Adolescent Self-poisoning Ingestions: Cases Reported to the New Jersey Poison Information and Education System
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Letters to the Editors Source Type: research
“Parenteral” Diarrhea Associated With Pediatric Urinary Tract Infections: A Retrospective Chart Review
Conclusions
Our retrospective review of pediatric patients younger than 5 years with culture-proven UTIs found an association of reported diarrhea. It is our opinion based on our single-center retrospective chart review that the current available evidence suggests an association between UTIs and extraintestinal diarrhea. Future prospective studies are recommended to confirm this association. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
“Code Green Active” Curriculum: Implementation of an Educational Initiative to Increase Awareness of Active Shooter Protocols Among Emergency Department Staff
Background
There has been an increase in violent acts against hospital employees, including active shooter events. Emergency department (ED) staff must be able to respond to these events efficiently to ensure the safest possible outcome. However, few in our ED were aware of our hospital's active shooter protocol. We aimed to increase staff knowledge of and confidence in these guidelines.
Methods
We developed and implemented a 7-week spiral curriculum using the Kern model of curriculum development. Each week, a segment of the hospital active shooter protocol was featured. Multimodal instructional methods includin...
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Sepsis Electronic Decision Support Screen in High-Risk Patients Across Age Groups in a Pediatric Emergency Department
This study aimed to compare the performance of a pediatric decision support algorithm to detect severe sepsis between high-risk pediatric and adult patients in a pediatric emergency department (PED).
Methods
This is a retrospective cohort study of patients presenting from March 2017 to February 2018 to a tertiary care PED. Patients were identified as high risk for sepsis based on a priori defined criteria and were considered adult if 18 years or older. The 2-step decision support algorithm consists of (1) an electronic health record best-practice alert (BPA) with age-adjusted vital sign ranges, and (2) physician scr...
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric ED Utilization in a Destination City: Demographic, Clinical, and Temporal Trends
Conclusion
At our institution, local patients, in-state nonlocal patients, and out-of-state patients exhibited 3 distinct patterns of PED utilization. Knowledge of these trends can be used to optimize resource allocation and follow-up planning, particularly for our out-of-state patient population. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Penile Bee Sting
Conclusions
The probability of the development of serious local reactions and urological problems in penile bee stings is low. Oral nonsteroidal anti-inflammatory drug and warm, wet dressing are usually sufficient to treat local reactions. Penile bee stings may be evaluated within the scope of summer penile syndrome because their symptoms, clinical findings, and treatments are almost similar. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Residency Preparedness for Pediatric Emergency Medicine Fellowship
Conclusions
Most respondents in both groups felt that in general, pediatric residency programs adequately train residents for PEM fellowship. Both groups felt that the strengths of general pediatric training were among the domains of professionalism and clinical evaluation and management, whereas psychomotor skills and academia and scholarship were areas of improvement. These findings may be used by general pediatric residency and PEM fellowship programs to guide curriculum development. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Return Visits to the Emergency Department: The Time to Return Curve
Conclusions
An empirically derived 7-day cutoff may be more appropriate for characterization of pediatric return visits to the ED. Encounters after this period had lower adjusted odds of admission. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Transport–Specific Illness Severity Scores Predict Clinical Deterioration of Transported Patients
Conclusions
Both TRAP and T-PEWS can be used to predict the risk of clinical deterioration in transported patients admitted to general wards. These scores may assist in assessing which patients admitted to the wards need closer observation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Urgent Care Providers' Approach to Antibiotic Stewardship: A National Survey
Conclusions
Parental expectation of receiving antibiotics was viewed as the most common barrier to appropriate prescribing. These findings should be used to target directed interventions such as shared decision making and communication training to support appropriate antibiotic prescribing in pediatric urgent care. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Urgent Care Center Management of Traumatic Injuries in Infants and Children: Adherence to Evidence-Based Practice Guidelines
Conclusions
Providers in our sample demonstrated adherence with pediatric trauma evidence-based practice guidelines. Increased PUC provider trauma care certification, PUC incorporation of Stop the Bleed education, and PUC presence of equipment and medications would further improve emergency preparedness. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Physician Perspectives on Acupuncture Use in the Pediatric Emergency Department
Conclusions
Participants overall had positive experiences with ED acupuncture. Although multilevel barriers to use of acupuncture were noted, these may be mitigated by several strategies suggested by participants. Future research is needed to further explore the potential impact of these strategies, as well as examine clinical outcomes of acupuncture implementation in the pediatric ED setting. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Prevalence and Causes of Subconjunctival Hemorrhage in Children
Conclusions
Subconjunctival hemorrhage is uncommon in children. The great majority of cases are due to trauma. All children with SCH, including infants and young children, should be closely examined to identify other ocular or nonocular signs of trauma. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Pediatric Emergency Medicine Physicians' Perspectives on Emergency Care of Children With Medical Complexity: A Multi-institution Mixed-Methods Assessment
Conclusions
Most PEM physicians view the care for CMC in the ED as challenging despite practicing in high-resource environments. Further research is needed to develop and implement strategies to improve care of CMC in the ED. Understanding experiences of providers in general ED settings is also an important next step given that 80% of CMC present for emergency care outside of major children's hospitals. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Physician-Specific Utilization of an Electronic Best Practice Alert for Pediatric Sepsis in the Emergency Department
Conclusions
Physicians consider patient and nonpatient factors when responding to the BPA. Improved BPA functionality combined with measures to enhance screening, optimize sepsis management, and educate ED providers on the BPA may increase satisfaction with the alert and promote more effective utilization when it fires. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
