A5023726393- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Child and Adolescent Health
- Gun Ownership and Violence Research
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Intimate Partner and Family Violence
- Healthcare Policy and Management
- Racial and Ethnic Identity Research
- Diversity and Career in Medicine
- Migration, Health and Trauma
- Suicide and Self-Harm Studies
- Family and Patient Care in Intensive Care Units
- Palliative Care and End-of-Life Issues
- Medical Education and Admissions
- Childhood Cancer Survivors' Quality of Life
- Global Health Workforce Issues
- Innovations in Medical Education
- Child Abuse and Trauma
- Bone fractures and treatments
- Public Health Policies and Education
- Pharmaceutical studies and practices
- Grief, Bereavement, and Mental Health
- Pediatric Pain Management Techniques
- Ethics and Legal Issues in Pediatric Healthcare
George Washington University
2003-2024
University of Maryland, College Park
2018-2024
Milken Institute
2024
University of Maryland, Baltimore
2013-2024
Olivet Nazarene University
2023
University of Maryland Medical System
2018-2022
Capital University
2021
Children's National
2004-2019
Howard University
2017-2019
Harbor–UCLA Medical Center
2019
Race-based medicine has been pervasively interwoven into the fabric of health care delivery in United States for more than 400 years. Race is a historically derived social construct that no place as biologic proxy. In addition to valid measures determinants health, effects racism require consideration clinical decision-making tools ways are evidence informed and not inappropriately conflated with limiting phenotype race categorization. This policy statement addresses elimination race-based...
Background: Pediatric forearm fractures result in substantial morbidity and costs. Despite the success of public health efforts prevention other injuries, incidence pediatric is increasing. Our objective to characterize epidemiology Washington, DC, children evaluated an urban emergency department (ED). Methods: This retrospective study includes children, aged 0 years 17 years, treated for isolated fracture Children's National Medical Center ED from 2003 2006. Patients with bone...
This is a revision of the previous joint Policy Statement titled “Guidelines for Care Children in Emergency Department.” have unique physical and psychosocial needs that are heightened setting serious or life-threatening emergencies. The majority children who ill injured brought to community hospital emergency departments (EDs) by virtue proximity. It therefore imperative all EDs appropriate resources (medications, equipment, policies, education) capable staff provide effective care...
We have seen the horrifying cell phone and surveillance video footage of murder George Floyd replay again in last few weeks. The aftermath begs question why this particular a Black man by police officer has sparked international response so received.1 Scores other men, women, children been killed since 2014 Eric Garner New York City, which he suffered an illegal chokehold uttered devastating refrain "I can't breathe," countless others murdered over generations. These cases represent just tip...
The goal was to assess the impact of a mentor-implemented, violence prevention intervention in reducing aggression, fighting, and reinjury among assault-injured youths.
This Clinical Report was reaffirmed February 2022.
Objectives: In focus groups designed to probe violence and fighting, urban youth emphasized the impact of gender-based in their lives. We used this opportunity qualitatively explore how affects lives adolescents. Methods: Thirteen structured group interviews were held with from three highviolence settings: a large, high school, training center for disadvantaged youth, school adjudicated youth. Participants 120 urban, predominant African American young adults ages 14–22. Seven conducted...
Objectives: Injury interventions often invoke the teachable moment (TM); however, there is scant empirical research examining this construct with violent injuries. We sought to operationalize TM and determine whether an emergency department (ED) visit was a for intervention among assault-injured adolescents their parents. Setting Participants: One hundred sixty-eight youth (age, 10-15 years) parents presenting ED interpersonal assault injuries at 2 urban medical centers. Methods Analysis:...
(a) To describe attitudes regarding retaliation among adolescents who have been assaulted. (b) examine assault/event characteristics, personal, parental, and environmental factors associated with the retaliatory of assaulted.African American youth aged 10-15 years presenting to two large urban hospitals peer assault injury a parent/caregiver completed interviews in their home after emergency department visit.Multivariate analyses revealed that lower SES, older age, adolescents' perceptions...
Certain parenting behaviors have been linked with youth aggression and violence, but less is known about whether parents' attitudes toward fighting are a risk factor for children's aggressive behavior problems future injury risk. Social cognitive theory suggests that beliefs retaliation may influence their aggression. The authors examined the associations among parental fighting, parent-child relationships, in adolescents at great interpersonal violence. Data came from 72 parents (aged 12 to...
