2024
The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments
Iqbal A, Whitfill T, Tiyyagura G, Auerbach M. The Role of Advanced Practice Providers in Pediatric Emergency Care Across Nine Emergency Departments. Pediatric Emergency Care 2024, 40: 131-136. PMID: 38286004, DOI: 10.1097/pec.0000000000003120.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPediatric emergency medicineLow acuity patientsPediatric emergency carePractice providersEmergency departmentAcuity patientsEmergency careImprove pediatric emergency careElectronic health recordsInternational Classification of DiseasesHigh-acuity patientsPediatric patient careClassification of DiseasesProvider typeHealth recordsEmergency medicinePatient encountersLength of stayPatient careInternational ClassificationProportion of pediatric patientsAcuity levelsPediatric patientsPatient factors
2023
Blueprint for community emergency department pediatric simulation
Kaur S, Lynders W, Goldman M, Bruno C, Morin J, Maruschock S, Auerbach M. Blueprint for community emergency department pediatric simulation. AEM Education And Training 2023, 7: e10925. PMID: 38046090, PMCID: PMC10688145, DOI: 10.1002/aet2.10925.Peer-Reviewed Original ResearchCommunity emergency departmentsAcademic medical centerSimulation Effectiveness Tool-ModifiedPediatric emergency carePercent of participantsRegional academic medical centerInfants/toddlersPediatric patientsEmergency departmentIll newbornsNewborn resuscitationLatent safety threatsMedical CenterEmergency carePediatric resuscitationInterprofessional teamPre-post surveyRetrospective pre-post surveyPediatric knowledgeCareNursing leadershipResuscitationNeeds assessmentSimulation sessionsEducation materialsEvaluation 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 differencesVariation in the Guidelines for the Acute Management of Anaphylaxis in Pediatric Patients
Athanasopoulou S, Leeds S, Auerbach M. Variation in the Guidelines for the Acute Management of Anaphylaxis in Pediatric Patients. Pediatric Emergency Care 2023, 40: 233-238. PMID: 37358800, DOI: 10.1097/pec.0000000000003003.Peer-Reviewed Original ResearchConceptsPatient harmManagement of anaphylaxisMitigate patient harmEmergency medicine organizationsPediatric patientsNarrative reviewCare of pediatric patientsEvidence-based guidelinesReview of guidelinesNational health organizationsAcute managementGrey literature reviewClinical pathwayReview guidelinesResuscitation CouncilConsensus-based approachMedicine organizationsPrevent errorsHarmonization of guidelinesRate of infusionHealth OrganizationClinical practiceDosing recommendationsPeer reviewPediatric population
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
Exposure and confidence across critical airway procedures in pediatric emergency medicine: An international survey study
Nagler J, Auerbach M, Monuteaux MC, Cheek JA, Babl FE, Oakley E, Nguyen L, Rao A, Dalton S, Lyttle MD, Mintegi S, Mistry RD, Dixon A, Rino P, Kohn-Loncarica G, Dalziel SR, Craig S, Networks T. Exposure and confidence across critical airway procedures in pediatric emergency medicine: An international survey study. The American Journal Of Emergency Medicine 2020, 42: 70-77. PMID: 33453618, DOI: 10.1016/j.ajem.2020.12.075.Peer-Reviewed Original ResearchConceptsBag-mask ventilationTracheostomy tube changePediatric Emergency Research NetworksEmergency medicine physiciansAirway proceduresEndotracheal intubationSurgical airwayMedicine physiciansLaryngeal mask airway insertionLaryngeal mask airwayMask airway insertionAdvanced airway managementRecent clinical experienceAirway management proceduresPercentage of physiciansProcedural confidencePediatric airway proceduresAirway management skillsPediatric emergency medicineSenior emergency physiciansResearch NetworkAirway insertionMask airwayPatient agePediatric patientsNational 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 modalitiesPatientsIdentifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter?
Mitchell IC, Norat BJ, Auerbach M, Bressler CJ, Como JJ, Escobar MA, Flynn‐O’Brien K, Lindberg DM, Nickoles T, Rosado N, Weeks K, Maguire S. Identifying Maltreatment in Infants and Young Children Presenting With Fractures: Does Age Matter? Academic Emergency Medicine 2020, 28: 5-18. PMID: 32888348, DOI: 10.1111/acem.14122.Peer-Reviewed Original ResearchConceptsFemoral fracturesRib fracturesSystematic reviewAbuse evaluationsMotor vehicle collisionsPercent of childrenLong bone fracturesPubMed/MEDLINEComparable age rangeChild abuse evaluationsChild abuse consultationsHumeral fracturesPediatric patientsCommon injuriesConsensus panelRoutine evaluationSignificant causeEvidence-based frameworkFinal analysisChild abuseAge rangePreverbal childrenMonthsVehicle collisionsYoung childrenPediatric 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
Improving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center.
