Carmen Sulton
A5065827128- Emergency and Acute Care Studies
- Anesthesia and Sedative Agents
- Child and Adolescent Health
- Anesthesia and Neurotoxicity Research
- Healthcare Policy and Management
- Opioid Use Disorder Treatment
- Intensive Care Unit Cognitive Disorders
- Airway Management and Intubation Techniques
- Child and Adolescent Psychosocial and Emotional Development
- Cardiac, Anesthesia and Surgical Outcomes
- Radiation Dose and Imaging
- Ultrasound in Clinical Applications
- Appendicitis Diagnosis and Management
- Prenatal Substance Exposure Effects
- Trauma and Emergency Care Studies
- Anesthesia and Pain Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Family and Patient Care in Intensive Care Units
- Advanced Causal Inference Techniques
- Cannabis and Cannabinoid Research
- Substance Abuse Treatment and Outcomes
- Foreign Body Medical Cases
- Spinal Fractures and Fixation Techniques
- Neonatal and Maternal Infections
- Pediatric Pain Management Techniques
Emory University
2014-2024
Children's Healthcare of Atlanta
2014-2024
American College of Emergency Physicians
2023
Pediatrics and Genetics
2016
OBJECTIVES: Dexmedetomidine (DEX) is widely used in pediatric procedural sedation (PPS) by a variety of subspecialists. The objective our study was to describe the overall rates adverse events and serious (SAEs) when DEX various METHODS: Patients from Pediatric Sedation Research Consortium (PSRC) database were retrospectively reviewed children that received as their primary agent for elective PPS identified. Demographic clinical data, provider subspecialty, sedation-related complications...
Abstract Recent increases in pediatric and adolescent opioid fatalities mandate an urgent need for early consideration of possible exposure specific diagnostic management strategies interventions tailored to these unique populations. In contrast adults, methods include accidental ingestions, prescription misuse, household exposure. Early recognition, appropriate evaluation, along with specialized treatment toxicity this demographic are discussed. A key focus is on Naloxone, essential...
The objective of this study was to describe the use intranasal dexmedetomidine (IN DEX) for sedated magnetic resonance imaging (MRI) examinations in children. IN DEX MRI children has not been well described literature.The Pediatric Sedation Research Consortium (PSRC) is a collaborative and multidisciplinary group sedation practitioners dedicated understanding improving process pediatric sedation. We searched 2007 version PSRC database solely instances which used diagnostic studies. Patients...
Millions of pediatric patients require some level emergency care annually, and significant barriers limit access to appropriate services for large numbers children. The American Academy Pediatrics has a strong commitment identifying care, working surmount these obstacles, encouraging, through education system changes, improved levels available all
Mental and behavioral health (MBH) visits of children youth to emergency departments are increasing in the United States. Reasons for these range from suicidal ideation, self-harm, eating substance use disorders outbursts, aggression, psychosis. Despite increase prevalence conditions, capacity care system screen, diagnose, manage patients continues decline. Several social determinants also contribute great disparities child adolescent (youth) health, which affect MBH outcomes. In addition,...
Pediatric sepsis is a major public health concern, and robust surveillance tools are needed to characterize its incidence, outcomes, trends. The increasing use of electronic records (EHRs) in the United States creates an opportunity conduct reliable, pragmatic, generalizable population-level using routinely collected clinical data rather than administrative claims or resource-intensive chart review. In 2015, US Centers for Disease Control Prevention recruited investigators representatives...
Mental and behavioral health (MBH) emergencies in children youth continue to increasingly affect not only the emergency department (ED), but entire spectrum of medical services for children, from prehospital community. Inadequate community institutional infrastructure care with MBH conditions makes ED an essential part safety net these patients. As a result, increasing number are referred evaluation broad emergencies, depression suicidality disruptive aggressive behavior. However, challenges...
Importance Ileocolic intussusception is an important cause of intestinal obstruction in children. Reduction ileocolic using air or fluid enema the standard care. This likely distressing procedure usually performed without sedation analgesia, but practice variation exists. Objective To characterize prevalence opioid analgesia and assess their association with perforation failed reduction. Design, Setting, Participants cross-sectional study reviewed medical records children aged 4 to 48 months...
Cannabis is the most used recreational drug in United States, and its use increasing among children adolescents. With increase legalized use, there have been increases intentional accidental cannabis exposure pediatric population. There also minimized perceived risk. We review current of derivatives, effects clinical presentation, common misconceptions, pharmacology, epidemiology. Finally, we some long-term consequences use.
Advanced diagnostic imaging modalities, including ultrasonography, computed tomography, and magnetic resonance imaging, are key components in the evaluation management of pediatric patients presenting to emergency department. Advances technology have led availability faster more accurate tools improve patient care. Notwithstanding these advances, it is important for physicians, physician assistants, nurse practitioners understand risks limitations associated with advanced children limit...
Advanced imaging, including ultrasonography, computed tomography, and magnetic resonance is an integral component to the evaluation management of ill injured children in emergency department. As with any test or intervention, benefits potential impacts on must be weighed against risks ensure that high-value care being delivered. There are important considerations specific pediatric patient related ordering interpretation advanced imaging. This policy statement provides guidelines for...
Opioid use disorder (OUD) has emerged as a significant public health crisis affecting individuals across all age groups. However, there remains critical gap in understanding the specific nuances and challenges associated with OUD pediatric populations. This article provides comprehensive review of epidemiology, definition OUD, screening recommendations for evidence-based management strategies patients.
OBJECTIVES We aimed to describe the quality of sedation and additional clinically-meaningful outcomes associated with different intranasal dexmedetomidine-based regimens in children undergoing nonpainful procedures. METHODS A multicenter prospective observational study aged 2 months 17 years dexmedetomidine for MRI, auditory brainstem response testing, echocardiogram, EEG, or computed tomography scan. Regimens varied by dose use adjunct sedatives. Quality was assessed using Pediatric...
Background Pediatric forearm fractures are common injuries in the pediatric emergency department (PED). procedural sedation (PPS) is often required for fracture reductions and pain control casting. Bier blocks hematoma types of regional anesthesia (RA) procedures that can be performed as a potential alternative to PPS. Objective The objective this study compare safety RA with We hypothesized has profile equal or superior PPS well shorter duration treatment PED. Methods encounters patients...
Abstract Pediatric procedural sedation (PPS) is often performed outside of the operating room, and by various sub-specialty providers. There no consistency in how pediatric emergency medicine (PEM) fellows are trained PPS. The objective this study was to survey PEM program directors (PDs) about their current teaching practices via a direct survey. While many fellowship programs train PPS, we hypothesize that there consistent method developing measuring skill. A 12-question sent PDs directly...
Department of Pediatrics and Emergency Medicine, Emory University School Atlanta, GA [email protected]. Disclosure: The author declares no conflict interest.