Objectives: The purposes of this study were to (1) assess receptiveness families violence prevention interventions initiated after an assault injury and (2) the effectiveness a case management program on increasing service utilization reducing risk factors for reinjury among assault-injured youth presenting emergency department. Design/Methods: A randomized controlled trial youth, aged 12 17 years, large urban hospital with peer was conducted. Youth parents interviewed at baseline 6 months...
Decisions about the transportation of trauma patients by helicopter are often not well informed research assessing risks, benefits, and costs such transport.The objective this evidence-based guideline (EBG) is to recommend a strategy for selection prehospital who would benefit most from aeromedical transportation.A multidisciplinary panel was recruited consisting experts in trauma, EBG development, emergency medical services (EMS) outcomes research. Representatives Federal Interagency...
Objective. The objective of this guideline is to recommend evidence-based practices for timely prehospital pediatric seizure cessation while avoiding respiratory depression and recurrence. Methods. A multidisciplinary panel was chosen based on expertise in emergency medicine, and/or development. followed the National Prehospital EBG Model using GRADE methodology formulate questions, retrieve evidence, appraise recommendations. members initially searched literature 2009 updated their searches...
Pediatric patients cared for in emergency departments (EDs) are at high risk of medication errors a variety reasons. A multidisciplinary panel was convened by the Emergency Medical Services Children program and American Academy Pediatrics Committee on Medicine to initiate discussion safety ED. Top opportunities identified improve include using kilogram-only weight-based dosing, optimizing computerized physician order entry clinical decision support, developing standard formulary pediatric...
OBJECTIVES: Our objective for this study was to explore the experiences of faculty in academic pediatrics who are underrepresented minorities (URMs) at 2 urban medical centers, particular, that influenced their pursuit pediatrics. METHODS: Three focus groups were conducted 2016 with URM from Howard University College Medicine and Children’s National Health System how they pursue Ten 1-on-1 interviews also 2017 System. Focus coded analyzed by research team using standard qualitative methods....
Background. Violence is a large contributor to morbidity and mortality among adolescents. Most studies assessing markers for violent injury are cross-sectional. To guide intervention, we conducted case-control study explore factors associated with assault locations reach at-risk Objective. 1) assess risk protective adolescent compared 2 control groups of youth unintentional injuries noninjury complaints presenting the emergency department 2) contact assault-injured prevention programs....
OBJECTIVE: To determine whether African American children with forearm fractures have decreased bone mineral density and an increased prevalence of vitamin D deficiency (serum 25-hydroxyvitamin level ≤20 ng/mL) compared fracture-free control patients. METHODS: This case-control study in children, aged 5 to 9 years, included case patients fracture without fracture. Evaluation measurement serum level. Univariable multivariable analyses were used test for associations between status 2 measures...
Background. In 2008, the National Highway Traffic Safety Administration funded development of a model process for and implementation evidence-based guidelines (EBGs) emergency medical services (EMS). We report on evaluation an prehospital pain management protocol developed using this process. Methods. An resulting from injuries burns was reviewed by Protocol Review Committee (PRC) Maryland Institute Emergency Medical Services Systems (MIEMSS). The PRC recommended revisions to that reflected...
Injury is still the number 1 killer of children ages to 18 years in United States (http://www.cdc.gov/nchs/fastats/children.htm). Children who sustain injuries with resulting disabilities incur significant costs not only for their health care but also productivity lost economy. The families survive childhood injury disability face emotional and financial hardship, along a societal burden. entire process managing enormously complex varies by region. Only comprehensive cooperation broadly...
Forearm fractures account for a significant proportion of childhood injuries and seem to be increasing in incidence. Poor vitamin D status increases overall fracture risk infants with rickets adults osteoporosis. Children insufficiency (serum 25-hydroxy level <20 ng/mL) have decreased bone mineral density (BMD) compared children having normal status. The relationship between forearm has not been investigated.This prospective study enrolled African American children, aged 5 9 years, fracture....
The aim of this study is to elucidate the unique challenges faced by pediatric emergency medicine (PEM) physicians from racial/ethnic groups underrepresented in (URiM).This a subanalysis data 18 URiM faculty sample 51 semistructured key informant interviews with PEM top NIH-funded departments and highest-volume EDs country. Faculty are eight hospitals representing spectrum geographic locations including northeastern, midwestern, western, southern regions country.Of participants, majority...