2023
Acute and Critical Pathology Diagnosed by Timely Point-of-Care Ultrasound Review at a Tertiary Children's Hospital
Shah R, Leviter J, Riera A. Acute and Critical Pathology Diagnosed by Timely Point-of-Care Ultrasound Review at a Tertiary Children's Hospital. Pediatric Emergency Care 2023, 39: 636-640. PMID: 37256276, DOI: 10.1097/pec.0000000000002974.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentPediatric emergency medicineTertiary children's hospitalCare ultrasound usePediatric patientsChildren's HospitalEmergency departmentUltrasound reviewAppropriate followCritical pathologyAmerican AcademyUltrasound useEfficient careEmergency medicinePatientsHospitalImage reviewReviewFollowPediatricsPOCUSPathologyCare
2019
A Multi-institutional Case Series With Review of Point-of-Care Ultrasound to Diagnose Malrotation and Midgut Volvulus in the Pediatric Emergency Department.
Garcia AM, Asad I, Tessaro MO, Sivitz A, Osborn K, Shaahinfar A, Leung SK, Rowe E, Riera A. A Multi-institutional Case Series With Review of Point-of-Care Ultrasound to Diagnose Malrotation and Midgut Volvulus in the Pediatric Emergency Department. Pediatric Emergency Care 2019, 35: 443-447. PMID: 30702647, DOI: 10.1097/pec.0000000000001737.Peer-Reviewed Original ResearchConceptsIntermittent abdominal painPediatric emergency departmentMidgut volvulusCare ultrasoundAbdominal painBilious vomitingEmergency departmentMulti-institutional case seriesRadiology-performed ultrasoundUpper gastrointestinal fluoroscopySmall bowel pathologyBedside findingsReview of pointsBowel pathologyOperative findingsCase seriesSmall bowelGastrointestinal fluoroscopyVolvulusMalrotationVomitingUltrasoundPainChildrenDepartment
2018
An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia
Emerson BL, Prozora S, Jacob A, Clark K, Kotrady D, Edwards L, Ciaburri R, Riera A. An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia. American Journal Of Medical Quality 2018, 34: 158-164. PMID: 30078347, DOI: 10.1177/1062860618792305.Peer-Reviewed Original ResearchConceptsMultidisciplinary teamRapid Plan-DoPediatric emergency departmentStudy-Act cyclesEfficiency of careAntibiotic administrationEmergency departmentVulnerable patientsPlan-DoPatientsNeutropeniaAverage timeFeverInterventionProcess control chartsData reviewDecrease timeAntibioticsSignificant improvementAdministration
2016
If You Twinkle When You Tinkle, Stones Are Found on Ultrasound
Riera A, Bokhari SA, Bechtel K. If You Twinkle When You Tinkle, Stones Are Found on Ultrasound. Pediatric Emergency Care 2016, 32: 246-249. PMID: 26359827, DOI: 10.1097/pec.0000000000000542.Peer-Reviewed Original Research
2014
Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff
Langhan ML, Riera A, Kurtz JC, Schaeffer P, Asnes AG. Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff. Journal Of Medical Engineering & Technology 2014, 39: 44-53. PMID: 25367721, PMCID: PMC4686128, DOI: 10.3109/03091902.2014.973618.Peer-Reviewed Original ResearchPostpartum Depression Screening in the Pediatric Emergency Department
Emerson BL, Bradley ER, Riera A, Mayes L, Bechtel K. Postpartum Depression Screening in the Pediatric Emergency Department. Pediatric Emergency Care 2014, 30: 788-792. PMID: 25343740, DOI: 10.1097/pec.0000000000000260.Peer-Reviewed Original ResearchConceptsEdinburgh Postpartum Depression ScalePediatric emergency departmentPostpartum depressionMental health resourcesYoung infantsPED visitsEmergency departmentRisk mothersTertiary care pediatric emergency departmentTertiary care children's hospitalPrevalence of PPDHealth resourcesBaseline demographic characteristicsInitial ED presentationAdditional mental health needsConvenience samplePostpartum depression screeningPostpartum Depression ScaleNegative predictive valueMental health needsFirst-time mothersSocial work consultationED presentationsChildren's HospitalDepression screeningExperiences with capnography in acute care settings: A mixed-methods analysis of clinical staff
