A5068182108- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Injury Epidemiology and Prevention
- Cardiac Arrest and Resuscitation
- Neonatal Health and Biochemistry
- Hemoglobinopathies and Related Disorders
- Homelessness and Social Issues
- Traumatic Brain Injury Research
- Adolescent and Pediatric Healthcare
- Prenatal Substance Exposure Effects
- Traumatic Brain Injury and Neurovascular Disturbances
- Pediatric Urology and Nephrology Studies
- Pneumonia and Respiratory Infections
- Substance Abuse Treatment and Outcomes
- Poisoning and overdose treatments
- Metabolism and Genetic Disorders
- Migraine and Headache Studies
- Medical Coding and Health Information
- Influenza Virus Research Studies
- Adolescent Sexual and Reproductive Health
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Healthcare Policy and Management
- Music Therapy and Health
- Resilience and Mental Health
- Epilepsy research and treatment
University of Massachusetts Chan Medical School
2019-2024
University of Utah
2016-2023
Primary Children's Hospital
2018-2022
The University of Texas at Austin
2018
Children's Hospital of Pittsburgh
2018
University of Pittsburgh
2018
Health Resources and Services Administration
2018
Dell Children's Medical Center of Central Texas
2018
University of London
2011
King's College London
2011
<h3>Importance</h3> Pediatric mild traumatic brain injury (TBI) and concussion are a public health challenge with up to 30% of patients experiencing prolonged recovery. presenting clinics often have ongoing impairments may be at increased risk for persistent symptoms. Understanding this population is critical improved prognostic estimates optimal treatment. <h3>Objective</h3> To describe pediatric characterize factors associated their <h3>Design, Setting, Participants</h3> This prospective...
<h3>Importance</h3> The Four Corners Youth Consortium was created to fill the gap in our understanding of youth concussion. This study is first analysis posttraumatic headache (PTH) phenotype and prognosis this cohort concussed youth. <h3>Objective</h3> To describe characteristics with PTH determine whether associated outcome. <h3>Design, Setting, Participants</h3> examined outcomes from patients a multi-institutional registry traumatic brain injury (TBI) clinics December 2017 June 2019....
Children with sickle cell disease (SCD) commonly experience vaso-occlusive pain episodes (VOE) due to sickling of erythrocytes, which often requires care in the emergency department. Our objective was assess use and impact intranasal fentanyl for treatment children SCD-VOE on discharge from department a multicenter study. We conducted cross-sectional study at 20 academic pediatric departments United States Canada. used logistic regression test bivariable multivariable associations between...
A careful study of more than 100 fatal cases due to intravenously administered narcotics provides further evidence the complexity involved in certification death. The wide range blood morphine concentrations found these indicates that tissue alone will not always provide necessary information. High morphine, major metabolite heroin, and other tissues may be consistent with overdose. But those involving very low at time death, criteria must considered.
Abstract Purpose Critical Access Hospitals (CAHs), often the first point of access for emergency care, see few children and are challenged to remain proficient in caring pediatric patients. Our analysis provides guidance facilitate increasing CAHs staffs’ ability provide effective care. Methods The National Pediatric Readiness Project (NPRP) assessment 4,146 departments (EDs) was linked with list from Centers Medicare Medicaid Services. readiness assessed using weighted score (WPRS). A WPRS...
BACKGROUND Pediatric readiness among US emergency departments is not universal. Trauma hospitals adhere to standards that may support day-to-day for children. METHODS In 2013 4,146 participated in the NPRP assess compliance with 2009 Guidelines Care Children Emergency Department. Probabilistic linkage (90%) American Hospital Association survey found 1,247 self-identified trauma (levels 1, 2, 3, 4). Relationship between hospital level and weighted pediatric score (WPRS) on a 100-point scale...
BACKGROUND The utility of CRAFFT (Car, Relax, Alone, Forget, Friends, Trouble) in identifying current and future problematic substance use disorders (SUDs) pediatric emergency department (PED) patients is unknown. We conducted a secondary analysis study 16 PEDs to determine the concurrent predictive validity with respect SUD. METHODS: At baseline, 4753 participants aged 12 17 years completed an assessment battery (CRAFFT other measures alcohol, drug use, risk behaviors). A subsample was...
This study aims to update the Diagnosis Grouping System (DGS) for International Classification of Disease, Tenth Revision ( ICD-10 ) codes ongoing use. The DGS was developed in 2010 using ICD-9 with 21 major groups and 27 subgroups facilitate research on pediatric patients presenting emergency departments required updated classification more recent ICD codes.All department discharges available Pediatric Emergency Care Applied Research Network (PECARN) database 2016 were included identify...
