Whole Blood Hemostatic Resuscitation in Pediatric Trauma: A Nationwide Propensity-Matched Analysis.

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Whole blood (WB) has shown promise in pediatric trauma resuscitation following its prominent role in the resuscitation of adult trauma patients. Although WB in children has been shown to be […]

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Decreasing the Use of Restraints on Children Admitted for Behavioral Health Conditions.

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Pediatric behavioral health admissions to children’s hospitals for disposition planning are steadily increasing. These children may exhibit violent behaviors, which can escalate to application of physical limb restraints for safety. […]

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The effect of point-of-care ultrasound on length of stay in the emergency department in children with neck swelling.

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Ultrasound is the imaging modality of choice in children presenting to the emergency department (ED) with soft tissue neck swelling. Point of care ultrasound (POCUS) has good accuracy when compared […]

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Pediatric point-of-care ultrasound of optic disc elevation for increased intracranial pressure: A pilot study.

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Papilledema is often difficult to detect in children. Ocular point-of-care ultrasound (POCUS) measurement of the optic nerve sheath diameter (ONSD) is a non-invasive test for increased intracranial pressure (ICP), but […]

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Venous Thromboembolic Risk Stratification in Pediatric Trauma: A Pediatric Trauma Society Research Committee Multicenter Analysis.

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Venous thromboembolism (VTE) in injured children is rare, but its consequences are significant. Several risk stratification algorithms for VTE in pediatric trauma exist with little consensus, and all are hindered […]

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Collaborative Care in the Identification and Management of Psychosis in Adolescents and Young Adults.

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Pediatricians are often the first physicians to encounter adolescents and young adults presenting with psychotic symptoms. Although pediatricians would ideally be able to refer these patients immediately into psychiatric care, […]

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Is Lactating in the Emergency Department a Letdown? Exploring Barriers and Supports to Workplace Lactation in Emergency Medicine.

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To explore the social and environmental conditions in emergency departments that contribute to perceived barriers and supports for workplace lactation among individuals working in emergency medicine.Constructivist grounded theory was used […]

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Accuracy of point-of-care ultrasound for determining the adequacy of pediatric forearm fracture reductions.

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The objective of the present study was to the determine the accuracy of point-of-care ultrasound (POCUS) in assessing closed reduction (CR) of pediatric forearm fractures in a pediatric emergency setting.After […]

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Experience of emergency department patients after a visit for hyperglycaemia: implications for communication and factors affecting adherence postdischarge.

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While studies have reported factors affecting adherence to diabetic care plans from a chronic disease perspective, no studies have addressed issues with post-discharge adherence facing patients with diabetes after an […]

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Evaluation of digital otoscopy in pediatric patients: A prospective randomized controlled clinical trial.

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Acute otitis media is often misdiagnosed. Pediatric trainees learn otoscopy from supervisors who cannot concurrently view the eardrum. Digital, smartphone otoscopes show promise to improve the visibility and learning due […]

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Epidemiology, risk factors and outcomes of bloodstream infection caused by ESKAPEEc pathogens among hospitalized children.

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Bloodstream infection (BSI) resulting from ESKAPEEc pathogens (Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli, Acinetobacter baumannii, Pseudomonas aeruginosa and Enterobacter spp) is relevant to high mortality and economic cost. […]

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Paediatric emergency department dog bite attendance during the COVID-19 pandemic: an audit at a tertiary children’s hospital.

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Responses to the COVID-19 pandemic include strict public health measures, such as national lockdowns. During these measures, paediatric emergency department attendances have declined and the prevalence of presenting complaints has […]

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Novel Trauma Composite Score Is A More Reliable Predictor Of Mortality Than Injury Severity Score In Pediatric Trauma.

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The equivalent injury severity score (ISS) cutoffs for severe trauma vary between adult (ISS>16) and pediatric (ISS>25) trauma patients. We hypothesized that a novel injury severity prediction model, which incorporates […]

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Early prediction of serious infections in febrile infants incorporating heart rate variability in an emergency department: a pilot study.

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Early differentiation of febrile young infants with from those without serious infections (SIs) remains a diagnostic challenge. We sought to (1) compare vital signs and heart rate variability (HRV) parameters […]

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How much time do doctors spend providing care to each child in the ED? A time and motion study.

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The total time per patient doctors spend providing care in emergency departments (EDs) has implications for the development of evidence-based ED staffing models. We sought to measure the total time […]

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To prescribe or not to prescribe for paediatric sore throat: a retrospective cohort study comparing clinician-led antibiotic prescriptions to FeverPAIN and Centor scoring in a tertiary paediatric emergency department and a national review of practice.

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Tonsillopharyngitis is a common presentation to paediatric emergency departments (PEDs). FeverPAIN (FP) and Centor scoring systems are recommended in the UK to help delineate bacterial aetiology, despite being primarily evidenced […]

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Crowding is the strongest predictor of left without being seen risk in a pediatric emergency department.

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Emergency Department (ED) patients who leave without being seen (LWBS) are associated with adverse safety and medico-legal consequences. While LWBS risk has been previously tied to demographic and acuity related […]

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Addition of Neurological Status to Pediatric Adjusted Shock Index to Predict Early Mortality in Trauma: A Pediatric TQIP Analysis.

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Pediatric adjusted shock index (SIPA) has demonstrated the ability to prospectively identify children at the highest risk for early mortality. The addition of neurological status to shock index has shown […]

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Implementation of a dual cervical spine and blunt cerebrovascular injury assessment pathway for pediatric trauma patients.

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Pediatric cervical spine (CSI) and blunt cerebrovascular injuries (BCVI) are challenging to evaluate as they are rare but carry high morbidity and mortality. CT scans are the traditional imaging modality […]

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Increasing the spectrum of white matter diseases with tigroid pattern on MRI: glutaric aciduria type 1 – case report.

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Most white matter diseases present on magnetic resonance imaging as focal or diffuse T2-hyperintensities. However, in a few of them, radially oriented stripes of low (relatively normal) signal intensity are […]

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Caring for American Indian and Alaska Native Children and Adolescents.

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American Indian and Alaska Native (AI/AN) populations have substantial health inequities, and most of their disease entities begin in childhood. In addition, AI/AN children and adolescents have excessive disease rates […]

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Impact of young age on outcomes of emergency department procedural sedation.

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Relatively little is known about outcomes of procedural sedation in very young children. Our objective was to examine the association between procedural sedation in young children (≤ 2 years) and the […]

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NutriBrain: protocol for a randomised, double-blind, controlled trial to evaluate the effects of a nutritional product on brain integrity in preterm infants.

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The gut microbiota and the brain are connected through different mechanisms. Bacterial colonisation of the gut plays a substantial role in normal brain development, providing opportunities for nutritional neuroprotective interventions […]

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