2023
Women in pediatric emergency medicine: Trends in gender from 2000 to 2020
Kayani J, Reed J, Safdar B, Langhan M. Women in pediatric emergency medicine: Trends in gender from 2000 to 2020. Academic Emergency Medicine 2023, 30: 675-677. PMID: 36545838, DOI: 10.1111/acem.14644.Peer-Reviewed Original Research
2021
A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows
Langhan ML, Woolf S, Tiyyagura G. A Community Emergency Department Rotation for Pediatric Emergency Medicine Fellows. Pediatric Emergency Care 2021, 37: e1521-e1523. PMID: 32941360, DOI: 10.1097/pec.0000000000002103.Peer-Reviewed Original ResearchMeSH KeywordsCurriculumEmergency MedicineEmergency Service, HospitalFellowships and ScholarshipsHumansPediatric Emergency MedicineSurveys and QuestionnairesConceptsCommunity emergency departmentsEmergency departmentPEM fellowsPediatric emergency medicine specialistsAcademic children's hospitalChildren's emergency departmentEmergency medicine specialistsLower patient acuityPediatric emergency medicineChildren's HospitalMajority of participantsMonth-long rotationPEM fellowship programsEmergency carePatient acuityEmergency department rotationMedicine specialistsWeb-based surveyMajority of trainingEmergency medicineCare environmentHospital leadershipHospitalNeeds assessmentFellowship programsExploring 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 ResearchMeSH KeywordsAdultBurnout, ProfessionalEmergency Service, HospitalFemaleHumansMaleMiddle AgedMindfulnessPediatric Emergency MedicinePersonnel, HospitalSurveys and QuestionnairesTertiary Care CentersConceptsMaslach 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 acumenAn evidence-based approach to nontraumatic ocular complaints in children.
Iqbal A, Langhan ML, Rotruck J, Soma G. An evidence-based approach to nontraumatic ocular complaints in children. Pediatric Emergency Medicine Practice 2021, 18: 1-28. PMID: 33476507.Peer-Reviewed Original Research
2020
Seizures in neonates: diagnosis and management in the emergency department.
Langhan ML, Stanton B. Seizures in neonates: diagnosis and management in the emergency department. Pediatric Emergency Medicine Practice 2020, 17: 1-20. PMID: 32470245.Peer-Reviewed Original ResearchConceptsNeonatal seizuresEmergency departmentPhysical examination findingsEmergency department managementSeizure cessationAntiepileptic medicationsTreatable causeCommon presentationExamination findingsHigh morbidityPatient stabilizationFurther managementDepartment managementSeizuresSubtle signsNeonatesCauseDepartmentMedicationsMorbidityEtiologySymptomsManagementMortalityDiagnosisDifferences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentBody Mass IndexChildChild, PreschoolEmergency Service, HospitalHumansOverweightPrimary Health CareRetrospective StudiesConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
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 ResearchMeSH KeywordsChildChild AbuseChild, PreschoolDecision MakingEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleMouthPhysical AbusePrevalenceProspective StudiesConceptsPediatric 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
End-Tidal Carbon Dioxide Use for Tracheal Intubation
Langhan ML, Emerson BL, Nett S, Pinto M, Harwayne-Gidansky I, Rehder KJ, Krawiec C, Meyer K, Giuliano JS, Owen EB, Tarquinio KM, Sanders RC, Shepherd M, Bysani GK, Shenoi AN, Napolitano N, Gangadharan S, Parsons SJ, Simon DW, Nadkarni VM, Nishisaki A. End-Tidal Carbon Dioxide Use for Tracheal Intubation. Pediatric Critical Care Medicine 2018, 19: 98-105. PMID: 29140968, DOI: 10.1097/pcc.0000000000001372.Peer-Reviewed Original ResearchConceptsCapnography useTracheal intubationCardiac arrestEmergency departmentEsophageal intubationOxygen desaturationWaveform capnographyAdverse tracheal intubation-associated eventsMulticenter retrospective cohort studyNational Emergency Airway RegistryTracheal intubation-associated eventsEnd-tidal carbon dioxide measurementPrimary tracheal intubationsRetrospective cohort studyUse of capnographyTracheal intubation procedureQuality improvement initiativesAirway RegistryCohort studyProvider characteristicsSafety outcomesIntubationIntubation procedureCapnographyImprovement initiatives
2017
Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population
Bovino L, Brainard C, Beaumier K, Concetti V, Lefurge N, Mittelstadt E, Wilson T, Langhan ML. Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population. Journal Of Emergency Nursing 2017, 44: 110-116. PMID: 29169819, DOI: 10.1016/j.jen.2017.10.016.Peer-Reviewed Original ResearchConceptsUse of capnographyProcedural sedationWaveform capnographyRespiratory rateNursing practiceEmergency nursing practicePediatric procedural sedationGood nursing practicePatient's respiratory ratePediatric populationAbnormal ventilationPatient outcomesObservational studyEmergency nursesTidal volumePulse oximetryLarger studyPhysical assessmentCapnographySedationVentilationAnalgesiaCarbon dioxide levelsOximetryNursesCapnography 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 childrenPatientsVascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications.