Abstract Vaso‐occlusive pain events (VOE) are the leading cause of emergency department (ED) visits in sickle cell anemia (SCA). This study assessed variability use intravenous fluids (IVFs), and association normal saline bolus (NSB), on other clinical outcomes children with SCA, presenting to pediatric departments (PED) VOE. Four‐hundred charts age 3‐21 years SCA/VOE receiving parenteral opioids at 20 high‐volume PEDs were evaluated a retrospective study. Data type amount IVFs used...
Abstract Objectives In the United States, rates of teenage pregnancy and sexually transmitted infections (STIs) remain exceptionally high, racial ethnic disparities persist. Emergency departments (EDs) care for over 19 million adolescents each year, majority being minority low socioeconomic status. Single‐center studies demonstrate infrequent use contraceptives among adolescent ED patients an association between risky sex behaviors such as alcohol drug use; however, no multicenter data...
Short- and long-term functional impairment after pediatric injury may be more sensitive for measuring quality of care compared with mortality alone. The characteristics injured children adolescents who are at the highest risk unknown.To evaluate categories injuries associated higher prevalence impaired status hospital discharge among to estimate number those in these received treatment trauma centers.This prospective cohort study (Assessment Functional Outcomes Health-Related Quality Life...
Nationally available data on teenage fertility, family planning care and mortality were analysed to determine the relationship between conception, availability of abortion care, an indicator socioeconomic disadvantage--the Standardized Mortality Ratio (SMR). In 14 regions England strongest correlate conception proportion conceptions aborted was female all-causes SMR. High levels provision NHS services uptake clinic did not significantly reduce fertility. Provision traditional obviously plays...
Journal Article The Distribution of Morphine in the Brain Fatal Cases Due to Intravenous Administration Heroin Get access V.R. Spiehler, Spiehler 1Department Medical Pharmacology and Therapeutics, University California, Irvine, CA Search for other works by this author on: Oxford Academic PubMed Google Scholar R.H. Cravey, Cravey 2Office Coroner, County Orange, Santa Ana, *Reprint requests to: Toxicology Laboratory, Office P.O. Box 499, 92702. R.G. Richards, Richards H.W. Elliott Analytical...
Abstract The third wave of cognitive behavioural therapies has a developing evidence base and there is an increasing demand for specialist training. However, methods training clinicians have not yet been evaluated in terms effectiveness usefulness. This evaluation seeks to assess: (1) the one-day introductory Acceptance Commitment Therapy (ACT) workshops NHS setting knowledge ACT; (2) impact experiential techniques as method delivering ACT A total 73 participants took part completed...
Moderate to vigorous physical activity (MVPA), sports, and reduced screen time are associated with favorable youth risk profiles. We evaluated the association of MVPA, adolescent behaviors among pediatric emergency department youth. Adolescents were assessed for alcohol/drug use, risky behavior, conduct disorder, depressive mood. MVPA was ≥5 days/week ≥60 minutes/day. Increased ≥3 hours/day computer/TV use non-schoolwork. Multivariable regression studied between increased outcomes adjusting...
It is unknown whether febrile infants 29 to 60 days old with positive urinalysis results require routine lumbar punctures for evaluation of bacterial meningitis.
Objective: Pediatric patients represent low frequency but potentially high-risk encounters for emergency medical services (EMS) providers. Scant information is available from EMS agencies on the of pediatric skill evaluation and presence care coordination, both which may help systems optimize children. The objective our study was to assess type methods used psychomotor skills competency using pediatric-specific equipment coordination in ground transport agencies. Methods: A web-based...
BACKGROUND:The National Institute on Alcohol Abuse and Alcoholism (NIAAA) 2-question screen is a valid adolescent alcohol screening tool.No studies have examined if this tool predicts future problems.We conducted study at 16 pediatric emergency departments to determine the tool's predictive validity for misuse use disorders (AUDs).METHODS: Participants (N = 4834) completed baseline assessment battery.A subsample of participants battery 1, 2, 3 years follow up.RESULTS: Of 2209 assigned...
The majority of US children do not have access to an emergency department (ED) with a pediatric mental health care policy in place. Our objective was understand factors associated whether EDs policy.We analyzed data from the National Pediatric Readiness Project, nationally representative cross-sectional survey EDs. Nurse managers reported their hospitals had for social/mental concerns (n = 3612). We calculated prevalence estimates, ratios (PRs), and confidence intervals (CIs) regional ED...