2023
Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region
Rutledge C, Waddell K, Gaither S, Whitfill T, Auerbach M, Tofil N. Evaluation of Pediatric Readiness Using Simulation in General Emergency Departments in a Medically Underserved Region. Pediatric Emergency Care 2023, 40: 335-340. PMID: 37973039, DOI: 10.1097/pec.0000000000003056.Peer-Reviewed Original ResearchPediatric readiness scoreGeneral emergency departmentsPediatric patient volumeComposite quality scorePediatric patientsPediatric emergenciesEmergency departmentHigher composite quality scorePatient volumeNational Pediatric Readiness ProjectIll pediatric patientsUnderserved areasClinical care processesEmergency medical servicesPediatric readinessSimulated paediatric emergencyPediatric carePatientsCare processesHospital locationPediatric resourcesED locationMedical servicesUnderserved regionsSignificant differencesFrequency, Type, and Degree of Potential Harm of Adverse Safety Events among Pediatric Emergency Medical Services Encounters
Cicero M, Baird J, Brown L, Auerbach M, Adelgais K. Frequency, Type, and Degree of Potential Harm of Adverse Safety Events among Pediatric Emergency Medical Services Encounters. Prehospital Emergency Care 2023, 28: 883-889. PMID: 37698357, DOI: 10.1080/10903127.2023.2257775.Peer-Reviewed Original ResearchAdverse safety eventsDiagnosis/EMS encountersFluid administrationPediatric encountersSafety eventsCare categoriesClinical decisionEmergency medical services (EMS) patientsMedical service patientsCross-sectional studyPotential harmMedical service encountersChart reviewHospital recordsService patientsPrehospital recordsEMS patientsMedication administrationUnintended injuryFrequent associationPatientsClinical interventionsHarm severityEMS agencies
2021
Pediatric Emergency Medicine Didactics and Simulation (PEMDAS) Telesimulation Series: Hyperleukocytosis
Koff A, Burns R, Auerbach M, Lee B, Pearce J, Ciener D, Augenstein J, Yeung C, Thomas A. Pediatric Emergency Medicine Didactics and Simulation (PEMDAS) Telesimulation Series: Hyperleukocytosis. MedEdPORTAL 2021, 17: 11205. PMID: 34963902, PMCID: PMC8666409, DOI: 10.15766/mep_2374-8265.11205.Peer-Reviewed Original ResearchConceptsPediatric emergency medicineMental statusManagement of hyperleukocytosisTumor lysis syndromeEmergency medicineAppropriate workupLysis syndromeNeurologic changesPediatric patientsPrompt recognitionRespiratory distressElectrolyte derangementsInfrequent presentationParticipant evaluation formsHyperleukocytosisPhysical distancing guidelinesMedical emergencyAppropriate interventionsInitial assessmentSimulation-based curriculumCoagulopathyPatientsFeverCOVID-19 pandemicEvaluation formRacial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department
Nash KA, Tolliver DG, Taylor RA, Calhoun AJ, Auerbach MA, Venkatesh AK, Wong AH. Racial and Ethnic Disparities in Physical Restraint Use for Pediatric Patients in the Emergency Department. JAMA Pediatrics 2021, 175: 1283-1285. PMID: 34515764, PMCID: PMC8438617, DOI: 10.1001/jamapediatrics.2021.3348.Peer-Reviewed Original ResearchCreation of a standardized pediatric emergency medicine simulation curriculum for emergency medicine residents
Burns R, Madhok M, Bank I, Nguyen M, Falk M, Waseem M, Auerbach M. Creation of a standardized pediatric emergency medicine simulation curriculum for emergency medicine residents. AEM Education And Training 2021, 5: e10685. PMID: 34632245, PMCID: PMC8489268, DOI: 10.1002/aet2.10685.Peer-Reviewed Original ResearchIll pediatric patientsPediatric patientsEM residentsMajority of facilitatorsMajority of childrenEmergency departmentCare knowledgeEmergency medicine residentsResidency program graduatesResuscitation skillsMost facilitatorsMedicine residentsEmergency medicineSimulation-based curriculumEmergent assessmentMost participantsElectronic surveyPatientsEM traineesChildrenDelphi studyParticipantsSimulation curriculumFacilitatorsResidentsImproving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center
Alsaedi H, Lutfi R, Abu-Sultaneh S, Montgomery EE, Pearson KJ, Weinstein E, Whitfill T, Auerbach MA, Abulebda K. Improving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center. The Journal Of Pediatrics 2021, 240: 235-240.e1. PMID: 34481806, DOI: 10.1016/j.jpeds.2021.08.081.Peer-Reviewed Original ResearchConceptsGeneral emergency departmentsAcademic medical centerDiabetic ketoacidosisPatients' clinical outcomesEmergency departmentClinical outcomesMedical CenterClinical carePediatric intensive care unitPediatric diabetic ketoacidosisRetrospective cohort studyIntensive care unitProcess of carePediatric emergency careCollaborative improvement programSignificant improvementCohort studyPediatric patientsCare unitMultifaceted interventionsEmergency carePatientsCareAdherenceKetoacidosisSimulation Training for Community Emergency Preparedness.
