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
Postpartum 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 screeningFindings 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 scanContextualizing exposures and experiences of behaviors that influence the risk of crash injury in latino adolescent males.
Vaca FE, Trevino S, Riera A, Meyer E, Anderson CL. Contextualizing exposures and experiences of behaviors that influence the risk of crash injury in latino adolescent males. AAAM Annual Conference 2012, 56: 79-86. PMID: 23169119, PMCID: PMC3503408.Peer-Reviewed Original Research
2010
The 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