A5030388656- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Child and Adolescent Health
- Delphi Technique in Research
- COVID-19 and healthcare impacts
- Sepsis Diagnosis and Treatment
- Neonatal Respiratory Health Research
- Trauma and Emergency Care Studies
- COVID-19 Clinical Research Studies
- Airway Management and Intubation Techniques
- Epilepsy research and treatment
- Childhood Cancer Survivors' Quality of Life
- Disaster Response and Management
- Ultrasound in Clinical Applications
- Injury Epidemiology and Prevention
- Simulation-Based Education in Healthcare
- Medical research and treatments
- Thermal properties of materials
- Pediatric Urology and Nephrology Studies
- Systemic Lupus Erythematosus Research
- Health and Lifestyle Studies
- Advancements in Semiconductor Devices and Circuit Design
- Methemoglobinemia and Tumor Lysis Syndrome
- Pleural and Pulmonary Diseases
- Aortic Thrombus and Embolism
Garrahan Hospital
2014-2025
University of Buenos Aires
2018-2023
Starship Children's Health
2021
University of Auckland
2021
Facultad Latinoamericana de Ciencias Sociales
2020
Royal Children's Hospital
2020
Monash Medical Centre
2020
Monash Health
2020
Monash University
2020
University of Toronto
2014
Little is known about the risk factors for, and of, developing post-COVID-19 conditions (PCCs) among children.To estimate proportion of SARS-CoV-2-positive children with PCCs 90 days after a positive test result, to compare this SARS-CoV-2-negative children, assess associated PCCs.This prospective cohort study, conducted in 36 emergency departments (EDs) 8 countries between March 7, 2020, January 20, 2021, included 1884 who completed 90-day follow-up; 1686 these were frequency matched by...
<h3>Importance</h3> Severe outcomes among youths with SARS-CoV-2 infections are poorly characterized. <h3>Objective</h3> To estimate the proportion of children severe within 14 days testing positive for in an emergency department (ED). <h3>Design, Setting, and Participants</h3> This prospective cohort study 14-day follow-up enrolled participants between March 2020 June 2021. Participants were aged younger than 18 years who tested infection at one 41 EDs across 10 countries including...
The purpose of reporting this series patients is to illustrate the role ascorbic acid in treatment severe acquired methemoglobinemia (metHb), especially when methylene blue not available. Medical records affected were reviewed collect history exposures, food ingestion, physical examination, pulse oximetry, blood gas, and co-oximetry results, outcomes. Five cases metHb are presented here, all whom received with fully recovered after 24 hours treatment. Our emphasizes that an effective...
Introduction. The quality improvement cycle in health care requires surveys and measurements. This study, based on data from a Latin American collaborative research project, aimed to describe the situation of pediatric emergency departments (PEDs) Argentina identify opportunities for improvement. Methods. Retrospective descriptive study. Data 2019 were collected PEDs public hospitals with intensive units (PICU). Continuous variables are presented as median range, categorical percentages,...
ABSTRACT Aim The study aim was to develop an age‐appropriate definition of sport and exercise in children adolescents for use concussion research management. Methods A modified Delphi methodology, with three rounds consensus defined a priori as ≥ 80% agreement. Results Thirty‐one participants (13 male, 18 female) from 13 countries, including clinical psychologists, epidemiologists, implementation scientists, neurologists, neuropsychologists, neurosurgeons, paediatric emergency physicians,...
Objective To describe senior paediatric emergency clinician perspectives on the optimal frequency of and preferred modalities for practising critical procedures. Methods Multicentre multicountry cross-sectional survey clinicians working in 96 EDs affiliated with Pediatric Emergency Research Network. Results 1332/2446 (54%) provided information suggested practice learning 18 Yearly was recommended six procedures (bag valve mask ventilation, cardiopulmonary resuscitation (CPR), endotracheal...
Acute severe childhood asthma is an infrequent, but potentially life-threatening emergency condition. There a wide range of different approaches to this condition, with very little supporting evidence, leading significant variation in practice. To improve knowledge area, there must first be consensus on how conduct clinical trials, so that valid comparisons can made between future studies. We have formed international working group comprising paediatricians and physicians from North America,...
Although rare, symptomatic hyperammonemia is sometimes associated with valproic acid (VPA), especially in children. L-carnitine (levocarnitine), classified as an essential amino acid, vital to mitochondrial utilization of fatty acids and can be helpful treating this condition. The data supporting this, however, are limited.The aim the study was illustrate role treatment patients VPA-induced hyperammonemic encephalopathy (VPE) at 2 different institutions.Medical records affected were...
