Providing acutely ill children in isolated communities access to specialized care is challenging. This study aimed evaluate remote presence robotic technology (RPRT) for enhancing pediatric assessments, expediting initiation of treatment, refining triaging, and reducing the need transport.We conducted a pilot prospective observational at primary/urgent clinic an northern community. Participants (n = 38) were <17 years presenting clinic, whom local healthcare professionals had considered...

BACKGROUND AND OBJECTIVES Urinary tract infection (UTI) is a common diagnosis in the emergency department (ED), often resulting empirical antibiotic treatment before culture results. Diagnosis of UTI, particularly children, can be challenging and misdiagnosis common. The aim this initiative was to decrease uncomplicated pediatric UTIs by 50% while improving antimicrobial stewardship ED over 4 years. METHODS By using Model for Improvement, 3 interventions were developed: (1) an electronic UTI...

Determining care disposition for pediatric patients during interfacility transport is often challenging. Severity of illness scoring can assist with this process. The purpose retrospective study was to compare currently utilized systems and their ability reliably match patients' severity the level necessary.The registry review our region included 209 <18 years, transported between 2015 2016 admitted tertiary care. Pediatric RISk Mortality III (PRISM III); Canadian Triage Acuity Scale...

Abstract The COVID-19 pandemic has had dramatic effects on the lives of children globally. However, socially vulnerable have been particularly impacted. Certain populations increased vulnerabilities, including and youth experiencing homelessness. Increased infection risk due to congregant living challenges with physical distancing are contributing factors. An urgent need exists for a wholistic approach care unique cross-sectoral partnerships across disciplines. A recognition unintended...

Abstract Levofloxacin prophylaxis during periods of neutropenia in pediatric hematopoietic stem cell transplant (HSCT) may reduce the number febrile episodes and use empiric intravenous antibiotics (EIA); however, literature is conflicting. This retrospective review compared EIA before after implementation levofloxacin at a children's hospital. was associated with reduced certain EIA; did not positive blood cultures or clinical deteriorations. Therefore, have implications for stewardship...

Abstract Background Clinical trials have demonstrated that levofloxacin prophylaxis during periods of neutropenia in hematopoietic stem cell transplantation (HSCT) reduces the frequency bacteremia adults and febrile episodes children. Therefore, may also a role reducing empiric intravenous antibiotic (EIA) use. Methods This retrospective review assessed impact for patients &amp;lt; 18 years undergoing HSCT at Canadian children’s hospital. The primary outcome was days therapy (DOT)...

Objective: Determining pediatric severity of illness in referring centers may be useful for establishing appropriate patient disposition and interfacility transport. For this retrospective review, the authors evaluated Canadian Paediatric Triage Acuity Scale (PaedCTAS) tool regards to individual outcomes.Methods: A score using PaedCTAS algorithm was retrospectively calculated from center data at time our transport team consulted. Data included children &lt; 17 years transported tertiary...

Abstract Background Urinary tract infection (UTI) is a common diagnosis in the pediatric emergency department (ED) that often results empiric antibiotic treatment prior to culture results. A 2016 cohort study from our centre found 47% of children diagnosed with UTI and prescribed antibiotics had negative urine culture. None these patients were notified misdiagnosis or told discontinue antibiotics. Figure 1: Choosing Wisely urinary diagnostic algorithm 2: Patients included/excluded exclusion...

[For the parents’ first-hand account of this experience, see www.cmaj.ca/lookup/doi/10.1503/cmaj.220945][1] KEY POINTS A 21-day-old girl presented to emergency department an Ontario children’s hospital in early summer with a 1-day history rash on left arm and 3 days decreased

Purpose Universal and timely access to pediatric critical care specialized transportation is a substantial challenge, particularly in rural remote areas. This study evaluates the utilization of FDA-approved RP7i presence device (InTouch Technology Inc.) assess, manage, triage patients determining need for inter-facility transportation. The primary objective this compare number transports that occur cases (with RP7i) …

Journal Article An adolescent male with respiratory illness and severe mucositis Get access Michael Prodanuk, MD, MD Department of Paediatrics, University Toronto The Hospital for Sick Children, Toronto, Ontario https://orcid.org/0000-0002-2706-5301 Search other works by this author on: Oxford Academic Google Scholar Hassan Jamal, Janaki Vallipuram, Correspondence: 555 Avenue, M5G 1X8. Telephone 416-813-8422, fax 416-813-8345, e-mail janaki.vallipuram@sickkids.ca Paediatrics & Child Health,...

[Voir la version anglaise de l’article ici: www.cmaj.ca/lookup/doi/10.1503/cmaj.220112][1] [Pour le témoignage des parents, voir www.cmaj.ca/lookup/doi/10.1503/cmaj.220945-f][2] Points clés Un poupon sexe féminin 21 jours a été amené aux urgences d’un hôpital pédiatrique ontarien