A5045812769- Traumatic Brain Injury and Neurovascular Disturbances
- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Spinal Fractures and Fixation Techniques
- Patient Safety and Medication Errors
- Radiation Dose and Imaging
- Pediatric Urology and Nephrology Studies
- Neurosurgical Procedures and Complications
- Neonatal Health and Biochemistry
- Anesthesia and Pain Management
- Traumatic Brain Injury Research
- Disaster Response and Management
- Pharmaceutical Practices and Patient Outcomes
- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Infant Development and Preterm Care
- Neonatal and Maternal Infections
- Airway Management and Intubation Techniques
- Neonatal Respiratory Health Research
- Urinary Tract Infections Management
- Pharmaceutical studies and practices
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Infant Health and Development
- Poisoning and overdose treatments
Western Michigan University
2014-2024
Stryker (United States)
2016-2024
Helen DeVos Children's Hospital
2009-2022
Spectrum Health
2003-2022
Corewell Health Blodgett Hospital
2003-2022
Banner North Colorado Medical Center
2022
Piedmont Henry Hospital
2022
Borgess Medical Center
2022
Northwick Park Hospital
2021
Chelsea and Westminster Hospital
2014-2018
<h3>Importance</h3> In young febrile infants, serious bacterial infections (SBIs), including urinary tract infections, bacteremia, and meningitis, may lead to dangerous complications. However, lumbar punctures hospitalizations involve risks costs. Clinical prediction rules using biomarkers beyond the white blood cell count (WBC) accurately identify infants at low risk for SBIs. <h3>Objective</h3> To derive validate a rule 60 days younger <h3>Design, Setting, Participants</h3> Prospective,...
<h3>Importance</h3> Young febrile infants are at substantial risk of serious bacterial infections; however, the current culture-based diagnosis has limitations. Analysis host expression patterns (“RNA biosignatures”) in response to infections may provide an alternative diagnostic approach. <h3>Objective</h3> To assess whether RNA biosignatures can distinguish aged 60 days or younger with and without infections. <h3>Design, Setting, Participants</h3> Prospective observational study involving...
Medication dosing errors occur in up to 17.8% of hospitalized children. There are limited data describe pediatric medication by emergency medical services (EMS) paramedics. It has been shown that paramedics have infrequent encounters with patients.To characterize children treated EMS.We studied patients aged ≤11 years who were from eight Michigan EMS agencies January 2004 through March 2006. We defined a error as ≥20% deviation the weight-appropriate dose, determined patient's reported...
The objective was to compare the accuracy of pediatric Glasgow Coma Scale (GCS) score in preverbal children standard GCS older for identifying those with traumatic brain injuries (TBIs) after blunt head trauma.This a planned secondary analysis large prospective observational multicenter cohort study trauma. Clinical data were recorded onto case report forms before computed tomography (CT) results or clinical outcomes known. total and component scores assigned by physician at initial...
OBJECTIVE: Children with minor blunt head trauma often are observed in the emergency department before a decision is made regarding computed tomography use. We studied impact of this clinical strategy on use and outcomes. METHODS: performed subanalysis prospective multicenter observational study children trauma. Clinicians completed case report forms indicating whether child was making tomography. defined clinically important traumatic brain injury as an intracranial resulting death,...
Objective. To describe pediatric patients transported by the Pediatric Emergency Care Applied Research Network's (PECARN's) affiliated emergency medical service (EMS) agencies and process of submitting aggregating data from diverse agencies. Methods. We conducted a retrospective analysis electronic patient care PECARN's partner EMS Data were collected on all runs for less than 19 years old treated between 2004 2006. analyses only variables with usable submitted majority participating The...
SUMMARY. We examined how the presence of predatory fish affected macro—and microhabitat use and movement patterns amphipod, Gammarus minus Say, in a second order stream. Among macrohabitats, amphipods were consistently more abundant runs than pools. Densities pools low regardless presence, whereas densities correlated with presence. Siltation lack coarse substrate particles probably accounted for scarcity G. microhabitats, was leaf litter gravel silt/sand substrates. Fish did not affect...
Abstract Objectives There is no perfectly sensitive or specific test for identifying young, febrile infants and children with occult serious bacterial infections ( SBI s). Studies of procalcitonin PCT ), a 116‐amino‐acid precursor the hormone calcitonin, have demonstrated its potential as an acute‐phase biomarker . The objective this study was to compare performance serum traditional screening tests detecting s in young children. Methods This prospective, multicenter on convenience sample...
Pediatric drug dosing errors occur at a high rate in the prehospital environment.To describe paramedic training and practice regarding pediatric administration, exposure to dose safety culture among paramedics EMS agencies national sample.An electronic questionnaire was sent random sample of 10,530 nationally certified paramedics. Descriptive statistics were calculated.There 1,043 (9.9%) responses 1,014 met inclusion criteria. Nearly half (43.0%) familiar with case where personnel delivered...
Children with minor head trauma frequently present to emergency departments (EDs). Identifying those traumatic brain injuries (TBIs) can be difficult, and it is unknown whether clinical prediction rules outperform clinician suspicion. Our primary objective was compare the test characteristics of Pediatric Emergency Care Applied Research Network (PECARN) TBI suspicion for identifying children clinically important TBIs (ciTBIs) after blunt trauma. secondary determine reasons obtaining computed...
To be useful in development of clinical decision rules, variables must demonstrate acceptable agreement when assessed by different observers. The objective was to determine the interobserver assessment historical and physical examination findings children undergoing emergency department (ED) evaluation for blunt head trauma.This a prospective cohort study younger than 18 years evaluated trauma at one 25 EDs Pediatric Emergency Care Applied Research Network (PECARN). Patients were excluded if...
Medication dosing errors are common in prehospital pediatric patients. Prior work has shown the overall medication error rate by emergency medical services (EMS) Michigan was 34.7%. To reduce these errors, state of implemented a reference 2014 listing doses and volume to be administered.
To determine the risk of traumatic brain injuries (TBIs) in children with headaches after minor blunt head trauma, particularly when occur without other findings suggestive TBIs (ie, isolated headaches).This was a secondary analysis prospective observational study 2 to 18 years trauma Glasgow Coma Scale scores 14-15). Clinicians assessed history and characteristics at time initial evaluation, documented onto case report forms. Our outcome measures were (1) clinically important TBI (ciTBI)...