On 12 March 2020 the UK entered the ‘delay phase’ of the COVID-19 pandemic response. The Public Health England Emergency Department Syndromic Surveillance System (EDSSS) carries out daily (near real-time) […]» Read more
Weight estimation of both adult and paediatric patients is often necessary in emergency or low-resource settings when it is not possible to weigh the patient. There are many methods for […]» Read more
Potential long-lasting adverse effects of child maltreatment have been widely reported, although little is known about the distinctive long-term impact of differing types of maltreatment. Our objective for this special […]» Read more
Does implementation of the PECARN rules for minor head trauma improve patient-centered outcomes in a lower resource emergency department: a retrospective cohort study.
Managing children with minor head trauma remains challenging for physicians who evaluate for the need for computed tomography (CT) imaging for clinically important traumatic brain injury (ciTBI) identification. The Pediatric […]» Read more
We provide an updated assessment of trends in sickle cell disease (SCD)-related mortality, a significant source of mortality in the United States among black persons, using 1979 to 2017 US […]» Read more
Association of Antibiotic Choice With Hospital Length of Stay and Risk Factors for Readmission in Patients With Sickle Cell Disease and Acute Chest Syndrome: An Observational Cohort Study.
We determine the association between use of specific cephalosporins and macrolides and hospital length of stay in patients with sickle cell disease (SCD) who are admitted with acute chest syndrome, […]» Read more
Utility of Point-of-Care Lung Ultrasonography for Evaluating Acute Chest Syndrome in Young Patients With Sickle Cell Disease.
Acute chest syndrome is a leading cause of mortality in patients with sickle cell disease (SCD). Because early detection of acute chest syndrome is directly tied to prognosis, young patients […]» Read more
A Multiyear Cross-sectional Study of Guideline Adherence for the Timeliness of Opioid Administration in Children With Sickle Cell Pain Crisis.
The National Heart, Lung, and Blood Institute evidence-based guidelines for timeliness of opioid administration for sickle cell disease (SCD) pain crises recommend an initial opioid within 1 hour of arrival, […]» Read more
Refugee children and young people have complex healthcare needs. However, issues related to acute healthcare provision for refugee children across Europe remain unexplored. This study aimed to describe the urgent […]» Read more
Nurse practitioner administered point-of-care ultrasound compared with X-ray for children with clinically non-angulated distal forearm fractures in the ED: a diagnostic study.
Paediatric distal forearm fractures are a common ED presentation. They can be diagnosed with point-of-care ultrasound (POCUS) as an alternative to X-rays. Given that ED nurse practitioners (NPs) are relied […]» Read more
Intestinal tract and parenteral multi-organ sequential pathological injury caused by necrotizing enterocolitis.
To explore the relationship between the pathological changes of the colon, terminal ileum, lung, liver and kidney, and the changes of Bax, PCNA and PAF in a rat model of […]» Read more
Seven-step framework to enhance practitioner explanations and parental understandings of research without prior consent in paediatric emergency and critical care trials.
Alternatives to prospective informed consent enable the conduct of paediatric emergency and critical care trials. Research without prior consent (RWPC) involves practitioners approaching parents after an intervention has been given […]» Read more
Firearm injuries are the second leading cause of death among US children. While injury prevention has been shown to be effective for blunt mechanisms of injury, the rising incidence of […]» Read more
Understanding youths’ attitudes and practices regarding listening to music, video recording and terrain park use while skiing and snowboarding.
Skiing and snowboarding are popular activities among Canadian youth and these sports have evolved to include certain risk behaviours such as listening to music, using terrain parks, and video recording […]» Read more
To test the effect of a 4-month telehealth home monitoring program (REACH), layered on usual care, on postdischarge outcomes in parents of infants recovering from cardiac surgery and their infants.Randomized […]» Read more
Variation in CT use for paediatric head injuries across different types of emergency departments in Australia and New Zealand.
CT of the brain (CTB) for paediatric head injury is used less frequently at tertiary paediatric emergency departments (EDs) in Australia and New Zealand than in North America. In preparation […]» Read more
Home-based intervention for non-Hispanic black families finds no significant difference in infant size or growth: results from the Mothers & Others randomized controlled trial.
Non-Hispanic black (NHB) infants are twice as likely as non-Hispanic white infants to experience rapid weight gain in the first 6 months, yet few trials have targeted this population. The […]» Read more
This study sought to determine whether a brief intervention at the time of emergency department (ED) discharge can improve safe dosing of liquid acetaminophen and ibuprofen by parents or guardians.We […]» Read more
Acute kidney injury (AKI) may lead to short- and long-term consequences in children, but its epidemiology has not been well described at a population level and outside of ICU settings.In […]» Read more
Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis.
Electronic health records (EHRs) are routinely used to identify family violence, yet reliable evidence of their validity remains limited. We conducted a systematic review and meta-analysis to evaluate the positive […]» Read more
Isolated Low-Grade Solid Organ Injuries in Children Following Blunt Abdominal Trauma: Is It Time to Consider Discharge from the Emergency Department?
Acute intervention for solid organ injury (SOI) is rare in hemodynamically stable children. Pediatric guidelines recommend admission with follow-up labs, even for low-grade injuries.Datasets from two large multi-center prospective observational […]» Read more
Head home: a prospective cohort study of a nurse-led paediatric head injury clinical decision tool at a district general hospital.
To assess if a nurse-led application of a paediatric head injury clinical decision tool would be safe compared with current practice.All paediatric (<17 years) patients with head injuries presenting to […]» Read more
Pediatric craniocerebral gunshot injuries (CGI) occur both in the context of accidental and intentional trauma. The incidence and physiology of pediatric CGI merit re-examination of prognostic factors and treatment priorities. […]» Read more
Adults presenting to pediatric emergency departments (PEDs) include those with complex chronic conditions (CCCs) often still followed by pediatric providers, and those without CCCs (non-CCCs). This paper describes recent trends […]» Read more
Reliability of the visio-vestibular examination for concussion among providers in a pediatric emergency department.
Visio-vestibular examination (VVE) deficits are common following pediatric concussion. Guidelines recommend assessing these deficits on all potentially concussed youth given their diagnostic and prognostic value, however test psychometrics of the […]» Read more
To assess the efficacy and safety of intranasal analgesic-dose ketamine as compared to intranasal fentanyl for pediatric acute pain.A systematic review and meta-analysis was performed following the PRISMA guidelines. We […]» Read more
Critical procedure performance in pediatric patients: Results from a national emergency medicine group.
We sought to examine the frequency of pediatric critical procedures performed in a national group of emergency physicians.We performed a retrospective analysis of an administrative billing and coding dataset for […]» Read more
To report disability and visual outcomes following suspected abusive head trauma (AHT) in children under 2 years.We present a retrospective case series (1995-2017) of children with suspected AHT aged ≤24 […]» Read more
Comparison of postoperative complications between open and laparoscopic appendectomy: An umbrella review of systematic reviews and meta-analyses.
Laparoscopic appendectomy (LA) has been popular for decades because of shorter hospitalisation and return to routine activity. However, complications (e.g. surgical site infection (SSI) and intra-abdominal abscess (IAA)) relative to […]» Read more
To explore the hypothesis that obesity is associated with increased mortality and worse outcomes in children who are critically ill.Secondary analysis of the Assessment of Worldwide Acute Kidney Injury, Renal […]» Read more