Abulebda K, Thomas A, Whitfill T, Montgomery EE, Auerbach MA. Simulation Training for Community Emergency Preparedness. Pediatric Annals 2021, 50: e19-e24. PMID: 33450035, DOI: 10.3928/19382359-20201212-01.Peer-Reviewed Original ResearchConceptsCommunity emergency preparednessPediatric patientsPediatric emergency careAcademic medical centerCommunity-based settingsEmergency preparednessMost infantsMedical CenterPediatric settingEmergency careHealth outcomesCommunity settingsPediatric preparednessPatientsSimulation-based programCareSimulation trainingSettingPreparednessInfants
2020
National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic
Abulebda K, Ahmed RA, Auerbach MA, Bona AM, Falvo LE, Hughes PG, Gross IT, Sarmiento EJ, Barach PR. National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic. World Journal Of Critical Care Medicine 2020, 9: 74-87. PMID: 33384950, PMCID: PMC7754533, DOI: 10.5492/wjccm.v9.i5.74.Peer-Reviewed Original ResearchPersonal protective equipmentCOVID-19 patientsChildren's HospitalClinical practiceCOVID-19 dedicated unitsAdult COVID-19 patientsPediatric intensive care unitHealth worker protectionPediatric healthcare systemIntensive care unitPediatric critical careTraining modalitiesStaffing modelsPreferred training modalitiesCoronavirus disease (COVID-19) pandemicPICU unitPediatric patientsCare unitPICU careAirway managementPediatric hospitalCritical careCOVID-19 practicesCurrent modalitiesPatientsA National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness
Auerbach MA, Abulebda K, Bona AM, Falvo L, Hughes PG, Wagner M, Barach PR, Ahmed RA. A National US Survey of Pediatric Emergency Department Coronavirus Pandemic Preparedness. Pediatric Emergency Care 2020, 37: 48-53. PMID: 33394945, PMCID: PMC7780930, DOI: 10.1097/pec.0000000000002307.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentPersonal protective equipmentChildren's HospitalEmergency departmentAcademic children's hospitalAirway management protocolProspective multicenter surveyTraining modalitiesPediatric patients ageCardiac arrest managementPediatric emergency medicineResearch NetworkAppropriate donningAdult patientsPatient ageNational research networkPhysician staffingMulticenter surveyPreparedness effortsCOVID patientsClinical practicePandemic preparednessTriaging modelHospitalPatientsPediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study.
Balmaks R, Whitfill TM, Ziemele B, Blumberga M, Upenieks R, Vegeris I, Grope I, Pavare J, Auerbach MA, Gross IT. Pediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study. Pediatric Critical Care Medicine 2020, 21: e213-e220. PMID: 32132503, DOI: 10.1097/pcc.0000000000002255.Peer-Reviewed Original ResearchConceptsPediatric readiness scoreProspective cohort studyEmergency departmentPediatric readinessPatient outcomesComposite quality scoreCohort studyReadiness scoresPediatric acute careProcess of carePediatric emergency careHospital lengthPediatric patientsQuality scoresAcute carePediatric mortalityPatient RegistryCritical careMixed-effects regressionPICUEmergency carePatientsMortalityCareOutcomes
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
2018
An International Interprofessional Study of Mental Models and Factors Delaying Neuroimaging of Critically Head-Injured Children Presenting to Emergency Departments
Auerbach M, Cole J, Violano P, Roney L, Doherty C, Shepherd M, MacKinnon R. An International Interprofessional Study of Mental Models and Factors Delaying Neuroimaging of Critically Head-Injured Children Presenting to Emergency Departments. Pediatric Emergency Care 2018, 34: 797-801. PMID: 27753711, DOI: 10.1097/pec.0000000000000915.Peer-Reviewed Original ResearchConceptsHead-injured childrenEmergency departmentInterprofessional health care providersProvider perspectivesSevere head injuryHead-injured patientsHealth care providersPercentage of providersSystem factorsTime-consuming interventionCushing's triadHead injuryResuscitation bayCare providersMental modelsTeam decisionScanner availabilityDiverse teamsInterprofessional teamInterventionNeuroimagingPatientsChildrenFrequent factorsInterprofessional studyGPS Devices in a Simulated Mass Casualty Event