Objective Guidelines adherence in emergency departments (EDs) relies partly on the availability of resources to improve sepsis care and outcomes. Our objective was assess management pediatric septic shock (PSS) Latin America's EDs determine impact treatment coordinated by a specialist (PEMS) versus nonpediatric specialists (NPEMS) guidelines adherence. Methods Prospective, descriptive, multicenter study using an electronic survey administered PEMS NPEMS who treat PSS 14 American countries....
The Pediatric Emergency Research Network (PERN) was launched in 2009 with the intent for existing national and regional research networks paediatric emergency care to organise globally conduct of collaborative across networks.PERN has grown from five eight member over past decade. With an executive committee comprising representatives all networks, PERN plays a supportive rather than governing role. full impact PERN's facilitation international research, although somewhat difficult quantify...
Introducción: La anafilaxia es una emergencia. De acuerdo con las últimas recomendaciones internacionales el reconocimiento de los criterios clínicos y tratamiento temprano adrenalina intramuscular se asocian a mayor sobrevida. Objetivo: Determinar conocimiento médicos pediatras un Hospital Pediátrico tercer nivel sobre diagnósticos la anafilaxia. Material Método: Estudio descriptivo transversal que considera diseño, aplicación validación encuesta anónima residencia completa en pediatría...
Children rarely experience critical illness, resulting in low exposure of emergency physicians (EPs) to procedures. Our primary objective was describe senior EP confidence, most recent performance, and/or supervision nonairway Secondary objectives were compare responses between those who work exclusively PEM and do not determine whether confidence changed for selected procedures according increasing patient age.Survey EPs working 96 departments (EDs) affiliated with the Pediatric Emergency...
The Pediatric Emergency Research Network (PERN) was launched in 2009 with the intent for existing national and regional research networks pediatric emergency care to organize globally conduct of collaborative across networks.
The outcome of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in cancer pediatric patients was initially uncertain. objective this study to describe the characteristics and hematopoietic stem cell transplant recipients from 0 19 years with detectable SARS-CoV-2 April 23, 2020, 30, 2022, treated a tertiary-level hospital Argentina. A total 348 cases were registered 339 patients. median age 89.5 (3 224) months. sex predominantly male: 193 (55.5%). most common malignant...
Mortality in pediatric septic shock remains unacceptably high. Delays vasopressor administration have been associated with an increased risk of mortality. Current treatment guidelines suggest the use a peripheral vascular line (PVL) for inotropic fluid-refractory when central is not already place. The aim this study was to report local adverse effects drug through PVL at emergency department setting first hour shock.A prospective, descriptive, observational cohort patients requiring...
Bressan, Silvia; Klassen, Terry P.; Dalziel, Stuart R.; Babl, Franz E.; Benito, Javier; Chamberlain, James; Chang, Todd Freedman, Stephen B.; Kohn Loncarica, Guillermo; Lyttle, Mark D.; Mintegi, Santiago; Mistry, Rakesh Nigrovic, Lise Plint, Amy C.; Rino, Pedro; Roland, Damian; Van De Mosselaer, Gregory; Oostenbrink, Rianne; Kuppermann, Nathan Author Information
Systemic lupus erythematosus (SLE) is a chronic, multisystem, autoimmune disease. Cardiovascular involvement frequent; however, aneurysm and/or aortic dissection are rare entities with fatal evolution. The objective to describe and complication of SLE in pediatrics review the literature. We present case 16-year-old girl multisystem without cardiovascular disease at diagnosis. She consulted for severe chest pain. Chest X-ray showed dilated arch no cardiomegaly. presence was suspected, an...
Objective To identify the outcomes considered important, and factors influencing patient experience, for parents caregivers of children presenting to hospital with a severe acute exacerbation asthma. This work contributes outcome-identification process in developing core outcome set (COS) future clinical trials Design A qualitative study involving semistructured interviews who presented Setting Hospitals 12 countries associated global Pediatric Emergency Research Networks, including...
Introduction. Status epilepticus is the most common neurological emergency. Although mortality in children low, morbidity may exceed 20%. Objective. To evaluate management of status by pediatricians who usually treat this condition. Population and methods. Descriptive, cross-sectional study based on a survey administered to physicians from 3 pediatric hospitals City Buenos Aires. Results. A total 292 surveys were (complete response rate as high 86%); 77% 16% intensive care specialists....
El transporte del paciente pediátrico en estado crítico tiempos de COVID 19 representa un desafío, especialmente entorno recursos limitados. Es posible que los hospitales regionales muchas partes mundo no estén completamente equipados para tratar a niños con necesidades médicas complejas y casos infección por coronavirus. En muchos casos, equipos deben tomar decisiones durante todo el proceso, desde la llamada inicial al hospital receptor atención paciente. Los limitados tienen mayor riesgo...