During Adverse Events Encountered in Simulated Procedural Sedations
Conclusion
A brief JIT training in the pediatric ED improves resident clinical performance and confidence when faced with an AE during a simulated PS. Future direction includes correlating this improved performance with patient outcomes in PS. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Efficacy of Apneic Oxygenation During Pediatric Endotracheal Intubation: Erratum
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - March 1, 2022 Category: Emergency Medicine Tags: Erratum Source Type: research
