A5062088616- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Airway Management and Intubation Techniques
- Child and Adolescent Health
- Disaster Response and Management
- Healthcare Policy and Management
- Injury Epidemiology and Prevention
- Respiratory Support and Mechanisms
- Acute Ischemic Stroke Management
- Nursing Roles and Practices
- Trauma Management and Diagnosis
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- COVID-19 and healthcare impacts
- Patient Safety and Medication Errors
- Healthcare Decision-Making and Restraints
- Cardiac, Anesthesia and Surgical Outcomes
- Grief, Bereavement, and Mental Health
- Ultrasound in Clinical Applications
- Radiation Dose and Imaging
- Child and Adolescent Psychosocial and Emotional Development
- Epilepsy research and treatment
- Simulation-Based Education in Healthcare
- Radiology practices and education
UCLA Medical Center
2016-2025
Harbor–UCLA Medical Center
2016-2025
University of California, Los Angeles
2016-2025
Los Angeles Medical Center
2006-2025
Pioneer (United States)
2019-2024
Health and Human Services Agency
2017-2024
Los Angeles County Museum of Art
2016-2024
Los Angeles County Department of Health Services
2008-2024
Los Angeles County Department of Mental Health
2020-2024
Olive View-UCLA Medical Center
2023
Background. This study reports the epidemiologic features, survival rates, and neurologic outcomes of largest population-based series pediatric out-of-hospital cardiopulmonary arrest patients with prospectively collected data. Methods. Secondary analysis data from a prospective, interventional trial airway management conducted 1994 to 1997 (Gausche M, Lewis RJ, Stratton SJ, et al. JAMA. 2000;283:783-790). Consecutive 2 large urban counties in California <12 years old or 40 kg...
<h3>Importance</h3> Previous assessments of readiness emergency departments (EDs) have not been comprehensive and shown relatively poor pediatric readiness, with a reported weighted score (WPRS) 55. <h3>Objectives</h3> To assess US EDs for based on compliance the 2009 guidelines care children in EDs; to evaluate effect physician/nurse coordinators (PECCs) readiness; identify gaps future quality initiatives by national coalition. <h3>Design, Setting, Participants</h3> Web-based assessment...
Mobile stroke units (MSUs) are ambulances with staff and a computed tomographic scanner that may enable faster treatment tissue plasminogen activator (t-PA) than standard management by emergency medical services (EMS). Whether how much MSUs alter outcomes has not been extensively studied.In an observational, prospective, multicenter, alternating-week trial, we assessed from MSU or EMS within 4.5 hours after onset of acute symptoms. The primary outcome was the score on utility-weighted...
BACKGROUND: Emergency departments (EDs) vary in their level of readiness to care for pediatric emergencies. We evaluated the effect ED on mortality critically ill children. METHODS: conducted a retrospective cohort study Florida, Iowa, Massachusetts, Nebraska, and New York, focusing patients aged 0 18 years with critical illness, defined as requiring intensive admission or experiencing death during encounter. used inpatient administrative data from Agency Healthcare Research Quality’s Cost...
Importance Emergency departments (EDs) with high pediatric readiness (coordination, personnel, quality improvement, safety, policies, and equipment) are associated lower mortality among children critical illness those admitted to trauma centers, but the benefit more diverse clinical conditions is unknown. Objective To evaluate association between ED readiness, in-hospital mortality, 1-year injured medically ill receiving emergency care in 11 states. Design, Setting, Participants This a...
Our goal was to assess the degree of pediatric preparedness emergency departments in United States.A closed-response survey based on American Academy Pediatrics/American College Emergency Physicians joint policy statement, "Care Children Department: Guidelines for Preparedness," mailed 5144 department medical and nursing directors. A weighted score (scale 0-100) calculated each department.A total 1489 useable surveys (29%) were received, with 62% completed by Eighty-nine percent (age: 0-14...
The Pediatric Assessment Triangle (PAT) has become the cornerstone for Education Prehospital Professionals course, sponsored by American Academy of Pediatrics. This concept emergency assessment children been taught to more than 170,000 health care providers worldwide. It incorporated into most standardized life support courses, including Advanced Life Support and Emergency Nursing Course. PAT is a rapid simple observational tool suitable pediatric regardless presenting complaint or...
