2021
Exploring the Effect of Mindfulness on Burnout in a Pediatric Emergency Department
Wong KU, Palladino L, Langhan ML. Exploring the Effect of Mindfulness on Burnout in a Pediatric Emergency Department. Workplace Health & Safety 2021, 69: 467-473. PMID: 33845687, DOI: 10.1177/21650799211004423.Peer-Reviewed Original ResearchConceptsMaslach Burnout InventoryMindfulness activitiesBurnout levelsPediatric emergency departmentEffect of mindfulnessMindfulness-based activitiesEmergency departmentHigher burnout levelsCONCLUSION/APPLICATIONEmotional exhaustionPostintervention surveysPersonal accomplishmentPED providersBurnout InventoryBurnoutMindfulnessEmergency department staffHealth care providersMental healthShift interventionsMajority of staffEligible staffNurse practitionersCare providersClinical acumen
2019
Oral injuries in children less than 24 months of age in a pediatric emergency department
Woolf SM, Leventhal JM, Gaither JR, Hardikar P, Langhan ML, Bechtel K, Auerbach MA, Tiyyagura G. Oral injuries in children less than 24 months of age in a pediatric emergency department. Child Abuse & Neglect 2019, 89: 70-77. PMID: 30639971, DOI: 10.1016/j.chiabu.2019.01.006.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentOral injuriesChief complaintEmergency departmentAbuse evaluationsTertiary care pediatric emergency departmentMedical chief complaintsMonths old presentingPediatric emergency medicine physiciansProspective observational studyComplete oral examinationEmergency medicine physiciansMonths of ageYoung childrenOld presentingPatient demographicsInjury detailsChildren 12Children 0Observational studyOral examinationMedicine physiciansNon-mobile childrenInjuryPatients
2017
Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department
Bullock A, Dodington JM, Donoghue AJ, Langhan ML. Capnography Use During Intubation and Cardiopulmonary Resuscitation in the Pediatric Emergency Department. Pediatric Emergency Care 2017, 33: 457-461. PMID: 27455341, PMCID: PMC5259553, DOI: 10.1097/pec.0000000000000813.Peer-Reviewed Original ResearchConceptsCapnography useEmergency departmentHospital emergency departmentCardiopulmonary resuscitationSpontaneous circulationAHA recommendationsAcademic children's hospital emergency departmentChildren's hospital emergency departmentAmerican Heart Association guidelinesImplementation of capnographyIll pediatric patientsHeart Association guidelinesRetrospective chart reviewUse of capnographyPediatric emergency departmentChart reviewAdverse eventsPatient characteristicsPediatric patientsIntubated patientsEndotracheal intubationTraumatic causesAssociation guidelinesIll childrenPatients
2015
A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers
Iyer NS, Koziel JR, Langhan ML. A qualitative evaluation of capnography use in paediatric sedation: perceptions, practice and barriers. Journal Of Clinical Nursing 2015, 24: 2231-2238. PMID: 25926380, DOI: 10.1111/jocn.12848.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentUse of capnographyEmergency departmentCapnography useProcedural sedationAdequacy of ventilationMonitoring of childrenAdverse eventsHead traumaPediatric populationMental statusPediatric sedationLack of comfortModifiable barriersSedationCapnographyQualitative exploratory studyMost participantsLack of availabilityNursesPhysiciansVentilationDepartmentParticipantsAdditional education
2014
A randomized controlled trial of capnography during sedation in a pediatric emergency setting
Langhan ML, Shabanova V, Li FY, Bernstein SL, Shapiro ED. A randomized controlled trial of capnography during sedation in a pediatric emergency setting. The American Journal Of Emergency Medicine 2014, 33: 25-30. PMID: 25445871, PMCID: PMC4272647, DOI: 10.1016/j.ajem.2014.09.050.Peer-Reviewed Original ResearchConceptsEpisodes of hypoventilationOxygen desaturationIntervention groupStandard monitoringPediatric emergency department patientsEmergency department patientsSedation of childrenPediatric emergency departmentPediatric emergency settingRates of interventionFrequency of interventionsRespiratory depressionPrimary outcomeDepartment patientsEmergency departmentProcedural sedationEmergency settingHigher oddsHypoventilationCapnography monitorControl groupSedationStandard modalityTimely interventionCapnography
2013
Neonatal Seizures
Thornton MD, Chen L, Langhan ML. Neonatal Seizures. Pediatric Emergency Care 2013, 29: 1107-1110. PMID: 24084610, PMCID: PMC3822764, DOI: 10.1097/pec.0b013e3182a62fd6.Peer-Reviewed Original ResearchMeSH KeywordsAntacidsBlood Group IncompatibilityCalcium CarbonateDiabetes, GestationalDiagnosis, DifferentialEmergenciesFemaleGastroesophageal RefluxHumansHyperbilirubinemia, NeonatalHypocalcemiaHypoglycemiaHypoglycemic AgentsHypoparathyroidismInfant, NewbornMagnesiumMaleMaternal-Fetal ExchangeParathyroid HormonePregnancyPregnancy ComplicationsPregnancy Trimester, ThirdPrenatal Exposure Delayed EffectsSeizuresConceptsNeonatal seizuresTertiary pediatric emergency departmentCalcium carbonate intakeLow serum calciumParathyroid hormone concentrationsSeizure-like episodesSerum phosphate concentrationPediatric emergency departmentVariety of causesGastroesophageal refluxSuch patientsDrug withdrawalSerum calciumThird trimesterPotential morbidityBirth traumaCounter medicationsEmergency departmentMaternal ingestionPregnant mothersMale infantMetabolic disturbancesCongenital anomaliesAnticipatory guidanceHormone concentrationsPediatric Anaphylaxis Management in the Prehospital Setting
