A5069844688- Emergency and Acute Care Studies
- Central Venous Catheters and Hemodialysis
- Hemodynamic Monitoring and Therapy
- Ultrasound in Clinical Applications
- Global Health Workforce Issues
- Economic and Financial Impacts of Cancer
- Global Cancer Incidence and Screening
- Trauma and Emergency Care Studies
- Migration, Health and Trauma
- COVID-19 and healthcare impacts
- Streptococcal Infections and Treatments
- Trauma Management and Diagnosis
- Foreign Body Medical Cases
- Global Health and Surgery
- Vascular Procedures and Complications
- Esophageal and GI Pathology
- Abdominal Surgery and Complications
- Appendicitis Diagnosis and Management
- Respiratory viral infections research
- Pneumonia and Respiratory Infections
- Disaster Response and Management
- Radiation Dose and Imaging
- Interpreting and Communication in Healthcare
- Healthcare Policy and Management
- Pediatric Urology and Nephrology Studies
Children's Hospital of Philadelphia
2015-2024
Philadelphia University
2023
University of Pennsylvania
2015-2023
Partners In Health
2013
The aim of this study was to examine the success rates, longevity, and complications ultrasound-guided peripheral intravenous lines (USgPIVs) placed in a pediatric emergency department.The analyzed 300 USgPIV attempts an urban tertiary-care department. Data regarding placement were collected from 1-page form completed by clinician placing USgPIV. time reason for removal extracted medical record patients with USgPIVs admitted hospital. A Kaplan-Meier survival analysis performed.This...
To evaluate if nurses can reliably perform ultrasound-guided peripheral intravenous catheter placement in children with a high success rate after an initial training period. A secondary aim was to analyze complication rates of catheters.A database recorded all encounters the emergency department from November 2013 April 2019 including nurse attempting placement, number attempts, and whether it successful. Patient electronic medical records were reviewed for time reason removal.The...
Objectives Ultrasound (US) is increasingly used in settings where commercial US gel unavailable. This study evaluated noncommercial recipes compared to gel. Methods A search for formulations revealed 6 recipes. Half‐strength and a modified glucomannan recipe were also tested. Nine gels, including gel, tested Liberia the United States. In each session, 2 physician sonologists 9 gels on models, obtaining videos from hepatorenal space with curvilinear transducer, cardiac parasternal long view...
Fever is a common presenting chief complaint in the pediatric emergency department. We report case of well-appearing 11-month-old female with 2 weeks daily fevers who was found to have an extensive retropharyngeal abscess mediastinal and extrapleural extension. review literature on abscesses mediastinitis children note that this patient unusual as she presented such disease minimal symptoms. This demonstrates importance thorough history broad differential diagnosis when evaluating prolonged fevers.
Abstract Background: Ultrasound-guided peripheral intravenous lines are frequently used in patients with difficult access. We have previously reported on the longevity and complication rates of ultrasound-guided lines, but there limited data comparing outcomes to traditionally placed children. The aim this study was compare a pediatric population. Methods: This analyzed 300 552 using patient records determine reason timing for line removal. A t-test overall mean survival times, log-rank test...
In 2021, approximately 82,000 Afghan civilians were emergently evacuated to the United States (US). Almost half of them children. This study describes healthcare needs all evacuee children referred for urgent or emergent care in two large health systems months following evacuation, highlighting important considerations emergency response pediatric populations. is a descriptive cross-sectional at an urban quaternary children's hospital and affiliated community system between August 2021...
This nationwide study was designed to address the critical need determine extent of geographic access disparities ensure that women with gynecologic cancer have high-quality care irrespective their place residence. Patients were identified who face a barrier receiving standard for malignancies. The investigators used Geographic Information Systems identify US counties farther than 50 miles from closest oncologist and hospital referral regions (HRRs) do not contain primary professional at...
Patel, Amit MD; Cohen, Joanna Pattishall, Amy Berkowitz, Deena MD, MPH; Coco, Teresa Herold, Sixtine Pierce, Matthew Ramsook, Chris Vinograd, Alexandra Yen, Terry Berg, Luciana Koutroulis, Ioannis PhD, MBA Author Information
An 8-year-old boy presented with abdominal distension 1 week after a wall collapsed on him. Immediately the injury, he developed distension. He was treated at an outside hospital and observed overnight. No imaging available discharged home following day. His recurred next to another referred our institution. Examination remarkable for tenderness distention neither guarding nor rebound. …
Objectives This study explored lye (caustic soda, sodium hydroxide) use in Liberia, knowledge about its risks and injury prevention programmes. Design A qualitative semistructured interview study. Setting Focus groups occurred six Liberian counties between April August 2016. Patients Two previously identified stakeholder included parents of children under 5 years adults identifying as soap makers. Interventions Interview guides were written. Participants recruited by convenience snowball...