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  • Measuring the Quality of Cardiopulmonary Resuscitation in the Emergency Department at a Quaternary Children's Hospital

    9 days ago - By Pediatric Emergency Care

    Aim of Study
    The aim of this study was to evaluate the quality of cardiopulmonary resuscitation as it relates to American Heart Association guidelines during cardiac arrests in a pediatric emergency department at a quaternary children's hospital.
    Background and Objectives
    High-quality CPR increases the likelihood of survival from pediatric out-of-hospital cardiac arrest. However, optimal performance of high-quality CPR during transition of care between prehospital and pediatric emergency department providers is challenging, and survival without comorbidities remains extremely low for...
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  • Provider Communication and Fever Protocol for Children With Sickle Cell Disease in the Emergency Department

    Provider Communication and Fever Protocol for Children With Sickle Cell Disease in the Emergency Department

    9 days ago - By Pediatric Emergency Care

    Objective
    We assessed whether prior communication between pediatric hematologists and emergency department providers reduced time to administration of parenteral antibiotics for children with sickle cell disease presenting with fever.
    Methods
    Patients 2 months to 21 years of age were retrospectively identified if they were followed up at our center's pediatric hematology clinic and presented to the pediatric ED with fever. Emergency department-hematology communication before patient arrival was ascertained by chart review. The primary outcome was time to administration of parenteral...
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  • Pediatric ED Utilization in a Destination City: Demographic, Clinical, and Temporal Trends

    Pediatric ED Utilization in a Destination City: Demographic, Clinical, and Temporal Trends

    9 days ago - By Pediatric Emergency Care

    Objectives
    Seasonal variation in emergency department visits has been shown for a variety of pediatric conditions, but previous studies have not considered how geographic location may also influence when and why these patients present to the ED. Our study examined the demographic and clinical characteristics as well as the seasonal variation among 3 patient populations (locals, in-state nonlocals, and out-of-state visitors) presenting to our pediatric ED , which is located in a coastal, destination city.
    Methods
    This was a retrospective chart review of PED visits from June 2014 to June...
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  • Emergency Management of Life-threatening Anemia in Pediatric Practice

    9 days ago - By Pediatric Emergency Care

    No abstract available
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  • Pediatric Return Visits to the Emergency Department: The Time to Return Curve

    Pediatric Return Visits to the Emergency Department: The Time to Return Curve

    9 days ago - By Pediatric Emergency Care

    Objective
    Although 72-hour return visits are a frequently reported metric for pediatric patients discharged from the emergency department , the basis for this metric is not established. Our objective was to statistically derive a cutoff time point for the characterization of pediatric return visits.
    Methods
    We performed a retrospective cohort study using data of patients discharged from any of 44 pediatric EDs. We selected the first encounter per patient from January 1 to December 31, 2019, as the index encounter and included the first return visit within 30 days. We constructed a...
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  • Physician-Specific Utilization of an Electronic Best Practice Alert for Pediatric Sepsis in the Emergency Department

    Physician-Specific Utilization of an Electronic Best Practice Alert for Pediatric Sepsis in the Emergency Department

    9 days ago - By Pediatric Emergency Care

    Background
    Early recognition of sepsis remains a critical goal in the pediatric emergency department. Although this has led to the development of best practice alerts to facilitate screening and bundled care, research on how individual physicians interact with sepsis alerts and protocols is limited. This study aims to identify common reasons for acceptance and rejection of a sepsis BPA by pediatric emergency medicine physicians and understand how the BPA affects physician management of patients with suspected sepsis.
    Methods
    This is a qualitative study of PEM physicians in a...
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