2024
State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved
Newgard C, Lin A, Goldhaber-Fiebert J, Remick K, Gausche-Hill M, Burd R, Malveau S, Cook J, Jenkins P, Ames S, Mann N, Glass N, Hewes H, Fallat M, Salvi A, Carr B, McConnell K, Stephens C, Ford R, Auerbach M, Babcock S, Kuppermann N. State and National Estimates of the Cost of Emergency Department Pediatric Readiness and Lives Saved. JAMA Network Open 2024, 7: e2442154. PMID: 39485354, PMCID: PMC11530936, DOI: 10.1001/jamanetworkopen.2024.42154.Peer-Reviewed Original ResearchConceptsPediatric readinessED readinessEmergency departmentWeighted pediatric readiness scorePediatric livesCohort studyPediatric readiness scoreEmergency servicesUS emergency departmentsHigh emergency departmentAnnual hospital expendituresDistrict of ColumbiaNational annual costEmergency careReadiness scoresMain OutcomesNational estimatesChild deathsEligible childrenAged 0Hospital expendituresNational costUS costsUS statesChild's lifeA Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020
Boggs K, Voligny E, Auerbach M, Espinola J, Samuels-Kalow M, Sullivan A, Camargo C. A Comparison of State-Specific Pediatric Emergency Medical Facility Recognition Programs, 2020. Pediatric Emergency Care 2024, 40: 141-146. PMID: 38295194, PMCID: PMC10832299, DOI: 10.1097/pec.0000000000003119.Peer-Reviewed Original ResearchMeSH KeywordsChildDisaster PlanningEmergency Medical ServicesEmergency Service, HospitalHumansUnited StatesConceptsPediatric emergency care coordinatorEmergency Medical Services for ChildrenProgram start dateEmergency departmentQuality of pediatric emergency carePediatric emergency careHigh emergency departmentRecognition programCare coordinationPediatric readinessEmergency careStart datePatient outcomesED areaProgram characteristicsProgram managersLevel of verificationProgramLevel of recognitionVerification requirementsCareVerificationParticipantsChildrenDepartment
2023
Variation 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 ResearchMeSH KeywordsAnaphylaxisChildEmergency MedicineEpinephrineHumansInjections, IntramuscularResuscitationUnited StatesConceptsPatient 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 populationAvailability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018
Boggs K, Espinola J, Sullivan A, Li J, Auerbach M, Hasegawa K, Samuels-Kalow M, Camargo C. Availability of Pediatric Emergency Care Coordinators in US Emergency Departments in 2018. Pediatric Emergency Care 2023, 39: 385-389. PMID: 37104702, DOI: 10.1097/pec.0000000000002953.Peer-Reviewed Original Research
2022
Emergency Department Pediatric Readiness Among US Trauma Centers
Newgard C, Babcock S, Song X, Remick K, Gausche-Hill M, Lin A, Malveau S, Mann N, Nathens A, Cook J, Jenkins P, Burd R, Hewes H, Glass N, Jensen A, Fallat M, Ames S, Salvi A, McConnell K, Ford R, Auerbach M, Bailey J, Riddick T, Xin H, Kuppermann N, Group O. Emergency Department Pediatric Readiness Among US Trauma Centers. Annals Of Surgery 2022, 278: e580-e588. PMID: 36538639, PMCID: PMC10149578, DOI: 10.1097/sla.0000000000005741.Peer-Reviewed Original ResearchConceptsUS trauma centersEmergency Department Pediatric ReadinessED pediatric readinessTrauma centerPediatric readinessHospital survivalRetrospective cohort studyHospital-level variablesAmerican Hospital Association surveyLong-term survivalMental health careLife support coursePediatric survivalCohort studyPrimary outcomePatient assessmentPatient variablesPediatric triageRespiratory equipmentPotential predictorsHealth careReadiness componentsSurvivalSupport courseStrongest predictor
2021
Preparedness for Pediatric Office Emergencies: A Multicenter, Simulation-Based Study
Abulebda K, Yuknis ML, Whitfill T, Montgomery EE, Pearson KJ, Rousseau R, Diaz MCG, Brown LL, Wing R, Tay KY, Good GL, Malik RN, Garrow AL, Zaveri PP, Thomas E, Makharashvili A, Burns RA, Lavoie M, Auerbach MA. Preparedness for Pediatric Office Emergencies: A Multicenter, Simulation-Based Study. Pediatrics 2021, 148: e2020038463. PMID: 34433688, DOI: 10.1542/peds.2020-038463.Peer-Reviewed Original ResearchConceptsEmergency medical servicesEmergency carePreparedness scorePediatric primary care officePrimary care officesPediatric office settingCase performance scoresMulticenter cohortMultivariable analysisRespiratory distressMulticenter studyPediatric guidelinesPercentage adherenceCare officesIndependent practiceNational cohortOffice preparednessPediatric emergenciesPediatric officesOffice emergenciesAmerican AcademyOffice settingEmergency preparednessUnweighted percentagesMedical servicesA Regional Intervention to Appoint Pediatric Emergency Care Coordinators in New England Emergency Departments
