A5042228679- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Pediatric Pain Management Techniques
- Traumatic Brain Injury and Neurovascular Disturbances
- Injury Epidemiology and Prevention
- Neonatal Respiratory Health Research
- Pediatric Urology and Nephrology Studies
- Urinary Tract Infections Management
- Airway Management and Intubation Techniques
- Poisoning and overdose treatments
- Testicular diseases and treatments
- Anesthesia and Sedative Agents
- Epilepsy research and treatment
- Sepsis Diagnosis and Treatment
- Child Abuse and Related Trauma
- Appendicitis Diagnosis and Management
- Sexual Differentiation and Disorders
- Pneumonia and Respiratory Infections
- Healthcare Decision-Making and Restraints
- Respiratory Support and Mechanisms
- Anesthesia and Pain Management
- Bacterial Infections and Vaccines
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare cost, quality, practices
The University of Texas Southwestern Medical Center
2016-2024
Children's Medical Center
2002-2023
Sağlık Bilimleri Üniversitesi
2021
Southwestern Medical Center
2017-2020
Cook Children's Medical Center
2016
Southwestern University
2016
Pediatrics and Genetics
1988-2012
Children's Hospital of Wisconsin
1993-2008
Medical College of Wisconsin
1997-2007
University of Wisconsin–Madison
2007
Worldwide, traumatic brain injury (TBI) is a leading cause of death andpermanent disability. In the United States, there are approximately 1.4 million reported cases TBI each year. The real inci...
Abstract. Objective: To compare the effectiveness, recovery time from sedation, and complication rate of propofol with those midazolam when used for procedural sedation in pediatric emergency department (PED). Methods: A prospective, blinded, randomized, clinical trial comparing was conducted PED a tertiary center. Eligible patients were aged 2‐18 years isolated extremity injuries necessitating closed reduction. All received morphine pain, then randomized to receive or sedation. Vital signs,...
No AccessJournal of UrologyPediatric Urology1 Jun 2016Diagnosing Testicular Torsion before Urological Consultation and Imaging: Validation the TWIST Score Kunj R. Sheth, Melise Keays, Gwen M. Grimsby, Candace F. Granberg, Vani S. Menon, Daniel G. DaJusta, Lauren Ostrov, Martinez Hill, Emma Sanchez, David Kuppermann, Clanton B. Harrison, Micah A. Jacobs, Rong Huang, Berk Burgu, Halim Hennes, Bruce J. Schlomer, Linda Baker ShethKunj Sheth University Texas Southwestern Medical Center, Dallas, ,...
Objective. To assess the knowledge of emergency medical technicians–paramedics (EMT-Ps) andcompare their practice perceptions with actual pain management interventions in adults andpediatric patients (adolescents andchildren) chest (CP), extremity injuries, or burns. Methods. This study included a cross-sectional survey EMT-Ps andreview services (EMS) system patient care database. were surveyed for: 1) treatment protocol; 2) estimated number CP, injury, burn encounters andthe frequency...
Abstract. Objective: To evaluate the effects of intravenous morphine on pain reduction, physical examination, and diagnostic accuracy in children with acute abdominal pain. Methods: A randomized, double‐blind, placebo‐controlled clinical trial was conducted at an emergency department a tertiary care children's hospital. Children aged 5‐18 years ≤5 days duration, score ≥5 0‐10 visual analog scale, need for surgical evaluation were eligible. Following initial assessment, patients randomized to...
The medical records of 43 hemodynamically stable children with elevated serum transaminase levels (aspartate aminotransferase [AST] and alanine [ALT]) who underwent abdominal computed tomographic (CT) scan for blunt trauma were reviewed. Nineteen patients (44.2%) had AST >450 IU/L ALT >250 IU/L, 17 these 19 hepatic injury identified on CT scan. Of the patients, 25 (58.1%) less than 450 250 respectively, none evidence Elevated (AST IU/L) all visible sensitivity specificity 100%...
Abstract Background: Closed traumatic brain injury (cTBI) is a significant cause of mortality and morbidity in children. The natural course extent recovery from cTBI children are poorly understood. Neuron‐specific enolase (NSE), an enzyme detected serum following structural damage neuronal cells, appears to be good marker for intracranial injury. However, the best authors' knowledge, usefulness NSE as predictor disability with has not been reported. Objectives: To examine association between...