Abu-Sultaneh S, Whitfill T, Rowan CM, Friedman ML, Pearson KJ, Berrens ZJ, Lutfi R, Auerbach MA, Abulebda K. Improving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center. Respiratory Care 2019, 64: 1073-1081. PMID: 31015388, DOI: 10.4187/respcare.06750.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric academic medical centerPediatric airway managementAcademic medical centerAirway managementEmergency departmentMedical CenterAppropriate endotracheal tube sizeLow pediatric volumePre-intervention visitReadiness scoresPediatric emergency airway managementEmergency airway managementEndotracheal tube sizePost-intervention studyAirway management issuesPediatric-specific equipmentStates academic medical centersCollaborative improvement programPrimary outcomeSecondary outcomesPediatric patientsOverall adherencePediatric volumeSuction catheterImproving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program
Abulebda K, Whitfill T, Montgomery EE, Kirby ML, Ahmed RA, Cooper DD, Nitu ME, Auerbach MA, Lutfi R, Abu-Sultaneh S. Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program. Pediatric Emergency Care 2019, 37: 543-549. PMID: 30870337, DOI: 10.1097/pec.0000000000001751.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsAcademic medical centerEmergency departmentCollaborative improvement programDiabetic ketoacidosisPediatric patientsPediatric volumePediatric resourcesComposite adherence scoreDiabetic ketoacidosis managementLow pediatric volumePediatric DKA patientsProspective interventional studyMixed linear regression modelsQuality of careDKA guidelinesPatients preimplementationDKA patientsInterventional studyOverall adherenceAdherence scoreIll childrenMedical CenterCritical action checklistMultiprofessional team
2018
A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments
Barata I, Auerbach M, Badaki‐Makun O, Benjamin L, Joseph MM, Lee MO, Mears K, Petrack E, Wallin D, Ishimine P, Denninghoff KR. A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments. Academic Emergency Medicine 2018, 25: 1415-1426. PMID: 30353946, DOI: 10.1111/acem.13642.Peer-Reviewed Original ResearchConceptsEmergency departmentEmergency medicinePediatric careConsensus conferenceAcademic Emergency MedicineHealth Outcome GapsGeneral emergency departmentsPatient care guidelinesOutcome gapPediatric emergency careAcademic pediatric centersImplementation of evidenceJournal Academic Emergency MedicineSafe medical careSystems of carePediatric emergency medicineQuality improvement expertsAcademic Emergency Medicine consensus conferenceCare of childrenPediatric centersPediatric patientsED settingCare guidelinesPediatric readinessEmergency careGPS 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 perceptionsA Randomized Single-Blinded Simulation-Based Trial of a Novel Method for Fluid Administration to a Septic Infant
Kline M, Crispino L, Bhatnagar A, Panchal RA, Auerbach M. A Randomized Single-Blinded Simulation-Based Trial of a Novel Method for Fluid Administration to a Septic Infant. Pediatric Emergency Care 2018, 37: e313-e318. PMID: 30106868, DOI: 10.1097/pec.0000000000001583.Peer-Reviewed Original ResearchConceptsSingle-blinded randomized trialCritical Care Medicine guidelinesTrauma center emergency departmentCenter emergency departmentFluid administration rateRapid fluid resuscitationPressure bagSignificant differencesRapid fluid deliveryInitial resuscitationSeptic infantsFluid resuscitationPediatric patientsPrimary outcomeFluid administrationMedicine guidelinesRandomized trialsIntravenous fluidsEmergency departmentProvider variablesAdministration rateDecompensated shockSpace Administration Task Load Index scoresAmerican CollegeSpace Administration Task Load Index
2016
Differences in the Quality of Pediatric Resuscitative Care Across a Spectrum of Emergency Departments
Auerbach M, Whitfill T, Gawel M, Kessler D, Walsh B, Gangadharan S, Hamilton MF, Schultz B, Nishisaki A, Tay KY, Lavoie M, Katznelson J, Dudas R, Baird J, Nadkarni V, Brown L. Differences in the Quality of Pediatric Resuscitative Care Across a Spectrum of Emergency Departments. JAMA Pediatrics 2016, 170: 987-994. PMID: 27570926, DOI: 10.1001/jamapediatrics.2016.1550.Peer-Reviewed Original ResearchConceptsHigher composite quality scorePediatric patient volumeEmergency departmentComposite quality scoreResuscitative carePatient volumePED statusProspective multicenter cohort studyCardiac arrest guidelinesMulticenter cohort studyPRS scoresIndividual domain scoresSepsis guidelinesCohort studyPediatric patientsIll patientsMulticenter studyCardiac arrestReal patient careMultivariable modelResuscitation bayMAIN OUTCOMEDomain scoresPatient careSurvey scores
2015
Disparities in Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: A Multicenter, Cross-Sectional Observational In Situ Simulation Study
Kessler DO, Walsh B, Whitfill T, Dudas RA, Gangadharan S, Gawel M, Brown L, Auerbach M. Disparities in Adherence to Pediatric Sepsis Guidelines across a Spectrum of Emergency Departments: A Multicenter, Cross-Sectional Observational In Situ Simulation Study. Journal Of Emergency Medicine 2015, 50: 403-415.e3. PMID: 26499775, DOI: 10.1016/j.jemermed.2015.08.004.Peer-Reviewed Original ResearchConceptsPediatric sepsis guidelinesEmergency departmentSepsis guidelinesPediatric EDGeneral EDsSeptic shockProviders' perceptionsGreater adherenceMulti-center observational studyImproved guideline adherenceGeneral emergency departmentsMultivariable logistic regressionPediatric emergency departmentCross-sectional observationalMultivariable regression modelsEmergency medical servicesSepsis scoreGuideline adherencePediatric patientsPrimary outcomeOverall adherenceObservational studyLogistic regressionInterprofessional teamAdherence