Li J, Petrack EM, Boggs KM, Auerbach M, Foster AA, Sullivan AF, Camargo CA. A Regional Intervention to Appoint Pediatric Emergency Care Coordinators in New England Emergency Departments. Pediatric Emergency Care 2021, 38: 75-78. PMID: 35100744, DOI: 10.1097/pec.0000000000002456.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorEmergency departmentCare coordinatorsED characteristicsNew England Emergency DepartmentsState Emergency Medical ServicesEmergency medical servicesIndividual outreachSurvey response rateAmerican CollegeResponse rateIndividual EDsED leadershipMedical servicesEDInterventionAppointmentsDepartmentNew England statesState chaptersVirtual Telesimulation for Medical Students During the COVID-19 Pandemic
Ray JM, Wong AH, Yang TJ, Buck S, Joseph M, Bonz JW, Auerbach MA, Couturier K, Tomassoni AJ, Schwartz ML, Evans LV. Virtual Telesimulation for Medical Students During the COVID-19 Pandemic. Academic Medicine 2021, 96: 1431-1435. PMID: 33883398, PMCID: PMC8475640, DOI: 10.1097/acm.0000000000004129.Peer-Reviewed Original ResearchConceptsMedical studentsVideoconferencing platformUndergraduate medical educationImmersive educational experienceClinical skill developmentSimulation-based learningMedical student curriculumLearning experienceEducational experienceStudent curriculumClerkship rotationEducational modalitiesContent areasMedical educationMedical schoolsSkill developmentFacilitator interactionsStudentsOnline webinarsPatient actorsStudent volunteersCOVID-19 pandemicSimilar programsChat functionSchoolsAvailability of Pediatric Emergency Care Coordinators in United States Emergency Departments
Boggs KM, Espinola JA, Sullivan AF, Freid RD, Auerbach M, Hasegawa K, Samuels-Kalow ME, Camargo CA. Availability of Pediatric Emergency Care Coordinators in United States Emergency Departments. The Journal Of Pediatrics 2021, 235: 163-169.e1. PMID: 33577802, DOI: 10.1016/j.jpeds.2021.02.014.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorUS emergency departmentsEmergency departmentCare coordinatorsUnited States emergency departmentsStates emergency departmentsNational Emergency Department Inventory-USAED visit volumeMultivariable logistic regressionVisit volumeLogistic regressionED areaDescriptive statisticsLarge proportionDepartment
2020
A 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 modelHospitalPatientsA Telesimulation Elective to Provide Medical Students With Pediatric Patient Care Experiences During the COVID Pandemic
Yang T, Buck S, Evans L, Auerbach M. A Telesimulation Elective to Provide Medical Students With Pediatric Patient Care Experiences During the COVID Pandemic. Pediatric Emergency Care 2020, 37: 119-122. PMID: 33181792, PMCID: PMC7850555, DOI: 10.1097/pec.0000000000002311.Peer-Reviewed Original ResearchConceptsMedical studentsMedical student learnersMajority of learnersEffective educational strategiesAmerican Medical CollegesKnowledge/skillsCOVID pandemicPatient care experiencesStudent learnersDistance learningPerson simulationFaculty feedbackPediatric emergency trainingEducational strategiesMost facultyStudentsDirect patient care activitiesFacultyPatient care activitiesSimulation sessionsActivity IEmergency trainingVirtual simulationLearnersMedical CollegePart 6: Resuscitation Education Science: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Cheng A, Magid DJ, Auerbach M, Bhanji F, Bigham BL, Blewer AL, Dainty KN, Diederich E, Lin Y, Leary M, Mahgoub M, Mancini ME, Navarro K, Donoghue A. Part 6: Resuscitation Education Science: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2020, 142: s551-s579. PMID: 33081527, DOI: 10.1161/cir.0000000000000903.Peer-Reviewed Original ResearchMeSH KeywordsAdvanced Cardiac Life SupportAmerican Heart AssociationCardiologyCardiology Service, HospitalCardiopulmonary ResuscitationClinical CompetenceConsensusEducation, Medical, GraduateEmergenciesEmergency Service, HospitalEvidence-Based MedicineHeart ArrestHumansRisk FactorsTreatment OutcomeUnited StatesUsing Simulation to Measure and Improve Pediatric Primary Care Offices Emergency Readiness.
