Barriers to Universal Suicide Risk Screening for Youth in the Emergency Department
Conclusions
The lack of prospective, systematic studies on barriers and the focus on individual adopter attitudes reveal a significant gap in understanding the challenges to implementation of universal youth suicide risk screening in emergency departments. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Review Article Source Type: research
Burnout in Pediatric Emergency Medicine Physicians: A Predictive Model
Conclusions
Burnout is prevalent in PEM physicians. We identified 6 independent predictors for burnout and constructed a scoring system that stratifies probability of burnout. This predictive model may be used to guide organizational strategies that mitigate burnout and improve physician well-being. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Physician Wellness/Burnout Source Type: research
Optimizing Critical Care Documentation in a Pediatric Emergency Department
Conclusions
This project resulted in significant and sustained improvements in CC note completion. We believe providing education, simplifying the documentation process, automating reminders, and incentivizing optimal documentation were vital to success. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Improving CPR Quality by Using a Real-Time Feedback Defibrillator During Pediatric Simulation Training
Conclusions
The use of real-time feedback defibrillators improved the adherence to the AHA cardiopulmonary resuscitation guidelines for CCF and CCR during pediatric resident simulation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Training Experiences of Emergency Department Providers in the Recognition of Child Trafficking
Conclusions
We found that although most ED providers stated that they had prior training in the recognition of child trafficking, few expressed confidence in their ability to recognize and evaluate trafficked children. Barriers to education included a lack of awareness of and access to available curricula. Providers supported a variety of formats for further education. Strategies for improving educational access are discussed. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Resource Utilization During Low-Acuity Pediatric Emergency Department Visits
Objectives
The aims of the study were to estimate testing and treatment rates among pediatric low-acuity emergency department (ED) visits and to compare testing and treatment patterns at general and pediatric-specific EDs.
Methods
We performed a cross-sectional study of triage level 4 or 5 pediatric visits from a complex survey of nonfederal US EDs from 2008 to 2017. We analyzed demographics, vital signs, disposition, testing, and treatment. We calculated proportions for each data element and used χ2 tests to determine differences between general and pediatric EDs.
Results
There were an estimated 306.2 m...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Improving Resuscitation Timing: Random Assignment of Interprofessional Team Leaders in Simulated Resuscitation
Conclusions
The leader-assigned teams and controls did not differ in resuscitation timeliness. Among leader-assigned teams, the differences in time to BVM between physician- and nurse-led teams were not statistically significant. However, all 6 nurse-led teams demonstrated timely resuscitation, suggesting a direction for future research on the feasibility of bedside nurses taking the lead during resuscitation, pending code team arrival. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Infant Cardiopulmonary Resuscitation Quality While Walking Fast: A Simulation Study
This study focuses on the characteristics (feasibility, resuscitation quality, and physical demands) of infant cardiopulmonary resuscitation (CPR) on the forearm during fast walking, performed by a trained lay rescuer.
Methods
Twenty-one university students from the infant education degree participated in a randomized crossover simulation study to compare a standard pediatric CPR versus a walking pediatric CPR with a manikin on the rescue forearm. Each rescuer performed 2 resuscitation tests of 2 minutes on the infant manikin. Cardiopulmonary resuscitation, physiological, and perceived effort variables were measured...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Evaluation of Unscheduled Return Visits to the Pediatric Emergency Department and Risk Factors for Admission After Return Visit
Conclusions
Unscheduled RTED and hospitalization rates can be reduced with more careful evaluation of young children, patients with respiratory and gastrointestinal complaints and those who apply during emergency department busiest hours. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Pediatric Unintentional Fall-Related Injuries in a Statewide Trauma Registry
Objectives
The purpose of the study was to evaluate patterns of fall-related injury through childhood and identify risk factors for more severe fall-related injuries with the goal of informing targeted prevention strategies for different ages.
Methods
The study population consisted of pediatric patients in the Iowa Trauma Registry from January 1, 2010, to December 31, 2014, who sustained an unintentional fall-related injury (N = 3856 patients). Multinomial logistic regression analysis was used to predict injury severity. Adjusted odds ratios were calculated characterizing the relationship between fall severity a...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Pediatric Foreign Body Aspiration: Time of Occurrence and Factors Affecting Outcomes
Objectives
The goal of this study was to assess which factors could affect outcomes in pediatric patients undergoing bronchoscopy for foreign body aspiration (FBA).
Methods
This is a retrospective case series study evaluating patients who underwent bronchoscopies because of FBA at a tertiary pediatric hospital between January 1, 2010, and December 6. 2018. Data collected included demographic information, time of the aspiration event, history of developmental delay, time of the procedure, duration of the procedure, and outcome (discharged, admission to the hospital or pediatric intensive care unit [PICU], or dece...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Association of County-Level Availability of Pediatricians With Emergency Department Visits
Conclusions
Pediatrician density is not associated with decreased ED visits after adjusting for other county demographic factors. Increasing an area's availability of pediatricians may not affect ED attendance. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Parental Perspectives on Children's Functional Experiences After Limb Fracture: A Qualitative Study
Conclusions
Function is universally impaired in young children with fractures, significantly affecting family life after discharge. Discharge conversations with families should include pain management, changes to activities of daily living, family routines and play, and expectations for fracture healing. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Pediatric Trauma: What Hurts?
Objectives
Pediatric trauma patients are injured during crucial developmental years and require subsequent absence from school and activities. The impact of these changes on pediatric trauma patients is not well studied. We sought to assess the functional and emotional impact of pediatric trauma. In addition, the inpatient experience was evaluated for performance improvement purposes.
Methods
A prospective survey was conducted at our trauma center (February 2019 to May 2019) of admitted trauma patients ( (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
Testicular Torsion Patients Should Be Manually Detorsed at Diagnosis: A Propensity Score Matched Analysis of the Influence of Interhospital Transfer and Surgical Wait Times on Surgical Organ Salvage
Conclusions
Immediate detorsion led to improved surgical outcomes in testicular torsion patients. Because of residual torsion, surgery for detorsed patients should not be postponed. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research