Whitney R, Langhan M. Vascular Access in Pediatric Patients in the Emergency Department: Types of Access, Indications, and Complications. Pediatric Emergency Medicine Practice 2017, 14: 1-20. PMID: 28562239.Peer-Reviewed Original ResearchMeSH KeywordsAnesthetics, LocalArteriovenous Shunt, SurgicalCatheterization, Central VenousCatheterization, PeripheralCentral Venous CathetersChildChild, PreschoolEmergency Service, HospitalHumansInfantInfant, NewbornInfusions, IntraosseousInfusions, IntravenousPain ManagementPediatric Emergency MedicineSurgery, Computer-AssistedUltrasonographyVascular Access DevicesVenous CutdownConceptsVascular accessDifficult access patientsPeripheral intravenous accessCentral venous accessLife-saving procedurePain control techniquesProvider-specific factorsEmergency medicine practiceRoute of accessIntravenous accessPediatric patientsVenous accessEmergency departmentIntraosseous accessMedicine practicePatientsComplicationsType of accessIndicationsContraindicationsMainstayAcute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department.
Mohrer D, Langhan M. Acute Kidney Injury in Pediatric Patients: Diagnosis and Management in the Emergency Department. Pediatric Emergency Medicine Practice 2017, 14: 1-24. PMID: 28447934.Peer-Reviewed Original ResearchMeSH KeywordsAcute Kidney InjuryAdolescentChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInfant, NewbornMaleConceptsAcute kidney injuryPediatric acute kidney injuryKidney injuryPediatric patientsEmergency departmentChronic kidney diseaseIntravascular volume statusMedication exposureCardiac dysfunctionCommon etiologySignificant morbidityVolume statusKidney diseasePediatric nephrologistsHigh riskInjuryPatientsEtiologyDiagnosisChildrenRiskClassification systemDepartmentSepsisMorbidityA Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine.
Kim JW, Tiyyagura G, Langhan M. A Qualitative Analysis of General Emergency Medicine Providers' Perceptions on Pediatric Emergency Telemedicine. Pediatric Emergency Care 2017, Publish Ahead of Print: 856-861. PMID: 28225376, DOI: 10.1097/pec.0000000000001067.Peer-Reviewed Original ResearchConceptsED providersLimitations of telemedicineEmergency departmentTelemedicine programProviders' perceptionsPediatric ED providersAdult stroke patientsGeneral emergency departmentsCritical care settingPatient-related outcomesPediatric emergency patientsPediatric emergency careAudio-recorded semistructured interviewsPediatric telemedicineStroke patientsConnecticut hospitalsApplication of telemedicineCare settingsEmergency patientsEmergency careVideo telemedicineTelemedicine's effectMost childrenPediatric resourcesFurther studies
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
Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff
Langhan ML, Riera A, Kurtz JC, Schaeffer P, Asnes AG. Implementation of newly adopted technology in acute care settings: a qualitative analysis of clinical staff. Journal Of Medical Engineering & Technology 2014, 39: 44-53. PMID: 25367721, PMCID: PMC4686128, DOI: 10.3109/03091902.2014.973618.Peer-Reviewed Original ResearchMeSH KeywordsAttitude of Health PersonnelBiomedical TechnologyDiffusion of InnovationEmergency Service, HospitalHumansIntensive Care UnitsNursesPhysiciansA 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 ResearchMeSH KeywordsAdolescentCapnographyChildChild, PreschoolConscious SedationEmergency Service, HospitalFemaleHumansHypoventilationInfantMaleYoung AdultConceptsEpisodes 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 interventionCapnographyExperiences with capnography in acute care settings: A mixed-methods analysis of clinical staff
Langhan ML, Kurtz JC, Schaeffer P, Asnes AG, Riera A. Experiences with capnography in acute care settings: A mixed-methods analysis of clinical staff. Journal Of Critical Care 2014, 29: 1035-1040. PMID: 25129575, PMCID: PMC4194255, DOI: 10.1016/j.jcrc.2014.06.021.Peer-Reviewed Original ResearchConceptsUse of capnographyAcute care areasCare unitCare areasPatient careIntensive care unitAcute care settingAcute care unitsFuture implementation strategiesCapnography useEmergency departmentClinical guidelinesCare settingsNineteen providersClinical staffCapnographyVariable knowledgeConstant comparative methodPurposeful sampleCareVaried responsivenessImplementation strategiesMixed-method analysisHospitalIterative data analysis
2013
Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression
Langhan ML. Acute Alcohol Intoxication in Adolescents: Frequency of Respiratory Depression. Journal Of Emergency Medicine 2013, 44: 1063-1069. PMID: 23485262, DOI: 10.1016/j.jemermed.2012.11.041.Peer-Reviewed Original ResearchConceptsAcute alcohol intoxicationRespiratory depressionAlcohol intoxicationAlcohol levelsProspective observational pilot studyEpisodes of hypoventilationIncidence of hypoventilationMean alcohol levelsObservational pilot studySerious adverse effectsPercent of subjectsHours of intoxicationYears of ageEffects of alcoholOxygen desaturationPatients 14Younger patientsHypoventilationLow dosesSecondary objectiveVital signsAdult counterpartsPatient safetyPilot studyIntoxication
2012
Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department
Riera A, Hsiao AL, Langhan ML, Goodman TR, Chen L. Diagnosis of Intussusception by Physician Novice Sonographers in the Emergency Department. Annals Of Emergency Medicine 2012, 60: 264-268. PMID: 22424652, PMCID: PMC3431911, DOI: 10.1016/j.annemergmed.2012.02.007.Peer-Reviewed Original ResearchConceptsPediatric emergency physiciansIleocolic intussusceptionEmergency physiciansUltrasonographic resultsUrban tertiary care children's hospitalPredictive valueBedside emergency department ultrasonographyTertiary care children's hospitalEmergency department ultrasonographyDiagnosis of intussusceptionProspective convenience sample studyLikelihood ratioNegative predictive valuePositive predictive valueConvenience sample studyBowel ultrasonographyMedian agePediatric EDChildren's HospitalUltrasonographic studyEmergency departmentObservational studyPhysician sonographersBedside studiesIntussusception
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 studies