Garrow AL, Zaveri P, Yuknis M, Abulebda K, Auerbach M, Thomas EM. Using Simulation to Measure and Improve Pediatric Primary Care Offices Emergency Readiness. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2020, 15: 172-192. PMID: 32487839, DOI: 10.1097/sih.0000000000000472.Peer-Reviewed Original ResearchConceptsBaseline measurementsAmerican AcademyPediatric primary care providersPediatric primary care officeInterprofessional teamOffices of pediatriciansPrimary care officesPrimary care providersPediatrics policy statementSitu simulationEmergency preparednessRespiratory distressCare officesLatent safety threatsPediatrics recommendationsPediatric officesCare providers
2019
Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States
Whitfill TM, Remick KE, Olson LM, Richards R, Brown KM, Auerbach MA, Gausche-Hill M. Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States. The Journal Of Pediatrics 2019, 218: 210-216.e2. PMID: 31757472, DOI: 10.1016/j.jpeds.2019.10.017.Peer-Reviewed Original Research
2018
National Study of Self‐reported Pediatric Areas in United States General Emergency Departments
Camargo A, Boggs KM, Auerbach M, Freid RD, Sullivan AF, Espinola JA, Camargo CA. National Study of Self‐reported Pediatric Areas in United States General Emergency Departments. Academic Emergency Medicine 2018, 25: 1458-1462. PMID: 30311327, DOI: 10.1111/acem.13633.Peer-Reviewed Original ResearchConceptsPediatric emergency care coordinatorGeneral emergency departmentsU.S. emergency departmentsPediatric emergency departmentEmergency departmentPediatric areaType of EDPediatric emergency medicine physiciansEmergency medicine physiciansQuality improvement effortsPediatric bedsCare coordinatorsPatient outcomesPediatric careMedicine physiciansEmergency careVisit volumePEM physiciansStandardized definitionsCareFurther studiesNational surveyPrevalenceNational studyPhysiciansAn 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 studyResuscitation Education Science
Cheng A, Nadkarni VM, Mancini MB, Hunt EA, Sinz EH, Merchant RM, Donoghue A, Duff JP, Eppich W, Auerbach M, Bigham BL, Blewer AL, Chan PS, Bhanji F. Resuscitation Education Science. Circulation 2018, 138: e82-e122. PMID: 29930020, DOI: 10.1161/cir.0000000000000583.Peer-Reviewed Original ResearchConceptsEducational efficiencyInnovative educational strategiesDecay of skillsMastery learningFace coursesEducation SciencesFaculty developmentEducational offeringsEducational strategiesContextual learningDeliberate practiceLocal implementationSpaced practiceCardiac arrestClinical environmentSuboptimal clinical careLearningAmerican Heart Association scientific statementPoor survival outcomesCourseKnowledge translation strategiesPracticeKnowledge translationKey elementsSurvival outcomesThe Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study
Butler L, Whitfill T, Wong AH, Gawel M, Crispino L, Auerbach M. The Impact of Telemedicine on Teamwork and Workload in Pediatric Resuscitation: A Simulation-Based, Randomized Controlled Study. Telemedicine Journal And E-Health 2018, 25: 205-212. PMID: 29957150, DOI: 10.1089/tmj.2018.0017.Peer-Reviewed Original ResearchConceptsSimulation Team Assessment ToolProcesses of critical careImpact of telemedicineUsual carePediatric resuscitationProcess of care metricsCritical careSimulated pediatric resuscitationProcesses of careTime to defibrillationTeamwork scoresCare metricsSpecialty careTelemedicine groupNASA Task Load IndexTask Load IndexCareAssessment toolTelemedicineTeam workloadInfant resuscitationTeamworkRandomized Controlled StudyProcess of careTeam leadersEmergency Care for Children in the United States: Epidemiology and Trends Over Time
Whitfill T, Auerbach M, Scherzer DJ, Shi J, Xiang H, Stanley RM. Emergency Care for Children in the United States: Epidemiology and Trends Over Time. Journal Of Emergency Medicine 2018, 55: 423-434. PMID: 29793812, DOI: 10.1016/j.jemermed.2018.04.019.Peer-Reviewed Original ResearchConceptsLower-volume EDsPediatric ED visitsED visitsPediatric visitsEmergency careInterhospital transferPediatric volumeUtilization Project Nationwide Emergency Department SampleNationwide Emergency Department SampleSelf-pay insuranceEmergency Department SampleHigh-volume EDsEmergency care systemLower mortality rateMajority of childrenEmergency department volumeMedicaid insuranceHospital characteristicsGastrointestinal diseasesPediatric careEpidemiological trendsRespiratory diseaseCommon reasonMortality rateTotal visits
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