A5032620082- Telemedicine and Telehealth Implementation
- Emergency and Acute Care Studies
- Simulation-Based Education in Healthcare
- Disaster Response and Management
- Healthcare Systems and Technology
- Trauma and Emergency Care Studies
- Cerebrospinal fluid and hydrocephalus
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac Arrest and Resuscitation
- Hemodynamic Monitoring and Therapy
- Radiation Dose and Imaging
- Interprofessional Education and Collaboration
- Neonatal and fetal brain pathology
- Ultrasound in Clinical Applications
- COVID-19 diagnosis using AI
- Acute Ischemic Stroke Management
- Healthcare Decision-Making and Restraints
- Innovations in Medical Education
- Health and Conflict Studies
- Patient Safety and Medication Errors
- Patient Satisfaction in Healthcare
- Mobile Health and mHealth Applications
- Healthcare Operations and Scheduling Optimization
- Ethics in medical practice
- Fetal and Pediatric Neurological Disorders
Boston Medical Center
2017-2025
Boston University
2019-2025
Harvard University
2020-2022
Boston Children's Hospital
2014-2020
University of Toronto
2019
Hospital for Sick Children
2019
University of Alabama at Birmingham
2019
SickKids Foundation
2019
Barbara Bush Children’s Hospital
2019
Maine Medical Center
2019
To compare the accuracy of rapid cranial magnetic resonance imaging (MRI) with that computed tomography (CT) for diagnosing ventricular shunt malfunction.We performed a single-center, retrospective cohort study children ≤21 years age who underwent either MRI or CT in emergency department (ED) evaluation possible malfunction. Each neuroimaging was classified as "normal" (unchanged decreased ventricle size) "abnormal" (increased size). We patient having malfunction if operative revision relief...
Abstract Introduction The receipt of remote clinical care for children via telecommunications (pediatric telemedicine) appears to improve access and quality in U.S. emergency departments ( ED s), but the actual prevalence characteristics pediatric telemedicine remain unclear. We determined current applications s, focusing on s that received from clinicians at other facilities. Methods surveyed all 5,375 characterize 2016. then randomly 130 (39%) 337 who reported receiving telemedicine....
Abstract Background In recent years, pediatric emergency departments (PED) have seen an increase in presentations related to substance use among their adolescent patient population. We aimed examine medicine (PEM) physicians’ knowledge, attitudes, and beliefs on caring for adolescents with use. Methods conducted a cross-sectional online survey of PEM physicians through the American Academy Pediatrics Pediatric Emergency Medicine Collaborative Research Committee (PEM-CRC) listserv. The...
The Region 1 Disaster Health Response System project is developing new telehealth capabilities to provide rapid, temporary access clinical experts across US jurisdictions support regional disaster health response.To guide future implementation, we identified hospital-level barriers, facilitators, and willingness use a novel peer-to-peer teleconsultation system for response.We used the National Emergency Department Inventory-USA database identify all 189 hospital-based freestanding emergency...
Telehealth support can rapidly and significantly increase access to healthcare. For example, during the COVID-19 pandemic, telehealth not only supported patients with COVID symptoms but also improved entire continuum of care, from critical care mental health services.
The Accreditation Council for Graduate Medical Education (ACGME) Milestone projects required each specialty to identify essential skills and develop means of assessment with supporting validity evidence trainees. Several specialties rate trainees on a milestone subcompetency related working in interprofessional teams. A tool assess trainee competence any role an team variety scenarios would be valuable suitable simulation-based assessment.We developed simulation settings that assesses...
The federally funded Region 1 Regional Disaster Health Response System (RDHRS) and the American Burn Association partnered to develop a model regional disaster teleconsultation system within Medical Emergency Operations Center (MEOC) support triage specialty consultation during no-notice mass casualty incident. Our objective was test acceptability feasibility of prototype in simulated disasters as proof concept.
Objectives: Little is known about the recent usage of pediatric telehealth across all emergency departments (EDs) in United States. Building upon our prior work, we aimed to characterize ED pre-COVID-19 era. Methods: The 2019 National Inventory-USA survey characterized U.S. EDs open 2019. Among reporting receipt services, selected a random sample (n = 130) for second on (2019 Pediatric Telehealth Survey). We also recontacted that responded prior, similar 2017 Survey 107), total 237 sample....
Simulationists lack standard terms to describe new practices accommodating pandemic restrictions. A language around these simulation allows ease of communication among simulationists in various settings.We explored consensus terminology for geographic separation participants, facilitators or equipment. We used an iterative process with participants two conferences, small groups and survey ranking.Small (n = 121) ranking 54) were distance, remote, telesimulation as leading terms. Each was...