The management of acute traumatic pain is a crucial component prehospital care and yet the assessment administration analgesia highly variable, frequently suboptimal, often determined by consensus-based regional protocols.To develop an evidence-based guideline (EBG) for clinical in adults children advanced life support (ALS) providers setting. Methods. We recruited multi-stakeholder panel with expertise management, development, health informatics, emergency medical services (EMS) outcomes...
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...
<h3>Importance</h3> The National Pediatric Readiness Project is a US initiative to improve emergency department (ED) readiness care for acutely ill and injured children. However, it unclear whether high ED pediatric associated with improved survival in trauma centers. <h3>Objective</h3> To evaluate the association between readiness, in-hospital mortality, complications among children presenting <h3>Design, Setting, Participants</h3> A retrospective cohort study of 832 EDs centers 50 states...
<h3>Importance</h3> There is substantial variability among emergency departments (EDs) in their readiness to care for acutely ill and injured children, including US trauma centers. While high ED pediatric associated with improved in-hospital survival children treated at centers, the association between long-term outcomes unknown. <h3>Objective</h3> To evaluate 1-year presenting 146 <h3>Design, Setting, Participants</h3> In this retrospective cohort study, younger than 18 years who were...
The National Pediatric Readiness Project assessment provides a comprehensive evaluation of the readiness US emergency departments (EDs) to care for children. Increased pediatric has been shown improve survival children with critical illness and injury.
This Technical Report was reaffirmed July 2020. report provides a summary of best practices for improving flow, reducing waiting times, and the quality care pediatric patients in emergency department.
This Clinical Report was reaffirmed February 2022.
OBJECTIVE. The goal was to describe the change in rate of epinephrine dosing errors treatment pediatric patients prehospital cardiopulmonary arrest after Los Angeles County Emergency Medical Services Agency instituted a program which paramedics were required use Broselow tape and report color zone categories base station stations given instructed formally color-coded drug chart. METHODS. An observational analysis natural experiment performed. Children ≤12 years age who determined be received...
This Policy Statement was reaffirmed June 2009, April 2013, and 2020. Emergency departments are vital in the management of pediatric patients with mental health emergencies. Pediatric emergencies an increasing part emergency medical practice because have become safety net for a fragmented infrastructure that is experiencing critical shortages services all sectors. must safely, humanely, culturally developmentally appropriate manner manage undiagnosed known illnesses, including those...
Abstract Objectives: The objectives were to determine the effect of pediatric airway management training on paramedic self‐efficacy and skill performance which several retraining methods is superior. Methods: A total 2,520 paramedics trained proficiency in bag‐mask ventilation (BMV) endotracheal intubation (ETI) mannequins. Subjects a convenience sample 245 (10% original cohort) presenting for voluntary retraining. 212 (87%) completed skills testing. Self‐efficacy was measured prior...
This review discusses the history, developments, benefits, and complications of supraglottic devices in prehospital care for adults pediatrics. Evidence supporting their use as well current controversies developments out-of-hospital cardiac arrest rapid sequence airway management is discussed. Devices reviewed include Laryngeal Mask Airway, Esophageal Tracheal Combitube, Tube, I-Gel, Air-Q, Airway Fastrach, Supraglottic Laryngopharyngeal Tube (SALT).
The objective was to assess the performance of a clinical practice guideline for evaluation possible appendicitis in children. incorporated risk stratification, staged imaging, and early surgical involvement high-risk cases.The authors prospectively evaluated one pediatric emergency department (ED) general teaching hospital. Patients were risk-stratified based on history, physical examination findings, laboratory results. Imaging ordered selectively category, with ultrasound (US) as initial...
Abstract Emergency Medical Services (EMS) providers face many ethical issues while providing prehospital care to children and adults. Although provider judgment plays a large role in the resolution of conflicts at scene, it is important establish protocols policies, when possible, address these high-risk complex situations. This article describes some common situations with underpinnings encountered by EMS personnel managers including denying or delaying transport patients non-emergency...