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
Reevaluation of FAST Sensitivity in Pediatric Blunt Abdominal Trauma Patients
Riera A, Hayward H, Silva C, Chen L. Reevaluation of FAST Sensitivity in Pediatric Blunt Abdominal Trauma Patients. Pediatric Emergency Care 2019, 37: e1012-e1019. PMID: 31356479, DOI: 10.1097/pec.0000000000001877.Peer-Reviewed Original ResearchConceptsBlunt abdominal trauma patientsAbdominal trauma patientsFree fluidTrauma patientsUpper quadrantPredictive valueLevel I pediatric trauma centerPediatric trauma centerRetrospective chart reviewRight upper quadrantFAST examinationNegative predictive valuePositive predictive valueNegative likelihood ratioChart reviewBAT patientsMedian ageTrauma centerUpper abdomenIntraperitoneal fluidMAIN OUTCOMEPhysiologic amountsTrauma (FAST) examinationPatientsFocused assessmentA 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
2017
Vaginal Foreign Bodies
Gross IT, Riera A. Vaginal Foreign Bodies. Pediatric Emergency Care 2017, 33: 756-759. PMID: 29095775, DOI: 10.1097/pec.0000000000001304.Peer-Reviewed Original ResearchA web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers
Riera A, Ocasio A, Tiyyagura G, Thomas A, Goncalves P, Krumeich L, Ragins K, Trevino S, Vaca FE. A web-based educational video to improve asthma knowledge for limited English proficiency Latino caregivers. Journal Of Asthma 2017, 54: 624-631. PMID: 27780380, PMCID: PMC7244941, DOI: 10.1080/02770903.2016.1251597.Peer-Reviewed Original ResearchConceptsCaregiver asthma knowledgeAsthma knowledgeAsthma careAsthma diagnosisQuality asthma carePediatric asthma careAsthma action planLatino caregiversAsthma knowledge questionnaireAsthma knowledge scoresEducational videoLEP caregiversChild asthma diagnosisPersistent asthmaED utilizationED encountersMedication usageInterventional studyActivity limitationsChildren 2Knowledge questionnaireKnowledge scoreCaregiversMean scoreHigh school diploma
2016
Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills
Cicero MX, Whitfill T, Overly F, Baird J, Walsh B, Yarzebski J, Riera A, Adelgais K, Meckler GD, Baum C, Cone DC, Auerbach M. Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers' Assessment Skills. Prehospital Emergency Care 2016, 21: 201-208. PMID: 27749145, DOI: 10.1080/10903127.2016.1235239.Peer-Reviewed Original ResearchIf 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
Findings from a community-based asthma education fair for Latino caregivers
Riera A, Ocasio A, Goncalves P, Krumeich L, Katz KH, Trevino S, Vaca FE. Findings from a community-based asthma education fair for Latino caregivers. Journal Of Asthma 2014, 52: 71-80. PMID: 25019349, DOI: 10.3109/02770903.2014.944982.Peer-Reviewed Original ResearchMeSH KeywordsAbsenteeismAdolescentAdrenal Cortex HormonesAdrenergic beta-AgonistsAdultAmbulatory Care FacilitiesAnti-Asthmatic AgentsAsthmaCaregiversChildChild, PreschoolCommunity-Based Participatory ResearchEmergency Service, HospitalHealth EducationHealth Knowledge, Attitudes, PracticeHispanic or LatinoHospitalizationHumansInfantLanguageMetered Dose InhalersMiddle AgedQuality of LifeResidence CharacteristicsYoung AdultConceptsLEP caregiversCaregiver qualityMedication recognitionPediatric Asthma Caregiver's QualityEmergency department visitsPeak flow meterIndividualized action plansWilcoxon signed-rank testPACQLQ scoresClinic visitsAsthma diagnosisDepartment visitsHealthcare utilizationQOL improvementChildren 1Life QuestionnaireCaregiver QOLSigned-rank testActivity limitationsCaregivers' abilityMcNemar testSchool absenteeismLatino caregiversCaregiversBaseline dataCreation and Delphi-method Refinement of Pediatric Disaster Triage Simulations
Cicero MX, Brown L, Overly F, Yarzebski J, Meckler G, Fuchs S, Tomassoni A, Aghababian R, Chung S, Garrett A, Fagbuyi D, Adelgais K, Goldman R, Parker J, Auerbach M, Riera A, Cone D, Baum CR. Creation and Delphi-method Refinement of Pediatric Disaster Triage Simulations. Prehospital Emergency Care 2014, 18: 282-289. PMID: 24401167, DOI: 10.3109/10903127.2013.856505.Peer-Reviewed Original ResearchConceptsTriage levelSpecial health care needsHealth care needsPDT strategySchool bus crashModified Delphi processPediatric victimsPatient incidentsDelphi consensusTriage categoryGunshot woundsSimilar acuityGlobal assessmentAppropriate interventionsLow fidelity manikinsDelphi processHigh-fidelity manikinEvaluation toolOnline survey toolPatientsStandardized patients
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 insuranceCaregivers
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 scan
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