Predictors of Emergency Department Opioid Use Among Adolescents and Young Adults
Conclusions
Machine learning methodologies were able to identify predictors of ED-RX and DC-RX, which can be used to inform ED prescribing guidelines and risk mitigation efforts among adolescents and young adults. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Impact of COVID-19 on Pediatric Mental and Behavioral Health Visits to the Emergency Department
This study aimed to describe changes in pediatric emergency department (ED) mental and behavioral health (MBH) visits before and during the early COVID-19 pandemic.
Methods
We retrospectively reviewed medical records of patients aged from 5 to 17 years presenting to the pediatric ED of a major tertiary care hospital with MBH-related concerns from March 2017 to September 2020. We evaluated trends in MBH ED visits over the study period, specifically comparing patient demographics, diagnosis categories, and ED disposition between the pre-COVID (2019) and COVID (2020) periods using pairwise Pearson χ2 analyses with rep...
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Special Feature Source Type: research
Point-of-Care Ultrasound–Guided Serratus Anterior Plane Block for Chest Tube Placement in a Spontaneous Pneumothorax
Chest tube placement is a common procedure in the pediatric emergency department. There is general emergency medicine literature as well as pediatric cardiac surgery literature supporting the use of an ultrasound-guided serratus anterior plane block for regional anesthesia with no prior pediatric emergency medicine studies to our knowledge. This case describes a pediatric patient who required chest tube placement twice for a pneumothorax and describes his preference for the nerve block over the more commonly used procedural sedation. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Ultrasound Case Review Source Type: research
Liquid Nicotine, E-Cigarettes, and Vaping: Information for the Pediatric Emergency Medicine Provider
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Liquid Nicotine, E-Cigarettes, and Vaping: Information for the Pediatric Emergency Medicine Provider
This article reviews trends in e-cigarette use among youth, the background and mechanism of action of e-cigarettes, liquid nicotine toxicity, management of liquid nicotine toxicity, and recent policy updates regarding e-cigarettes. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: CME Review Article Source Type: research
Pediatric Office Emergency Preparedness: An Intensive In-Office Training Curriculum
Conclusions
Our intensive emergency training and preparation curriculum experience with local primary care pediatric offices highlighted discrepancies between the perceived level of office preparedness and actual experience during a simulated emergency. Office staff felt more prepared for an emergency after the training, and office medications and equipment were re-evaluated to provide a more efficient and effective resuscitation for their patients. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Polyembolokoilamania in Child Sexual Abuse: Physical Examination Findings After Abusive Foreign Body Insertion and Literature Summary
Conclusions
This article further supports the literature reflecting the overall rarity of abnormal anogenital findings in the clinical assessment for sexual abuse. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Racial and Ethnic Differences in Ondansetron Use for Acute Gastroenteritis in Children
Conclusions
This large database analysis of emergency departments around the nation found that NHW patients were less likely to receive ondansetron but more likely to receive IV fluids and hospital admission than minority patients. These findings are likely multifactorial and may represent bias, social determinants of health, access to care, or illness severity among other possible causes. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Provider Communication and Fever Protocol for Children With Sickle Cell Disease in the Emergency Department
Conclusions
Advance communication between the pediatric hematologist and ED physician was associated with reduced time to antibiotic administration for febrile children with sickle cell disease. Further interventions should be explored to achieve timely antibiotics administration within 60 minutes of ED arrival. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Prevalence of Adverse Childhood Experiences in a Pediatric Emergency Department: Support for Trauma-Informed Pediatric Emergency Care
Conclusions
Adverse childhood experience exposure in this population matched the prevalence reported in the national population. Our results suggest that this group is particularly important when mitigating these risk factors for long-term adverse health outcomes. Adverse childhood experience exposure did not appear to impact recidivism in a period of unprecedented low ED volumes during the coronavirus disease pandemic. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Prehospital Epinephrine Use in Pediatric Anaphylaxis by Emergency Medical Services
Conclusions
Emergency medical service providers in this region demonstrated similar use of epinephrine as reported elsewhere. However, 43% (64/150) of pediatric patients meeting anaphylaxis criteria did not receive prehospital epinephrine, and 10% (15/150) received no treatment whatsoever. Efforts to improve EMS provider recognition and prompt epinephrine administration in pediatric cases of anaphylaxis seem necessary. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Intranasal Fentanyl to Reduce Pain and Improve Oral Intake in the Management of Children With Painful Infectious Mouth Lesions
Conclusions
Intranasal fentanyl seems to be a safe and effective alternative to acetaminophen with hydrocodone in reducing pain and improving hydration status in children with painful infectious mouth lesions and poor oral intake. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Discrepancies Between the Management of Fever in Young Infants Admitted From Urban General Emergency Departments and Pediatric Emergency Departments
Introduction/Objective
Most pediatric emergency visits occur in general emergency departments (GED). Our study aims to assess whether medical decision making regarding the management of febrile infants differs in GEDs from pediatric EDs (PED) and deviates from pediatric expert consensus.
Methods
We conducted a retrospective chart review on patients younger than 60 days with fever admitted from 13 GEDs versus 1 PED to a children’s hospital over a 3-year period. Adherence to consensus guidelines was measured by frequency of performing critical components of initial management, including blood culture, urine cult...
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Who Trains the Trainers?: Development of a Faculty Bootcamp for Pediatric Emergency Medicine Resuscitation Procedures
Conclusions
The clinical setting alone may be insufficient in maintaining procedural competency in lifesaving skills in PEM. Giving faculty the opportunity to practice these skills is feasible and can be effective in increasing confidence. Future training sessions should aim toward practicing to a defined mastery level. (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - August 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research
Assessment of Children in Pain in the Emergency Department: Are We Doing Things the Right Way?
No abstract available (Source: Pediatric Emergency Care)
Source: Pediatric Emergency Care - July 1, 2022 Category: Emergency Medicine Tags: Letter to the Editors Source Type: research
