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

    11 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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  • Prevalence of Adverse Childhood Experiences in a Pediatric Emergency Department: Support for Trauma-Informed Pediatric Emergency Care

    Prevalence of Adverse Childhood Experiences in a Pediatric Emergency Department: Support for Trauma-Informed Pediatric Emergency Care

    11 days ago - By Pediatric Emergency Care

    Objectives
    Data from the 2019 National Survey of Children's Health revealed that 39.8% of children in the United States have been exposed to adverse childhood experiences , which are risk factors for long-term negative health outcomes. This study aimed to determine the prevalence of ACE exposure in a pediatric emergency department patients and describe the association between ACE exposure and ED recidivism.
    Methods
    Five hundred children aged 0 to 17 years were evaluated for ACE exposure in an academic, urban, tertiary-care, pediatric ED via convenience sampling. The 2019 National Survey of...
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  • Prehospital Epinephrine Use in Pediatric Anaphylaxis by Emergency Medical Services

    Prehospital Epinephrine Use in Pediatric Anaphylaxis by Emergency Medical Services

    11 days ago - By Pediatric Emergency Care

    Objectives
    Anaphylaxis requires prompt assessment and management with epinephrine to reduce its morbidity and mortality. This study examined the prehospital management of pediatric anaphylactic reactions in Northeast Ohio.
    Methods
    This is a retrospective chart review using emergency medical service run charts of patients 18 years and younger from February 2015 to April 2019. Patient charts with the diagnosis of “anaphylaxis” or “allergic reaction” were reviewed and confirmed that symptoms met anaphylaxis criteria. Information regarding epinephrine administration before EMS arrival and...
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  • Discrepancies Between the Management of Fever in Young Infants Admitted From Urban General Emergency Departments and Pediatric Emergency Departments

    Discrepancies Between the Management of Fever in Young Infants Admitted From Urban General Emergency Departments and Pediatric Emergency Departments

    11 days ago - By Pediatric Emergency Care

    Introduction/Objective
    Most pediatric emergency visits occur in general emergency departments. Our study aims to assess whether medical decision making regarding the management of febrile infants differs in GEDs from pediatric EDs 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...
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