A5040826299- Emergency and Acute Care Studies
- Pediatric Pain Management Techniques
- Healthcare professionals’ stress and burnout
- Child Abuse and Trauma
- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Infant Development and Preterm Care
- Family and Patient Care in Intensive Care Units
- Child Abuse and Related Trauma
- COVID-19 and Mental Health
- Sepsis Diagnosis and Treatment
- SARS-CoV-2 and COVID-19 Research
- Regulation of Appetite and Obesity
- SARS-CoV-2 detection and testing
- Anesthesia and Pain Management
- Perfectionism, Procrastination, Anxiety Studies
- Gun Ownership and Violence Research
- Child and Adolescent Health
- COVID-19 Clinical Research Studies
- Neuroendocrine regulation and behavior
- Ultrasound in Clinical Applications
- Infant Health and Development
- Sleep and Wakefulness Research
- Neonatal Respiratory Health Research
- Traumatic Brain Injury Research
Children's Hospital of Orange County
2021-2025
University of California, Irvine
2012-2025
Chapman University
2024
UC Irvine Health
2022
University of Pittsburgh
2022
Georgia Institute of Technology
2021
University of California, Riverside
2003-2021
Harbor–UCLA Medical Center
2004-2014
UCLA Medical Center
2004-2012
University of California, Los Angeles
2004-2012
Pediatric laceration repairs are common in the emergency department (ED) and often associated with significant procedural anxiety. Despite increased use of intranasal midazolam (INM) prior to pediatric ED procedures, there is limited, real-world data on effects INM This study aimed describe proportion children who were nonresponsive (i.e., exhibited extreme anxiety) identify factors nonresponse. cross-sectional included a sample 102 (ages 2-10 years) received 0.2 mg/kg repair ED. Procedural...
Abstract Background Burnout is common among physicians and has detrimental effects on patient care physician health. Recent editorials call attention to perfectionism in medicine; however, no studies date have examined the effect of burnout practicing United States. This study associations demographics, personality traits, physicians. Methods cross-sectional included general pediatric sub-specialist Out 152 contacted, 69 enrolled (Mean age = 44.16 ± 9.98; 61% female). Emotional exhaustion,...
Abstract Objectives The objective was to determine if use of ultrasound ( US ) by emergency physicians EP s) localize spinal landmarks improves the performance lumbar puncture LP ). Methods This a prospective, randomized, controlled study conducted in county teaching hospital. Subjects, adults 18 years age or older who were receive s for routine clinical care department ED ), randomized either undergo localization site have determined palpation landmarks. Primary outcomes number needle...
Introduction: Pediatric stroke, while one of the top 10 causes mortality among U.S. children, remains underrecognized. Identification pediatric stroke begins with those in community and emergency medical services (EMS) who must recognize acute neurological symptoms (ANS) a child as appropriately triage these patients to facilitate urgent imaging. To describe current state inform quality improvement efforts, we examined (1) timing predictors neuroimaging children EMS activation for ANS, (2)...
Introduction: Food and housing insecurity in childhood is troublingly widespread. Emergency departments (ED) are well positioned to identify support food- housing-insecure children their families. However, there no consensus regarding the most efficient screening tools or effective interventions for ED use. Objective: In this cross-sectional study we aimed investigate implementation of a food/ tool resource referral uptake pediatric ED. Methods: During period (March 1–December 9, 2021), were...
Background. The Broselow tape is widely used to rapidly estimate weight and facilitate proper medication dosing in pediatric patients. Objective. We aimed determine the accuracy of prehospital use tape. Methods. prospectively enrolled a consecutive sample patients transported emergency department (ED) at Harbor–UCLA Medical Center from February 2008 January 2009. Eligible subjects arrived via ambulance were less than 145 cm tall, upper limit height for measurements. Subjects excluded if they...
Importance Ileocolic intussusception is an important cause of intestinal obstruction in children. Reduction ileocolic using air or fluid enema the standard care. This likely distressing procedure usually performed without sedation analgesia, but practice variation exists. Objective To characterize prevalence opioid analgesia and assess their association with perforation failed reduction. Design, Setting, Participants cross-sectional study reviewed medical records children aged 4 to 48 months...
PSL, MF, and ZNK's institution has received grant funding from the National institute of health for investigator-initiated research. TH declares no conflict interest.
Background Paediatric laceration repair procedures are common in the ED; however, post-discharge recovery remains understudied. Perioperative research demonstrates that children exhibit maladaptive behavioural changes following stressful and painful medical procedures. This study examined paediatric ED. Methods prospective observational included a convenience sample of 173 2–12 years old undergoing ED Orange, California, USA between April 2022 August 2023. Demographics, treatment data (eg,...
The COVID-19 pandemic has financial and emotional impacts on families. We explored how caregivers' strain mental health are associated with changes in their young children's behavior during the pandemic. additionally considered whether having a sense of purpose moderated these associations. Caregivers (n = 300) emergency department hospital were surveyed anonymously about to employment (e.g., reduced/increased hours job loss), ability pay for expenses child's had changed. Aligned Family...
Abstract This study was designed to develop and validate an early warning system for sepsis based on a predictive model of critical decompensation. Data from the electronic medical records 537,837 visits pediatric Emergency Department (ED) March 2013 December 2019 were collected. A multiclass stochastic gradient boosting built identify signs associated with death, severe sepsis, non-severe bacteremia. Model features included triage vital signs, previous diagnoses, medications, healthcare...
The authors declare no conflicts of interest.
Published data on predictive factors associated with parent satisfaction from care in a pediatric emergency department (ED) visit are limited to be descriptive and obtained small sets. Accordingly, the purpose of this study was determine both modifiable nonmodifiable demographic operational that influence parental using large ethnically diverse site set.Data consist responses National Research Council (NRC) survey questionnaires electronic medical records 15,895 patients seen ED between ages...