Pediatric emergency care
-
Pediatric emergency care · Dec 2021
2017 AAAEM Benchmarking Survey: Comparing Pediatric and Adult Academic Emergency Departments.
The Academy of Administrators in Academic Emergency Medicine Benchmark Survey of academic emergency departments (EDs) was conducted in 2017. We compared operational measures between pediatric and adult (defined as fewer than 5% pediatric visits) EDs based on survey data. Emergency departments in dedicated pediatric hospitals were not represented. ⋯ In this cohort, significant differences in operational measures exist between academic adult and pediatric EDs. No differences were found when considering per unit measures, such as arrivals per faculty clinical hour or per treatment space.
-
Pediatric emergency care · Dec 2021
The Pediatric Disease Spectrum in an Emergency Department at a Tertiary Care Center in Beirut, Lebanon.
The aim of this study was to identify the most common diagnoses for pediatric emergency department (ED) visits at a tertiary care center in Lebanon. ⋯ This study is the first to assess pediatric ED visits in a Lebanese setting. The top most common reason was communicable diseases, with fever of unknown origin being the most common reason for all visits, contrary to North America where injury and poisoning are the most common. Noncommunicable diseases (cardiac, pneumonia, gastroenteritis, and appendicitis) were common reasons for admission in different age groups.
-
Pediatric emergency care · Dec 2021
Evaluation of an Online Educational Tool to Improve Postresuscitation Debriefing in the Emergency Department.
Postresuscitation debriefing (PRD) addresses Accreditation Council for Graduate Medical Education core competencies and is recommended by the American Heart Association. Postresuscitation debriefing improves resuscitation outcomes, promotes team morale, supports emotional well-being, and reduces burnout. Despite these benefits, PRD occurs infrequently. Commonly cited barriers to PRD include lack of training and comfort in facilitating PRD. We are unaware of any video-based educational tools that train physicians in PRD. We aimed to evaluate the impact of an educational tool on the frequency of PRD using a before- and after-study design. ⋯ Implementation of a video-based educational tool on PRD in the emergency department was associated with increased provider report of PRD frequency, knowledge, and comfort level.
-
Pediatric emergency care · Dec 2021
The Impact of Imaging on Negative Appendectomies for Early Appendicitis in Children.
The rate of negative appendectomy in children is 7%. The value of imaging depends on the institution. In addition, imaging errors can lead to an appendectomy in children who do not have appendicitis. It is the hypothesis that children with short onset of symptoms who undergo negative appendectomy often have erroneous imaging findings. ⋯ Children who had an appendectomy and found to have a normal appendix shared 2 characteristics. (1) Their symptoms were less than 3 days, and (2) the imaging was considered the indication by the surgical team. In the situation of an unclear diagnosis and a short onset of symptoms, observation or further evaluation should be considered.
-
Pediatric emergency care · Dec 2021
Prevalence and Clinical Characteristics of Unintentional Ingestion of Marijuana in Children Younger Than 6 Years in States With and Without Legalized Marijuana Laws.
The aim of this study was to examine the relationship between state marijuana legalization and the rates of unintentional ingestions of marijuana in children younger than 6 years. ⋯ There was a strong association between the legalization of marijuana and ingestions of marijuana by children younger than 6 years.