OPEN ACCESSNovember 20, 2014Four Core Cases: A Simulation Curriculum for Pediatrics Residents Selin Sagalowsky, MD, MPH, Tehnaz Boyle, Ariel Winn, Kimball Prentiss, Catherine Distler, Kiriaki White, Robert Vinci MPH Boston Medical Center Google Scholar More articles by this author , Boyle Children's Hospital Winn Prentiss Distler White https://doi.org/10.15766/mep_2374-8265.9943 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: This is a syllabus of...
Care of the critically ill child is a rare but stressful event for emergency medical services (EMS) providers. Simulation training can improve resuscitation care and prehospital outcomes limited access to experts, simulation equipment, cost have adoption by EMS systems. Our objective was form statewide collaboration develop, deliver, evaluate pediatric critical curriculum We describe between five academic centers develop deliver it Cases were developed collaborating PEM faculty, reviewed...
Introduction: Disasters can quickly overwhelm a healthcare system’s capacity and exacerbate existing gaps in access to specialty care. The Region 1 RDHRS has developed disaster telehealth system. This presentation will highlight how proof of concept into prototype system, it is becoming operational. We elaborate on the barriers implementing system provide acute consultation with disaster-relevant specialists, steps taking develop solutions. Method: An tiered across states regions created...
This study aims to validate a published ventricular shunt clinical prediction rule for the identification of children at low risk malfunction based on absence 3 high-risk predictors (irritability, nausea or vomiting, and headache).We identified aged 21 years younger with who presented between 2010 2013 single pediatric emergency department (ED) evaluation potential malfunction. We defined as obstruction cerebrospinal fluid flow requiring operative neurosurgical intervention within 72 hours...
Abstract BACKGROUND Thermal flow evaluation (TFE) is a non-invasive method to assess ventriculoperitoneal shunt function. Flow detected by TFE negative predictor of the need for revision surgery. Further optimization testing protocols, in multiple centers, and integration with clinical imaging impressions prompted current study. OBJECTIVE To compare diagnostic accuracy 2 micropumper (TFE+MP) or without (TFE-only), neuro-imaging patients emergently presenting symptoms concerning malfunction....
Objective A national survey found prehospital telemedicine had potential clinical applications but lacked provider opinion on its use for pediatric emergency care. We aimed to (1) estimate use, (2) describe perceived benefits and risks of applications, (3) identify preferred utilization strategies by paramedics. Methods administered a 14-question convenience sample 25 Massachusetts paramedics attending regional course in 2018. Volunteer participants were offered gift card. compared...
Abstract Telehealth, or the use of digital health technology to support clinical care, education, and administration over a distance, has increased dramatically in 21st century. The frequency severity disasters that cause damage, disruption, loss life, service deterioration have also same period. Advances telecommunication networks mobile made telehealth systems more accessible affordable, rising acceptance engaged hesitant users. Yet, remains underutilized particularly for...
Abstract Objectives The SDMPH 10-year anniversary conference created an opportunity for a researcher to present at professional association advance their research by seeking consensus of statements using Delphi methodology. Methods Conference attendees and members who did not attend the were identified as experts. Experts rated agreement each statement on 7- point linear numeric scale. Consensus amongst experts was defined standard deviation < = 1. Presenters submitted relevant advancing...
Although informed consent is a cornerstone of medical ethics, it unclear if the practice for obtaining consistent among pediatric emergency departments. This study’s goal to describe current written in academic departments non-emergent procedures. A questionnaire distributed medicine fellowship directors queried whether was standard care 15 procedures and assessed departmental policies use “blanket” consent-to-treat forms. Response rate 80% (n = 64). Institutions obtained mean 4.4 Written...
OBJECTIVES: The appropriateness of interfacility transfer admissions for bronchiolitis to pediatric centers is uncertain. We characterized avoidable bronchiolitis. hypothesized that a higher proportion hospitalized infants transferred from community emergency department (ED) or hospital (transfer admission) would be discharged within 48 hours with little no intervention, compared direct an enrolling ED (nontransfer admission). METHODS: analyzed 17-center, prospective infant cohort (age...
Introduction: Pulmonary hypertension, associated with high mortality in pediatric patients, is traditionally screened for by trained professionals measuring a tricuspid regurgitant jet velocity (TRJV). Our objective was to test the feasibility of novice physician sonographers (NPS) perform echocardiograms adequate quality exclude pathology (defined as TRJV > 2.5 meters per second).Methods: We conducted cross-sectional study NPS assess echocardiogram an urban emergency department....