2024
A Protocol for Using Point-of-Care Ultrasound as an Adjunct in Pediatric Cardiac Arrest
Leviter J, Feick M, Riera A, White L. A Protocol for Using Point-of-Care Ultrasound as an Adjunct in Pediatric Cardiac Arrest. Pediatric Emergency Care 2024, 40: 835-838. PMID: 39043130, DOI: 10.1097/pec.0000000000003239.Peer-Reviewed Original ResearchPoint-of-care ultrasoundPediatric cardiac arrestCardiac arrestPoint-of-care ultrasound useLocation of chest compressionHealth care providersAdult cardiac arrestCare providersChest compressionsPoint-of-careStandard-of-care measuresInadequate compressionPediatricPediatric populationPediatric ultrasoundTime-critical eventsProvidersHealthDirect managementIs it Smoke and Mirrors? Detection of Inferior Vena Cava Thrombus by Focused Cardiac Ultrasound
Soma G, DeGuardi J, Iqbal A, Leviter J, Riera A. Is it Smoke and Mirrors? Detection of Inferior Vena Cava Thrombus by Focused Cardiac Ultrasound. Pediatric Emergency Care 2024, 40: 323-325. PMID: 38227793, DOI: 10.1097/pec.0000000000003107.Peer-Reviewed Original Research
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
2021
Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department.
Riera A, Weeks B, Emerson BL, Chen L. Evaluation of a Focused Cardiac Ultrasound Protocol in a Pediatric Emergency Department. Pediatric Emergency Care 2021, 37: 191-198. PMID: 29746359, DOI: 10.1097/PEC.0000000000001495.Peer-Reviewed Original ResearchThe Use of Point-Of-Care Ultrasound to Evaluate Acute Abdomen: A Case of Bowel Perforation After Unknown Single Magnet Ingestion
Malik R, Riera A, Gross I, Leviter J. The Use of Point-Of-Care Ultrasound to Evaluate Acute Abdomen: A Case of Bowel Perforation After Unknown Single Magnet Ingestion. 2021, 292.2-293. DOI: 10.1542/peds.147.3_meetingabstract.292-a.Peer-Reviewed Original Research
2019
Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography.
Riera A, Langhan M, Silva CT. Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography. Pediatric Emergency Care 2019, 36: e30-e32. PMID: 31433363, DOI: 10.1097/pec.0000000000001879.Peer-Reviewed Original ResearchConceptsIleocolic intussusceptionCare ultrasoundIschemic bowel injurySignificant inflammatory changesBowel injuryInitial workupInflammatory changesSurgical reductionTerminal ileitisTerminal ileumCare ultrasonographyRadiology ultrasoundIntussusceptionAcademic centersReduction attemptsSensitivity of studiesSpontaneous reductionTest characteristicsUltrasoundDiagnostic techniquesRadiologyIleitisUltrasonographyIleumInjuryReevaluation 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 assessmentUse of Point-of-Care Ultrasound to Assess and Guide Renal Stent Repositioning in the Pediatric Emergency Department.
Garcia AM, Riera A. Use of Point-of-Care Ultrasound to Assess and Guide Renal Stent Repositioning in the Pediatric Emergency Department. Pediatric Emergency Care 2019, 35: 382-384. PMID: 30829842, DOI: 10.1097/PEC.0000000000001767.Peer-Reviewed Original ResearchA 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
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 ResearchPoint-of-Care Ultrasound Identification of an Abdominal Hernia.
Alfonzo M, von Reinhart A, Riera A. Point-of-Care Ultrasound Identification of an Abdominal Hernia. Pediatric Emergency Care 2017, 33: 596-598. PMID: 28777270, DOI: 10.1097/PEC.0000000000001222.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 ResearchAsthma Knowledge Gained after an Educational Video Designed for Limited English Proficiency Asthma Caregivers
Riera A, Ocasio A, Trevino, MSSW S, Vaca F. Asthma Knowledge Gained after an Educational Video Designed for Limited English Proficiency Asthma Caregivers. Pediatrics 2016, 137: 283a-283a. DOI: 10.1542/peds.137.supplement_3.283a.Peer-Reviewed Original ResearchComparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation
Cicero MX, Overly F, Brown L, Yarzebski J, Walsh B, Shabanova V, Auerbach M, Riera A, Adelgais K, Meckler G, Cone DC, Baum CR. Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation. Disaster Medicine And Public Health Preparedness 2016, 10: 253-260. PMID: 26744228, DOI: 10.1017/dmp.2015.171.Peer-Reviewed Original ResearchConceptsTriage strategiesBlack patientsTriage levelRed patientsProspective cohort studyBetter patient outcomesEmergency medical services (EMS) providersCross-sectional analysisCohort studyPatient outcomesTriage outcomesMedical service providersPatientsTriageSignificant differencesTriage accuracyTriage resultsOutcomesPDT strategyParticipantsPediatrics
Riera A. Pediatrics. 2016, 155-172. DOI: 10.1007/978-3-319-22638-5_9.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 screening