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
2014
Latino Caregiver Experiences With Asthma Health Communication
Riera A, Ocasio A, Tiyyagura G, Krumeich L, Ragins K, Thomas A, Trevino S, Vaca FE. Latino Caregiver Experiences With Asthma Health Communication. Qualitative Health Research 2014, 25: 16-26. PMID: 25185159, DOI: 10.1177/1049732314549474.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnti-Asthmatic AgentsAsthmaCaregiversChild, PreschoolCommunication BarriersCommunity-Based Participatory ResearchEnvironmentFemaleHealth CommunicationHispanic or LatinoHumansInfantInterviews as TopicLanguageMaleMiddle AgedPatient Education as TopicPhysician-Patient RelationsQualitative ResearchTobacco Smoke PollutionTranslatingConceptsHealth communicationSignificant asthma burdenSpanish-language interviewsSpanish transcriptsLEP caregiversCaregivers' experiencesInterpreter availabilityCommunication barriersSuitable action planFeelings of mistrustAsthma encountersAsthma burdenHealth caregiversCommunicationFurther inquiryEmotional stressInductive codingThematic saturationMedical settingsIndividual emotional responsesQualitative dataFocus groupsInterpretersEmotional responsesPurposeful sampleFindings 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 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 identification