A5089045428- Injury Epidemiology and Prevention
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Traffic and Road Safety
- Gun Ownership and Violence Research
- Burn Injury Management and Outcomes
- Bone fractures and treatments
- Vitamin D Research Studies
- Child and Adolescent Health
- Bone health and osteoporosis research
- Cardiac Arrest and Resuscitation
- Poisoning and overdose treatments
- Suicide and Self-Harm Studies
- Sepsis Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Hip and Femur Fractures
- Traumatic Brain Injury Research
- Respiratory viral infections research
- Healthcare Policy and Management
- Agriculture and Farm Safety
- Mentoring and Academic Development
- Youth Development and Social Support
- Foreign Body Medical Cases
- Restraint-Related Deaths
- Psychiatric care and mental health services
Johns Hopkins University
2016-2025
Johns Hopkins Medicine
2015-2024
University Hospital Limerick
2023
University of Limerick
2023
Johns Hopkins Children's Center
2015-2022
Medical College of Wisconsin
2022
Bloomberg (United States)
2019-2021
Children's Center
2019
Hamilton Health Sciences
2018
Johns Hopkins Hospital
2014-2018
Background: Pediatric forearm fractures result in substantial morbidity and costs. Despite the success of public health efforts prevention other injuries, incidence pediatric is increasing. Our objective to characterize epidemiology Washington, DC, children evaluated an urban emergency department (ED). Methods: This retrospective study includes children, aged 0 years 17 years, treated for isolated fracture Children's National Medical Center ED from 2003 2006. Patients with bone...
To determine the diagnostic accuracy of a rapid host-protein test for differentiating bacterial from viral infections in patients who presented to emergency department (ED) or urgent care center (UCC).
To quantify the annual direct healthcare cost of intentional overdose and other types self-harm resulting in emergency department (ED) and/or inpatient encounters among youth United States (U.S.). Using 2021 Nationwide Emergency Department Sample (NEDS) National Inpatient (NIS) datasets, produced by Agency for Healthcare Research Quality (AHRQ) Cost Utilization Project (HCUP), we determined nationally representative cross-sectional frequencies costs specific 8- to 21-year-old pediatric young...
Objectives/Goals: Unsafe sleep practices contribute to sleep-related infant mortality, a leading cause of preventable sudden unexplained death (SUID). Infant illness represents risk for SUID. However, the mechanism behind this increased is unknown. The objective study was measure changes safe during illness. Methods/Study Population: We performed prospective cohort survey infants aged 0–12 months presenting pediatric emergency department. assessed prior illness, and 2 weeks 1 month following...
OBJECTIVE: To determine whether African American children with forearm fractures have decreased bone mineral density and an increased prevalence of vitamin D deficiency (serum 25-hydroxyvitamin level ≤20 ng/mL) compared fracture-free control patients. METHODS: This case-control study in children, aged 5 to 9 years, included case patients fracture without fracture. Evaluation measurement serum level. Univariable multivariable analyses were used test for associations between status 2 measures...
Medical resuscitations of critically ill children in the emergency department are stressful events requiring a coordinated team effort. Current guidelines recommend debriefing after such to improve future performance. Debriefing practices within pediatric departments by medicine (PEM) fellows United States has not been studied.The aim this study was describe current experience PEM States.A 10-item, anonymous questionnaire regarding characteristics distributed US Accreditation Council for...
Forearm fractures account for a significant proportion of childhood injuries and seem to be increasing in incidence. Poor vitamin D status increases overall fracture risk infants with rickets adults osteoporosis. Children insufficiency (serum 25-hydroxy level <20 ng/mL) have decreased bone mineral density (BMD) compared children having normal status. The relationship between forearm has not been investigated.This prospective study enrolled African American children, aged 5 9 years, fracture....
Postresuscitation debriefing (PRD) is recommended by the American Heart Association guidelines but infrequently performed. Prior studies have identified barriers for pediatric emergency medicine (PEM) fellows including lack of a standardized curriculum.Our objective was to create and assess feasibility time-limited, structured PRD framework entitled REFLECT: Review event, Encourage team participation, Focused feedback, Listen each other, Emphasize key points, Communicate clearly, Transform...
Prior to the COVID-19 pandemic, 44% of all reported injuries in U.S. households occurred home. Spending more time at home due pandemic may increase number injuries.A nationally representative sample 2011 adults were surveyed online between June 17 - 29, 2020. Propensity score weighting and T-tests used.Twenty-eight percent (28%) a injury or ingestion during pandemic; 13% experiencing both. Injuries most often falls (32%). Medication ingestions by 6%; household product 4%. Relative that...
The objective of the study was to etiology and factors determining emergency department disposition infants sustaining burn injuries.A retrospective chart review performed on all patients 12 months or younger with a injury presenting our over 5-year period. We collected chief complaint diagnosis, patient demographics, circumstances surrounding from charts. Univariable statistics, multiple imputation, multivariable regression were determine differences between races leading admission.During...
Objective The purpose of our study was to evaluate the hypothesis that pediatric forearm fractures resulting from ground-level falls are associated with increased weight status (weight for age/sex percentile ≥ 95th) in comparison those major trauma. Methods This is a retrospective case-control nested within case series 929 children, ages 0 17 years, self-identified residence Washington, DC, who were treated isolated an urban, academic emergency department between 2003 and 2006. Multivariable...
Suicide rates and frequency of pediatric emergency department (ED) visits for suicidal thoughts behaviors have increased among Black preadolescents in the United States recent years. This study examined whether characteristics ED treatment management with differed by race.An electronic medical record query identified patients ages 8-12 (N=504) who visited a psychiatric-related chief complaint 2019. The authors that were reported Ask Suicide-Screening Questions tool, clinical impression,...
Frequency and Duration of Boarding for Pediatric Mental Health Conditions at Acute Care Hospitals in the US
Background. Competence in basic orthopedic assessment and interpretation of radiographs is important for pediatricians because appropriate initial management fractures can expedite therapy minimize morbidity. However, requirements training orthopedics radiology are poorly defined pediatric residency programs. Objective. To assess the ability residents to recognize manage appropriately fractures. Methods. This study involved administration a case-based questionnaire with volunteer categorical...
Purpose: The COVID-19 pandemic affected pediatric fracture injury patterns and volume. There is a paucity of research evaluating this trend throughout the also follow-up to orthopaedic subspecialty care after emergency management. Methods: This retrospective cohort study reviewed patients 2 18 years age presenting for an urban department. We assessed patient demographics, clinical care, surgical subspecialist. Time periods investigated included March 30 September 4, 2020 (pandemic), 2019,...
Paediatric emergency departments (ED) nationwide experience a shared burden of boarding mental health patients. Whilst boarding, some patients have change in disposition from hospitalization to discharge home. This phenomenon raises concern because EDs often scarce resources for We sought understand which patient and clinical factors are associated with outcome.A nested age-sex-race frequency-matched case-control study was conducted including paediatric who presented an urban PED healthcare...
ABSTRACT: Objective: The aim of this study was to develop a method for objectively assessing the delivery care children with autism spectrum disorder (ASD) in emergency department (ED). Methods: A case-control patients ages 2 18 years admitted hospital from January 2016 2018. Cases were defined as an International Classification Diseases, Tenth Revision diagnosis ASD or other pervasive developmental (F84) their medical record and matched 1:1 neurotypical controls. primary outcome ability...