We prospectively evaluated 7 observation variables (level of activity, level alertness, respiratory status/effort, peripheral perfusion, muscle tone, affect, feeding pattern) which qualify patient clinical appearance in order to determine reliability distinguishing the infectious outcome 233 febrile infants ages 0 8 weeks. Each variable was graded either 1, 3, or 5, with a higher score indicative greater degree compromise. All received physical examination and sepsis evaluation (lumbar...
We reviewed the medical records of 55 patients who underwent a cranial computed tomographic (CT) scan for acute head trauma. The severity trauma was classified according to objective clinical findings as severe in 44 patients, moderate three, and mild eight. Thirty-seven (84%) with had brain injury identified on CT scan. Six Glasgow Coma Scale score 12 or greater an abnormal All normal scans. Severe trauma, defined this study, accurately all findings. conclude that classification based...
Pediatric prehospital care was reviewed over a one-year period to determine success rate, causes of unsuccessful attempts, and complications performing endotracheal intubation. The Milwaukee County Emergency Medicine Technician-Paramedics (EMT-Ps) responded 1467 pediatric (less than 19 years age) patient calls. This accounted for 11% the patients who received EMT-P during study period. Of 63 requiring intubation, 49 (78%) were successfully intubated. 42 pulseless nonbreathing (PNB) patients,...
BackgroundUS citizens are increasingly traveling, working, and studying abroad as well retiring abroad. The objective of this study was to describe the type scope injury deaths among US compare death proportions by region those in United States.
To evaluate the effects of intravenous morphine on pain reduction, physical examination, and diagnostic accuracy in children with acute abdominal pain.A randomized, double-blind, placebo-controlled clinical trial was conducted at an emergency department a tertiary care children's hospital. Children aged 5-18 years < or =5 days' duration, score > 0-10 visual analog scale, need for surgical evaluation were eligible. Following initial assessment, patients randomized to receive either 0.1 mg/kg...
The aims of the study were to examine predictive accuracy Broselow tape (BT) weight estimation and body mass index-based categorization in overweight obese pediatric patients develop an adjustment factor that improves BT estimate patients.A prospective observational was conducted. We enrolled noncritical presenting a tertiary care emergency department with nonurgent complaints. Patients had their weights, heights, abdominal circumferences, actual measurements documented by research staff.One...
To determine the reliability of serum neuron-specific enolase (NSE) levels in predicting intracranial lesions (ICL) children with blunt head trauma (HT).A prospective pilot study was conducted patients 0 to 18 years age presenting a children's hospital emergency department (ED) between December 1997 and October 1998. Children within 24 hours injury who required computed tomography (CT) were eligible. Blood samples obtained measure NSE level. Data collected included patient demographics,...
Objective. To evaluate the current opinion and practice of pediatric emergency medicine physicians (PEM) surgeons (PS) on use opioid analgesia in children with acute abdominal pain during their evaluation department. Methods. All members American Academy Pediatrics Section Emergency Medicine Pediatric Surgeons Association were mailed a copy survey. Inclusion criteria board-eligible or -certified PEM, PS certified by Board Surgery Royal College currently whose patient population includes...
Infectious complication rates and associated risk factors occurring during peripheral intravenous therapy with Teflon catheters were determined a prospective study of 286 cannula insertions. Suppurative phlebitis, cannula-related sepsis or suspected did not occur. Semiquantitative cultures revealed colonization rate 10.4% (12 115). Coagu-lase-negative nonadherent Staphylococcus was the most common colonizing organism in 10 12 positive catheters. Alpha Streptococcus adherent...
To determine the rate of serious bacterial infection in children aged 2 to 36 months with fever without a source post-Haemophilus influenzae era, when antibiotic therapy is reserved until blood culture results turn positive.Retrospective review emergency department, urgent care center, and hospital medical records from an urban children's hospital.Eligible participants were identified record microbiology laboratory databases. Immunocompetent individuals eligible for enrollment. Exclusion...