A5072205012- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiovascular Syncope and Autonomic Disorders
- Medical Malpractice and Liability Issues
- Poisoning and overdose treatments
- Ethics and Legal Issues in Pediatric Healthcare
- Patient Safety and Medication Errors
- Pericarditis and Cardiac Tamponade
- Child and Adolescent Health
- Healthcare Decision-Making and Restraints
- Nursing Roles and Practices
- Anesthesia and Sedative Agents
- Trauma Management and Diagnosis
- Pediatric Pain Management Techniques
- Injury Epidemiology and Prevention
- Restraint-Related Deaths
- Heavy Metal Exposure and Toxicity
- Anesthesia and Pain Management
- Streptococcal Infections and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Otolaryngology and Infectious Diseases
- Healthcare Systems and Technology
- Diversity and Career in Medicine
- Clinical Reasoning and Diagnostic Skills
- Ethics in medical practice
Thomas Jefferson University
2009-2024
Alfred I. duPont Hospital for Children
2011-2021
Harbor–UCLA Medical Center
2019
Dell Children's Medical Center of Central Texas
2019
American College of Emergency Physicians
2019
Florida College
2019
University of Florida
2019
Children's National
2019
Howard University
2019
Dupont Hospital
2004-2016
Control of pain and stress for children is a vital component emergency medical care. Timely administration analgesia affects the entire experience can have lasting effect on child’s family’s reaction to current future A systematic approach management anxiolysis, including staff education protocol development, provide comfort in setting improve family satisfaction.
Previous studies of childhood chest pain have been retrospective or considered only limited age groups referred patients. In this study, all children who were admitted to the emergency department with evaluated prospectively. Patients ill-defined had ECGs and echocardiograms performed. A total 407 evaluated. The most common causes idiopathic (21%) musculoskeletal (15%). Cardiac problems found in 4%. Chest was acute (of <48 hours' duration) 43% chronic >6 months' 7%. Pain caused...
Objective: To initiate investigation into the medication errors that occur in a pediatric emergency department. These have potential for significant morbidity and mortality, as well costly litigation Methods: We conducted retrospective chart review of all intravenous fluid identified department through incident reports filed over 5-year period. An attempt was made to determine who involved with what caused errors. The patient outcomes were noted classified according clinical significance...
Parental consent generally is required for the medical evaluation and treatment of minor children. However, children adolescents might require emergency conditions in situations which a parent or legal guardian not available to provide under an adolescent patient possess authority consent. In general, screening examination any care necessary likely prevent imminent significant harm pediatric with condition should be withheld delayed because problems obtaining The purpose this policy...
To obtain epidemiologic data and information on the probable causes severity of bicycle-related injuries, we interviewed all patients with such trauma. Between April 1 Oct 1, 1983, 520 children presented to Emergency Department The Children's Hospital Philadelphia trauma related two-wheeled nonmotorized bicycles. ages ranged from 18 years (mean, 8.7 years), most (72%) were males. Most accidents (84%) occurred less than five blocks home, 49% in street. Thirty-six percent admitted stunt riding...
Abstract Objectives Changes in health care delivery and graduate medical education have important consequences for the workforce pediatric emergency medicine ( PEM ). This study compared career preparation potential attrition of with prior assessment from 1998. Methods An e‐mail survey was sent to members American Academy Pediatrics AAP ) Section on EM non‐ board certified . Information demographics, practice characteristics professional activities, preparation, future plans, burnout (using...
During a 1-year period, 407 children with chest pain were seen in the Emergency Department of Children's Hospital Philadelphia. Analysis clinical data these was reported previously. The authors successfully followed 149 for 6 months or more, and 51 2 years more. These patients returned an average 3.4 visits during follow-up period. Thirty-four percent initial diagnoses altered. Usually, concluded that resulted from nonorganic causes. A new organic etiology uncovered only 12 cases. Only 1...
Objectives: To determine the frequency, type, and severity of written prescription (RX) errors in a pediatric emergency department with attention to specialty level training residents who wrote RXs. Methods: Copies RXs by during 6-month period were matched records. Investigators evaluated individual Errors noted grouped into categories. Severity was scaled, based on predetermined criteria (from previously published articles). The prescribing physician's documented. Discharge instructions...
In a retrospective study of chest pain, 267 children were identified. This gave an occurrence rate (per patient visit) 0.249%. Male patients identified as often female patients, and teenagers less than age 12 years. Chest pain was found to be present for more 1 month in 8.6% year 7.8%. Idiopathic the most common diagnosis made, followed by functional (anxiety related) musculoskeletal pain. Laboratory tests not helpful establishing etiology
Division of Emergency Medicine, A. I. duPont Hospital for Children, Wilmington, DE and Jefferson Medical College Thomas University, Philadelphia, PA [email protected]
Objectives This study aimed to provide an assessment of medical malpractice claims involving pediatric patients cared for in emergency department and urgent care settings. Methods We performed a retrospective review all closed children (0–17 years old) originating from or centers the Physician Insurers Association America's Data Sharing Project database 15-year period (2001–2015). Reported data collected include specialty involved, diagnoses, chief factors, severity resulting injury, claim...
Editor(s): Selbst, Steven M. MD; Osterhoudt, Kevin Guest Discussant Author Information
The purpose of this study was to identify the causes and epidemiology back pain in children who present emergency department. All presented an urban pediatric department (ED) during a 1-year period with chief complaint were examined evaluated uniform questionnaire. This completed at time ED visit 48%, within 48 hours 52%. During period, 225 evaluated. mean age 11.9 ±4 years 60% female. Onset acute (≤2 days) 59%, chronic (≥4 weeks) only 11.6%. Pain awakened from sleep 47%, caused 52% miss...
Approximately 32 000 nonpowder firearm injuries are reported annually with more than 60% occurring in the pediatric population. Case reports of serious and fatal have been described; however, no large inclusive series published. We reviewed an 11-year experience urban emergency department to evaluate circumstances, spectrum injuries, outcomes attributable firearms.A retrospective, descriptive case all children 18 years age or younger evaluated at children's hospital from January 1983 through...