A5043707304- Emergency and Acute Care Studies
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Respiratory Support and Mechanisms
- Airway Management and Intubation Techniques
- Family and Patient Care in Intensive Care Units
- Appendicitis Diagnosis and Management
- Gastrointestinal motility and disorders
- Hospital Admissions and Outcomes
- COVID-19 and healthcare impacts
- Intestinal Malrotation and Obstruction Disorders
- Traumatic Brain Injury Research
- Simulation-Based Education in Healthcare
- Gastroesophageal reflux and treatments
- Vector-borne infectious diseases
- Migraine and Headache Studies
- Intellectual Property Law
- Neutropenia and Cancer Infections
- Thermal Regulation in Medicine
- Healthcare cost, quality, practices
- Congenital Diaphragmatic Hernia Studies
- Streptococcal Infections and Treatments
- Family and Disability Support Research
- Surgical Simulation and Training
- Patient Satisfaction in Healthcare
Cincinnati Children's Hospital Medical Center
2016-2025
University of Cincinnati Medical Center
2019-2025
University of Cincinnati
2021-2023
General Department of Preventive Medicine
2019-2021
Vanderbilt University Medical Center
2018-2019
Vanderbilt University
2019
Monroe Carell Jr. Children's Hospital
2018
Use of high-flow nasal cannula (HFNC) for bronchiolitis has increased, but data describing the current use and impact this therapy are limited. Our objective with study was to describe HFNC in a pediatric emergency department (ED) from 2013 2019 explore associations clinical outcomes.This retrospective cohort children aged 2 24 months diagnosis bronchiolitis. The primary outcome initiation ED. Secondary outcomes included admission rate, ICU (PICU) admission, transfer PICU floor, endotracheal...
The impact of public health interventions during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic on critical illness in children has not been studied. We seek to determine SARS-CoV-2 related emergency healthcare utilization and frequency children.This was an interrupted time series analysis conducted at a single tertiary pediatric department (PED). All patients evaluated by provider from December 31 through May 14 6 consecutive years (2015-2020) were included. Total...
The objective was to describe the frequency of and factors associated with prolonged peripheral intravenous catheter (PIV) insertion in resuscitation area a pediatric emergency department (PED).Video-based study consecutive sample nontrauma patients undergoing PIV PED. Preexisting videos were main data source. primary outcome duration (>90 seconds from start first attempt successful flush/blood draw). Logistic regression identified variables independently insertion.A total 151 underwent...
Patients with physiologic disorders, such as hypoxemia or hypotension, are at high risk of peri-intubation cardiac arrest. Standardization improves emergency tracheal intubation safety, but no published reports describe initiatives to reduce the This initiative aims improve care children arrest in a pediatric department (PED). We specifically aimed increase number patients between those by 50%, from baseline 11-16, over 12-months.Our multidisciplinary team outlined theory improvement and...
High-quality cardiopulmonary resuscitation (CPR) increases the likelihood of survival pediatric out-of-hospital cardiac arrest (OHCA). Maintenance high-quality CPR during transition care between prehospital and emergency department (PED) providers is challenging. Our objective for this initiative was to minimize pauses in compressions, alignment with American Heart Association recommendations, patients OHCA handoffs from PED providers. We aimed decrease interruptions compressions first 2...
Many children are discharged from the pediatric emergency department (PED) with incomplete or inappropriate instructions following a concussion. Our objective was to evaluate effectiveness of simple intervention in improving discharge instruction disbursement and completeness PED diagnosis concussion.A pre/post study 935 patients (375 preintervention 560 postintervention) ages 5-19, diagnosed concussion between July 2016 November 2019, performed at single United States tertiary-care center....
<h3>Objective</h3> To evaluate the effectiveness of a simple intervention in improving rates appropriate discharge instruction disbursement and completeness following emergency department diagnosis sport-related concussion. <h3>Design</h3> Pre/post study. <h3>Setting</h3> Single tertiary care pediatric trauma center southeast United States. <h3>Participants</h3> Patients ages 5–19 diagnosed with concussion (SRC) (PED) were included from July, 2016-November, 2019. admitted as inpatient and/or...
Introduction: Effective discharge communication, often given in verbal and written form, during pediatric acute healthcare visits positively impacts caregiver satisfaction competency providing at-home care. Institutions are beginning to incorporate evidence-based, standardized multimedia education try further improve these outcomes.
Objectives The objective of this study was to determine the effectiveness a simulation-based curriculum in improving confidence trauma resuscitation skills and increasing attendance during resuscitations for pediatric residents their emergency medicine rotation. Methods A orientation implemented 2017–2018 academic year. Participants completed qualitative survey before after each session assess comfort level with required resuscitation. Responses were compared using Wilcoxon ranked sum test....
Constipation is a common problem in pediatric patients. Abdominal radiographs (AXRs) are frequently obtained the emergency department for diagnosis despite their poor reliability to rule out underlying pathology or prognostic ability determine degree of constipation. The goal this quality improvement (QI) initiative was standardize and management constipation urgent care patients ages 6 months 21 years decrease AXR use by 20% sustain reduction 12 months.This prospective QI project involved...
Vital signs are important data elements in the pediatric emergency department (PED). The presence of unexplained tachycardia at discharge has been associated with patient return to PED and subsequent admission. Our aim for this study was increase percentage patients discharged a complete set vital signs, when indicated, from 22% 95% by June 30, 2018.A multidisciplinary team developed key drivers, were collected using retrospective chart review. Outcome measures 72-hour returns PED. Balancing...
Quality emergency department (ED) discharge communication is critical to understanding of disease progression, home management, and return instructions. Addressing social aspects burden are important improving satisfaction healthcare utilization. The objective this study was understand the extent which written ED instructions address multifaceted meet comprehensive needs families with common childhood illnesses. We analyzed a national sample 28 from pediatric EDs using thematic inductive...
We describe 2 cases of child maltreatment who presented as common pediatric conditions: preseptal cellulitis and gastroenteritis. The first case is an 8-year-old girl with progressive right eye pain, swelling, discharge. She was initially treated for cellulitis, but cultures ultimately grew Neisseria gonorrhoeae. Further investigation revealed sexual abuse by a male family member. second 2-year-old previously healthy 6 hours emesis, lethargy, abdominal pain. Initially attributed to viral...
We have previously demonstrated that standardized handoff from prehospital to hospital clinicians can improve cardiopulmonary resuscitation performance for out-of-hospital cardiac arrest (OHCA) patients in a pediatric emergency department (ED). leveraged our previous quality improvement initiative standardize of bundle 5 discrete aspects OHCA patients: intravenous or intraosseous catheter (IV/IO) access, epinephrine administration, advanced airway placement, end-tidal capnography (ETCO2)...
1. Michelle March, MD* 2. Michael Stratton, MD*,† 3. Patricia Chambers, MD*,† 4. Adam A. Vukovic, MD, MEd*,† 1. *Department of Pediatrics, University Cincinnati College Medicine, Cincinnati, OH 2. †Division Emergency Children’s Hospital Medical Center, OH A 17-month-old girl presents to the pediatric emergency department for evaluation right-sided facial palsy and decreased movement her right arm. One week before presentation she was evaluated acute onset left eye redness, left-sided...
Primary headache is a common cause of pediatric emergency department (PED) visits. Without published guidelines to direct treatment options, various strategies lacking evidence are often employed. This study aims standardize primary in the PED by promoting evidence-based therapies, reducing nonstandard abortive and introducing dihydroergotamine (DHE) into practice.A multidisciplinary team developed key drivers, created clinical care algorithm, updated electronic medical record order sets....