Tiyyagura GK, Arnold L, Cone DC, Langhan M. Pediatric Anaphylaxis Management in the Prehospital Setting. Prehospital Emergency Care 2013, 18: 46-51. PMID: 24028748, PMCID: PMC3865171, DOI: 10.3109/10903127.2013.825352.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEmergency medical servicesAnaphylactic reactionsAllergic reactionsUrban tertiary care pediatric emergency departmentLife-threatening systemic allergic reactionTertiary care pediatric emergency departmentPatients 18 yearsHistory of asthmaRetrospective chart reviewSystemic allergic reactionsPast medical historyTreatment of choiceParents/patientsCases of anaphylaxisAllergy-causing substanceGastrointestinal symptomsChart reviewRespiratory symptomsEarly administrationIntramuscular epinephrinePatient's symptomsEmergency departmentEpinephrine administrationMean ageCapnography in the pediatric emergency department: clinical applications
Becker HJ, Langhan M. Capnography in the pediatric emergency department: clinical applications. Pediatric Emergency Medicine Practice 2013, 10: 1-24. PMID: 31692301.Peer-Reviewed Original ResearchPediatric emergency departmentEmergency departmentEmergency cliniciansConfirmation of intubationUse of capnographyLower respiratory diseaseEnd-tidal carbon dioxide monitoringClinical applicationMaintenance of ventilationInterpretation of waveformsNonintubated childrenPediatric patientsMetabolic derangementsMonitoring of effectivenessSedated childrenCarbon dioxide monitoringCardiopulmonary resuscitationMetabolic parametersRespiratory diseasePediatric subspecialtiesPatient careCapnographyClinical useNoninvasive methodClinicians
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 studiesDetection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine
Langhan ML, Chen L, Marshall C, Santucci KA. Detection of Hypoventilation by Capnography and Its Association With Hypoxia in Children Undergoing Sedation With Ketamine. Pediatric Emergency Care 2011, 27: 394-397. PMID: 21494162, DOI: 10.1097/pec.0b013e318217b538.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAnesthetics, DissociativeCapnographyCarbon DioxideChildChild, PreschoolConscious SedationDiagnosis, DifferentialFemaleFollow-Up StudiesHumansHypoventilationHypoxiaInfantInjections, IntravenousIntensive Care Units, PediatricKetamineMaleProspective StudiesReproducibility of ResultsYoung AdultConceptsPercent of subjectsPulse oximetryRespiratory ratePersistent decreaseEnd-tidal carbon dioxide levelsDetection of hypoventilationPediatric emergency departmentStandard monitoring practicesIntravenous ketamineEmergency departmentTidal volumeHeart rateSedationHypoventilationTransient decreaseKetamineOximetryCapnographyHypoxiaFurther studiesMidazolamChildrenFrequency of hypoxiaRoutine monitoringSubjects
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
2009
Portable Spirometry During Acute Exacerbations of Asthma in Children
Langhan ML, Spiro DM. Portable Spirometry During Acute Exacerbations of Asthma in Children. Journal Of Asthma 2009, 46: 122-125. PMID: 19253115, DOI: 10.1080/02770900802460522.Peer-Reviewed Original ResearchConceptsAcute exacerbationPediatric emergency departmentPortable spirometryEmergency departmentClinical signsAirway obstructionExpiratory volumeClinical scoresExpiratory flowUrban pediatric emergency departmentCorrelation of spirometryHistory of asthmaAssessment of asthmaPeak expiratory flowPercent of subjectsYears of ageBronchodilator treatmentMedian ageVital capacitySpirometryExacerbationOxygen saturationAsthmaRespiratory rateVital signs
2008
Current Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments
Langhan ML, Chen L. Current Utilization of Continuous End-Tidal Carbon Dioxide Monitoring in Pediatric Emergency Departments. Pediatric Emergency Care 2008, 24: 211-213. PMID: 18431217, DOI: 10.1097/pec.0b013e31816a8d31.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentEnd-tidal carbon dioxide monitoringETCO2 monitoringEmergency departmentPercent of respondentsCarbon dioxide monitoringEndotracheal tube confirmationContinuous ETCO2 monitoringContinuous End-Tidal Carbon Dioxide MonitoringPediatric emergency medicine fellowship programsAcid-base disturbancesTube confirmationIntubated patientsNonintubated patientsModerate sedationEmergency settingCommon reasonWeb-based surveyQuantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma
Langhan ML, Zonfrillo MR, Spiro DM. Quantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma. The Journal Of Pediatrics 2008, 152: 829-832. PMID: 18492526, DOI: 10.1016/j.jpeds.2007.11.032.Peer-Reviewed Original ResearchConceptsAcute exacerbationEnd-tidal carbon dioxidePediatric emergency departmentBronchodilator treatmentEmergency departmentControl subjectsSeverity of asthmaHealthy control subjectsHospital admissionPhysical examinationMetabolic disturbancesAsthmaExacerbationRespiratory rateVital signsPatientsChildrenTreatmentSeveritySubjectsDepartmentAdmission