Gross IT, Coughlin RF, Cone DC, Bogucki S, Auerbach M, Cicero MX. GPS Devices in a Simulated Mass Casualty Event. Prehospital Emergency Care 2018, 23: 290-295. PMID: 30118640, DOI: 10.1080/10903127.2018.1489018.Peer-Reviewed Original ResearchConceptsEmergency departmentMass casualty eventsED staffPatient tracking toolCasualty eventsGlobal Positioning SystemEmergency medicine departmentPediatric emergency medicine (PEM) fellowsEmergency medical servicesSecondary outcomesPediatric patientsPrimary outcomeMedical evaluationPatient managementMedicine departmentStaff receptionPatient careReal-time trackingGPS devicesFree-text feedbackMedical servicesPatientsPatient actorsHospitalStaff perceptions
2016
The Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success
Auerbach M, Fein DM, Chang TP, Gerard J, Zaveri P, Grossman D, Van Ittersum W, Rocker J, Whitfill T, Pusic M, Kessler DO. The Correlation of Workplace Simulation-Based Assessments With Interns’ Infant Lumbar Puncture Success. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2016, 11: 126-133. PMID: 27043098, DOI: 10.1097/sih.0000000000000135.Peer-Reviewed Original ResearchConceptsProcedural successPuncture successSuccess rateAcademic medical centerPrimary outcomeMedical CenterPatientsLarger studyRating ScaleClinical performanceProcedural readinessLittle dataGlobal rating scaleScale ratingsSimulation-based assessmentFirst procedureIncoming internsTotalWeak correlationAssessmentInternsComparing 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 strategyParticipants
2014
Creation 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
2012
Design, Validity, and Reliability of a Pediatric Resident JumpSTART Disaster Triage Scoring Instrument
Cicero MX, Riera A, Northrup V, Auerbach M, Pearson K, Baum CR. Design, Validity, and Reliability of a Pediatric Resident JumpSTART Disaster Triage Scoring Instrument. Academic Pediatrics 2012, 13: 48-54. PMID: 23153602, DOI: 10.1016/j.acap.2012.09.002.Peer-Reviewed Original ResearchConceptsIntraclass correlation coefficientGlobal assessmentPediatric disaster triagePostgraduate yearScoring instrumentOverall intraclass correlation coefficientAmbulatory patientsAirway managementColor-coding algorithmHead injuryPatientsTotal scoreTriage decisionsTriage performanceInstrument itemsModerate reliabilityOverall scoreScoresTriageInternal validityExcellent reliabilityResident performanceDisaster triageAnalysis of varianceAssessment
2009
The use of simulation for pediatric training and assessment
Weinberg ER, Auerbach MA, Shah NB. The use of simulation for pediatric training and assessment. Current Opinion In Pediatrics 2009, 21: 282-287. PMID: 19381090, DOI: 10.1097/mop.0b013e32832b32dc.Peer-Reviewed Original ResearchConceptsAcute care providersCare providersAssessment toolArea of resuscitationClinical outcomesIll patientsAirway managementRespiratory arrestAdjunctive methodHealthcare providersRetention of knowledgePediatric trainingSimulation-based trainingTraumaLethal eventRecent studiesTeam trainingProvidersSimulation trainingProcedural trainingFurther researchEffective training toolOngoing feedbackPatientsResuscitationA Randomized, Double‐blind Controlled Study of Jet Lidocaine Compared to Jet Placebo for Pain Relief in Children Undergoing Needle Insertion in the Emergency Department
Auerbach M, Tunik M, Mojica M. A Randomized, Double‐blind Controlled Study of Jet Lidocaine Compared to Jet Placebo for Pain Relief in Children Undergoing Needle Insertion in the Emergency Department. Academic Emergency Medicine 2009, 16: 388-393. PMID: 19388923, DOI: 10.1111/j.1553-2712.2009.00401.x.Peer-Reviewed Original ResearchConceptsColor Analog ScaleSelf-reported painPain scoresEmergency departmentNeedle insertionLocal anesthetic pretreatmentMajority of patientsPlacebo-controlled designNeedle insertion painYears of ageNonintervention control groupAnesthetic pretreatmentPlacebo groupSuperior analgesiaPain reliefAnalog scaleLocal anesthesiaPatient cooperationPlaceboChildren 5Control groupPainInsertion painLidocainePatients