Langhan ML, Kurtz JC, Schaeffer P, Asnes AG, Riera A. Experiences with capnography in acute care settings: A mixed-methods analysis of clinical staff. Journal Of Critical Care 2014, 29: 1035-1040. PMID: 25129575, PMCID: PMC4194255, DOI: 10.1016/j.jcrc.2014.06.021.Peer-Reviewed Original ResearchConceptsUse of capnographyAcute care areasCare unitCare areasPatient careIntensive care unitAcute care settingAcute care unitsFuture implementation strategiesCapnography useEmergency departmentClinical guidelinesCare settingsNineteen providersClinical staffCapnographyVariable knowledgeConstant comparative methodPurposeful sampleCareVaried responsivenessImplementation strategiesMixed-method analysisHospitalIterative data analysis
2013
The impact of limited English proficiency on asthma action plan use
Riera A, Navas-Nazario A, Shabanova V, Vaca FE. The impact of limited English proficiency on asthma action plan use. Journal Of Asthma 2013, 51: 178-184. PMID: 24147607, DOI: 10.3109/02770903.2013.858266.Peer-Reviewed Original ResearchConceptsAsthma action plan useAction plan usePediatric emergency departmentPlan useLEP caregiversExact testCaregivers' reasonsQualified health centersFisher's exact testPhysician attentivenessSymptom managementChief complaintEmergency departmentChild's asthmaLimited English proficiencyHealth centersAge of childrenWhite raceMild/Caregiver educationAsthmaLatino ethnicityCaregivers' abilityPrivate insuranceCaregiversAdolescent Balloon Analog Risk Task and Behaviors that Influence Risk of Motor Vehicle Crash Injury.
Vaca FE, Walthall JM, Ryan S, Moriarty-Daley A, Riera A, Crowley MJ, Mayes LC. Adolescent Balloon Analog Risk Task and Behaviors that Influence Risk of Motor Vehicle Crash Injury. AAAM Annual Conference 2013, 57: 77-88. PMID: 24406948, PMCID: PMC3861840.Peer-Reviewed Original ResearchMotor vehicle crash involvementCrash injuriesBalloon Analogue Risk TaskRisk behaviorsClinical encountersSelf-reported risk behaviorsMotor vehicle crash injuriesAdolescent health clinicMean numberHospital emergency departmentSubsequent traumatic injuryHealth risk behaviorsCrash involvementBusy clinical environmentEffective screening measuresReal-world risk-taking behaviorsRisk TaskEmergency departmentAdolescent patientsHealth clinicsTraumatic injuryPrevention interventionsInjuryInfluence riskSubstance use
2012
Ultrasound Evaluation of Skull Fractures in Children
Riera A, Chen L. Ultrasound Evaluation of Skull Fractures in Children. Pediatric Emergency Care 2012, 28: 420-425. PMID: 22531195, DOI: 10.1097/pec.0b013e318252da3b.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolDiagnosis, DifferentialFeasibility StudiesFemaleFollow-Up StudiesHumansInfantInfant, NewbornMalePilot ProjectsPoint-of-Care SystemsPredictive Value of TestsProspective StudiesROC CurveSkull FracturesTomography, X-Ray ComputedTrauma Severity IndicesUltrasonographyConceptsAcute closed head injuryClosed head injurySkull fractureBedside ultrasoundPediatric emergency medicineCT scanUrban tertiary care children's hospitalPredictive valueTertiary care children's hospitalTest characteristicsUnnecessary CT scansClinical decision rulePediatric emergency departmentEmergency medicineComputed tomography scanNegative predictive valuePositive predictive valueMonths of trainingMedian ageChildren's HospitalUltrasound evaluationEmergency departmentHead injuryBedside ultrasonographyTomography scanDiagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L. Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department. Annals Of Emergency Medicine 2012, 60: 264-268. PMID: 22424652, PMCID: PMC3431911, DOI: 10.1016/j.annemergmed.2012.02.007.Peer-Reviewed Original ResearchConceptsPediatric emergency physiciansIleocolic intussusceptionEmergency physiciansUltrasonographic resultsUrban tertiary care children's hospitalPredictive valueBedside emergency department ultrasonographyTertiary care children's hospitalEmergency department ultrasonographyDiagnosis of intussusceptionProspective convenience sample studyLikelihood ratioNegative predictive valuePositive predictive valueConvenience sample studyBowel ultrasonographyMedian agePediatric EDChildren's HospitalUltrasonographic studyEmergency departmentObservational studyPhysician sonographersBedside studiesIntussusception
