Joelle N. Simpson
A5065336108- Emergency and Acute Care Studies
- Trauma and Emergency Care Studies
- Child and Adolescent Health
- Disaster Response and Management
- SARS-CoV-2 and COVID-19 Research
- Healthcare Policy and Management
- COVID-19 Clinical Research Studies
- Cardiac Arrest and Resuscitation
- Injury Epidemiology and Prevention
- SARS-CoV-2 detection and testing
- Respiratory viral infections research
- Respiratory Support and Mechanisms
- Climate Change and Health Impacts
- COVID-19 and healthcare impacts
- Patient Safety and Medication Errors
- Child and Adolescent Psychosocial and Emotional Development
- Sepsis Diagnosis and Treatment
- Migration, Health and Trauma
- COVID-19 and Mental Health
- Healthcare Operations and Scheduling Optimization
- COVID-19 diagnosis using AI
- Pharmaceutical Practices and Patient Outcomes
- COVID-19 Impact on Reproduction
- Pharmaceutical studies and practices
- Childhood Cancer Survivors' Quality of Life
Children's National
2011-2024
George Washington University
2011-2024
National Registry of Emergency Medical Technicians
2023
American College of Emergency Physicians
2023
American College of Surgeons
2023
American Academy of Family Physicians
2023
National Association of County and City Health Officials
2023
National Association of EMS Physicians
2023
Centeno-Schultz Clinic
2021
National Hospital
2020
To evaluate racial and/or ethnic and socioeconomic differences in rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among children.
This is a revision of the previous joint Policy Statement titled “Guidelines for Care Children in Emergency Department.” have unique physical and psychosocial needs that are heightened setting serious or life-threatening emergencies. The majority children who ill injured brought to community hospital emergency departments (EDs) by virtue proximity. It therefore imperative all EDs appropriate resources (medications, equipment, policies, education) capable staff provide effective care...
During June 2021, the highly transmissible† B.1.617.2 (Delta) variant of SARS-CoV-2, virus that causes COVID-19, became predominant circulating strain in United States. U.S. pediatric COVID-19-related hospitalizations increased during July-August 2021 following emergence Delta and peaked September 2021.§ As May 12, CDC recommended COVID-19 vaccinations for persons aged ≥12 years,¶ on November 2, were 5-11 years.** To date, clinical signs symptoms, illness course, factors contributing to...
The warming of our planet matters to every child. Driven by fossil fuel-generated greenhouse gas emissions, climate conditions stable since the founding modern pediatrics in mid-nineteenth century have shifted, and old certainties are falling away. Children's physical mental health threatened change through its effects on temperature, precipitation, extreme weather; ecological disruption; community disruption. These impacts expose amplify existing inequities create unprecedented...
Observed changes in temperature, precipitation patterns, sea level, and extreme weather are destabilizing major determinants of human health. Children at higher risk climate-related health burdens than adults because their unique behavior patterns; developing organ systems physiology; greater exposure to air, food, water contaminants per unit body weight; dependence on caregivers. Climate change harms children through numerous pathways, including air pollution, heat exposure, floods...
Summary: Purpose: To evaluate the efficacy of NBQX (2,3‐dihydroxy‐6‐nitro‐7‐sulfamoylbenzo(f) quinoxaline‐2,3‐dione) and topiramate (TPM) given after hypoxia‐induced seizures in preventing delayed effect hypoxia on subsequent susceptibility to neuronal injury. Methods: We used “two‐hit” rodent seizure model study long‐term perinatal later kainate (KA) seizure‐induced damage investigated therapeutic a postseizure treatment protocol reversing conditioning early‐life seizures. Results: Hypoxia...
Abstract Background Children and young adults were initially reported as largely spared from severe complications of SARS-CoV-2 infection, but the impact to this population has been significant. Methods This observational retrospective cohort study includes 420 symptomatic children with lab confirmed infection treated between March 15 June 16, 2020 at Children’s National Hospital in Washington DC. We identified compared cohorts non-hospitalized (N=324) hospitalized (N=96) patients, including...
Pediatric patients cared for in emergency departments (EDs) are at high risk of medication errors a variety reasons. A multidisciplinary panel was convened by the Emergency Medical Services Children program and American Academy Pediatrics Committee on Medicine to initiate discussion safety ED. Top opportunities identified improve include using kilogram-only weight-based dosing, optimizing computerized physician order entry clinical decision support, developing standard formulary pediatric...
Millions of pediatric patients require some level emergency care annually, and significant barriers limit access to appropriate services for large numbers children. The American Academy Pediatrics has a strong commitment identifying care, working surmount these obstacles, encouraging, through education system changes, improved levels available all
Mental and behavioral health (MBH) visits of children youth to emergency departments are increasing in the United States. Reasons for these range from suicidal ideation, self-harm, eating substance use disorders outbursts, aggression, psychosis. Despite increase prevalence conditions, capacity care system screen, diagnose, manage patients continues decline. Several social determinants also contribute great disparities child adolescent (youth) health, which affect MBH outcomes. In addition,...
stealing from the rich and giving to poor "lusty leg" syndrome of tabes dorsalis which is a classic descriptive aetiological economy.
To describe coronavirus disease 2019 (COVID-19)-related pediatric hospitalizations during a period of B.1.617.2 (Δ) variant predominance and to determine age-specific factors associated with severe illness.
Mental and behavioral health (MBH) emergencies in children youth continue to increasingly affect not only the emergency department (ED), but entire spectrum of medical services for children, from prehospital community. Inadequate community institutional infrastructure care with MBH conditions makes ED an essential part safety net these patients. As a result, increasing number are referred evaluation broad emergencies, depression suicidality disruptive aggressive behavior. However, challenges...
The death of someone close to a child often has profound and lifelong effect on the results in range both short- long-term reactions. Pediatricians, within patient-centered medical home, are an excellent position provide guidance caregivers offer assistance support grieving children all ages their families. This clinical report offers practical suggestions how talk with help them better understand what happened its implications. An understanding guilt, shame, other common reactions as well...
Children and adolescents should be included in exercises drills to the extent that their involvement advances readiness meet unique needs event of a crisis and/or furthers own preparedness or resiliency. However, there is also need cautious about potential psychological risks other unintended consequences directly involving children live drills. These are especially concern when deceived led believe an actual attack not drill for high-intensity active shooter High-intensity may involve use...
Study Objective: Most 911 calls result in ambulance transport to an emergency department. In some cases, is refused or deemed unnecessary. The frequency of pediatric non-transport unknown. Our primary objective was describe the proportion EMS activations resulting non-transport. secondary identify patient, community, and agency factors associated with non-transport.Methods: We conducted a cross-sectional study using 2019 data from National Information System registry. compared rates for...
Emergency medical services clinicians do not transport one-third of all children assessed, even without official pediatric non-transport protocols. Little is known about how EMS and caregivers decide to a child. Our objectives were describe currently whether or child identify barriers enablers successfully implementing an clinician-initiated protocol.We conducted six virtual focus groups with from the mid-Atlantic. A PhD trained facilitator moderated using semi-structured moderator guide....
Children with chronic medical conditions rely on complex management plans for problems that cause them to be at increased risk suboptimal outcomes in emergency situations. The information form (EIF) is a summary provides rapid access critical physicians and other members of the health care team so optimal can provided. This statement describes an updated approach EIFs they contain. Essential common data elements are reviewed, integration electronic records discussed, broadening availability...