A5087300298- Emergency and Acute Care Studies
- Vaccine Coverage and Hesitancy
- Trauma and Emergency Care Studies
- Pediatric Urology and Nephrology Studies
- Neonatal Respiratory Health Research
- Pneumonia and Respiratory Infections
- Neonatal and Maternal Infections
- Injury Epidemiology and Prevention
- Ultrasound in Clinical Applications
- Disaster Response and Management
- COVID-19 Impact on Reproduction
- Cardiac Arrhythmias and Treatments
- SARS-CoV-2 and COVID-19 Research
- Bacterial Infections and Vaccines
- Urinary Tract Infections Management
- Climate Change and Health Impacts
- Child Abuse and Related Trauma
- Respiratory and Cough-Related Research
- Cardiovascular Syncope and Autonomic Disorders
- Traumatic Brain Injury Research
- Cardiac pacing and defibrillation studies
- Cerebral Venous Sinus Thrombosis
- Respiratory viral infections research
- Cardiovascular Issues in Pregnancy
- Pharmacological Effects and Assays
Duke University
2025
Children's Hospital of Pittsburgh
2019-2024
University of Pittsburgh Medical Center
2020-2022
Lebanon Valley College
2022
University of Pittsburgh
2019
University of Utah
2019
Pittsburg State University
2018
Icahn School of Medicine at Mount Sinai
2017
Penn State Milton S. Hershey Medical Center
2015-2016
Primary Children's Hospital
2016
OBJECTIVES To identify independent predictors of and derive a risk score for acute hematogenous osteomyelitis (AHO) in children. METHODS We conducted retrospective matched case-control study children >90 days to <18 years age undergoing evaluation suspected musculoskeletal (MSK) infection from 2017 2019 at 23 pediatric emergency departments (EDs) affiliated with the Pediatric Emergency Medicine Collaborative Research Committee. Cases were identified by diagnosis codes confirmed...
Background: Fluctuations in emergency medical services (EMS) responses can have a substantial impact on the ability of agencies to meet resource needs within an EMS system. We aimed identify weather characteristics as potentially predictable factors associated with responses. Methods: reviewed hourly counts scene documented by 24 Western Pennsylvania from January 1, 2014 December 31, 2017 and compared rates characteristics. Responses counties nonadjacent studied reporting station...
We evaluated the association between emergency department (ED) triage chief complaint and rate of missed appendicitis in children.We performed a retrospective chart review patients who presented to pediatric ED were diagnosed with over 5 years (July 1, 2009 June 30, 2014). reviewed medical record for any additional visits 7 days preceding diagnosis appendicitis. Triage complaints classified as "suggestive appendicitis" (abdominal pain, right lower quadrant or rule out appendicitis)...
To determine the compliance of US camps with guidelines for health and safety practices as set forth by American Academy Pediatrics Department Homeland Security.An electronic questionnaire was distributed to during summer 2012 identified 3 online camp directories.Analysis performed on 433 completed questionnaires. Fourteen percent were considered medically related. Ninety-three have established relationships community emergency medical services, 34% local orthodontists, 37% mental...
The aims of this study were to describe pediatric emergency department (ED) referrals from urgent care centers and determine the percentage considered essential serious.A prospective was conducted between April 2013 2015 on patients younger than 21 years referred directly an ED in central Pennsylvania surrounding centers. Referrals or serious based investigations/procedures performed medications/consultations received ED.Analysis 455 patient encounters (mean age, 8.7 y), with 347 (76%) 40...
To describe the compliance of urgent care centers in United States with pediatric recommendations for emergency preparedness as set forth by American Academy Pediatrics.An electronic questionnaire was distributed to center administrators identified Urgent Care Medicine directory.A total 122 questionnaires 872 were available analysis (14% usable response rate). The most common diagnoses reported patients included otitis media (72%), upper respiratory illness (69%), strep pharyngitis (61%),...
Objectives The aim of the study was to determine compliance urgent care centers in United States with published recommendations for office-based disaster preparedness. Methods An electronic questionnaire distributed center administrators as identified by American Academy Urgent Care Medicine directory. Results One hundred twenty-two questionnaires 872 were available analysis (14% usable response rate). Twenty-seven percent have an established plan events that involve their establishment and...
To determine the prevalence of invasive bacterial infections (IBIs) and adverse events in afebrile infants with acute otitis media (AOM).We conducted a 33-site cross-sectional study ≤90 days age AOM seen emergency departments from 2007 to 2017. Eligible were identified using department diagnosis codes confirmed by chart review. IBIs (bacteremia meningitis) determined growth pathogenic bacteria blood or cerebrospinal fluid (CSF) culture. Adverse defined as substantial complications resulting...
Abstract Background Multiple clinical prediction rules have been published to risk-stratify febrile infants ≤60 days of age for serious bacterial infections (SBI), which is present in 8-13% infants. We evaluate the cost-effectiveness strategies identify with SBI emergency department. Methods developed a Markov decision model estimate outcomes well-appearing, term infants, using following strategies: Boston, Rochester, Philadelphia, Modified Pediatric Emergency Care Applied Research Network...
Abstract Traumatic brain injury is one of the most common pediatric injuries; totaling more than 500,000 emergency department visits per year. When involves a skull fracture, sinus venous thrombosis and risk resultant increased intracranial pressure (ICP) are concern. We describe previously healthy 11-month-old female infant with nondepressed fracture who developed ICP in absence changes on imaging. Funduscopic examination revealed unilateral papilledema, opening lumbar puncture was elevated...
Abstract Background Supraventricular tachycardia (SVT) is a relatively frequent diagnosis in the pediatric emergency department (ED). However, there are no consensus guidelines for ED disposition, and limited data on outcomes. Better understanding of those who admitted or have antiarrhythmic medication changes may avoid potentially unnecessary transfers admissions. Our objective was to identify patient factors associated with discharge from without initiation modification after management...
Background: Approximately 200,000 infants ≤90 days of age present to emergency departments (ED) with fever every year. Among those <60 old, serious bacterial infections (SBI), including meningitis, bacteremia and urinary tract infection (UTI), occur in 8-13%. Balancing the costs medical evaluation treatment, particularly unnecessary hospitalization, risks misdiagnosis poses a clinical challenge. The cost-effectiveness published prediction rules this population is unknown. Objective: To...
Abstract Background: Multiple clinical prediction rules have been published to risk-stratify febrile infants ≤60 days of age for serious bacterial infections (SBI), which is present in 8-13% infants. We evaluate the cost-effectiveness strategies identify with SBI emergency department. Methods: developed a Markov decision model estimate outcomes well-appearing, term infants, using following strategies: Boston, Rochester, Philadelphia, Modified Pediatric Emergency Care Applied Research Network...
Background: Approximately 200,000 infants ≤90 days of age present to emergency departments (ED) with fever every year. Among those <60 old, serious bacterial infections (SBI), including meningitis, bacteremia and urinary tract infection (UTI), occur in 8-13%. Balancing the costs medical evaluation treatment, particularly unnecessary hospitalization, risks misdiagnosis poses a clinical challenge. The cost-effectiveness published prediction rules this population is unknown. Objective: To...