2011
Remember the Saphenous
Riera A, Langhan M, Northrup V, Santucci K, Chen L. Remember the Saphenous. Pediatric Emergency Care 2011, 27: 1121-1125. PMID: 22134232, DOI: 10.1097/pec.0b013e31823ab926.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAnthropometryAttitude of Health PersonnelBody SizeCatheterization, PeripheralChild, PreschoolEmergency NursingEmergency Service, HospitalFemaleHospitals, PediatricHumansInfantInfusions, IntravenousMaleNursing Staff, HospitalPediatric NursingPoint-of-Care SystemsSaphenous VeinUltrasonography, InterventionalConceptsAntecubital veinSaphenous veinHand veinsPeripheral veinUrban pediatric emergency departmentPediatric emergency departmentNursing preferencePatient characteristicsEmergency departmentSonographic findingsBedside ultrasoundUltrasound guidanceNursing staffMean widthStaff nursesAge groupsSecondary objectiveTransverse diameterFirst choiceUltrasound measurementsVeinSuccess rateSignificant differencesChildrenFuture studiesUse of Emergency Ultrasound in the Diagnostic Evaluation of an Infant With Vomiting
Alletag MJ, Riera A, Langhan ML, Chen L. Use of Emergency Ultrasound in the Diagnostic Evaluation of an Infant With Vomiting. Pediatric Emergency Care 2011, 27: 986-989. PMID: 21975504, DOI: 10.1097/pec.0b013e318232a265.Peer-Reviewed Original ResearchConceptsEmergency ultrasoundBedside emergency ultrasoundAbdominal painPediatric abdominal emergenciesAbdominal emergenciesEmergency departmentUltrasound evaluationAssessment of childrenDiagnostic evaluationTimely diagnosisUseful adjunctVomitingInfantsUltrasoundPainUnanticipated conditionsAdjunctDiagnosis
2010
Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis
Chen L, Hsiao A, Langhan M, Riera A, Santucci KA. Use of Bedside Ultrasound to Assess Degree of Dehydration in Children With Gastroenteritis. Academic Emergency Medicine 2010, 17: 1042-1047. PMID: 21040104, PMCID: PMC3058669, DOI: 10.1111/j.1553-2712.2010.00873.x.Peer-Reviewed Original ResearchMeSH KeywordsAortaChildChild, PreschoolCohort StudiesDehydrationDiarrheaEmergency Service, HospitalFemaleFluid TherapyGastroenteritisHemodynamicsHumansInfantInfusions, IntravenousLinear ModelsMaleObserver VariationPilot ProjectsPoint-of-Care SystemsProspective StudiesReproducibility of ResultsSeverity of Illness IndexUltrasonography, DopplerVena Cava, InferiorConceptsInferior vena cavaIVC/Ao ratioPediatric emergency departmentAo diametersAcute gastroenteritisAo ratioBedside ultrasound measurementAcute weight lossProspective observational studyResolution of symptomsAorta diameter ratioAcute care settingInterrater reliabilityPairs of investigatorsPearson correlation coefficientSignificant dehydrationGood interrater reliabilityEmergency departmentIntravascular volumeBedside USVena cavaBedside ultrasoundObservational studyCare settingsProspective identificationThe impact of race and ethnicity on care in the pediatric emergency department
Riera A, Walker DM. The impact of race and ethnicity on care in the pediatric emergency department. Current Opinion In Pediatrics 2010, 22: 284-289. PMID: 20442657, DOI: 10.1097/mop.0b013e32833973a5.Peer-Reviewed Original ResearchConceptsHealthcare disparitiesEmergency departmentEmergency department utilizationPediatric emergency departmentPediatric emergency carePediatric emergency medicineAdolescent sexual healthPediatric patientsEmergency careSexual healthInterpreter servicesSpecific illnessesDisparity reductionDisparities persistHealthcare outcomesMental healthImpact of raceHispanic childrenEmergency medicineSocioeconomic factorsCareMore researchDisparitiesHealthDepartment