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 ResearchMeSH KeywordsAgedChildEmergency Medical ServicesEmergency Service, HospitalHospitalizationHumansPhysiciansRetrospective StudiesConceptsAdvanced 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
2020
Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments
Tiyyagura G, Emerson B, Gaither JR, Bechtel K, Leventhal JM, Becker H, Della Guistina K, Balga T, Mackenzie B, Shum M, Shapiro ED, Auerbach M, McVaney C, Morrell P, Asnes AG. Child Protection Team Consultation for Injuries Potentially Due to Child Abuse in Community Emergency Departments. Academic Emergency Medicine 2020, 28: 70-81. PMID: 32931628, DOI: 10.1111/acem.14132.Peer-Reviewed Original ResearchMeSH KeywordsChild AbuseChild Protective ServicesEmergency Medical ServicesEmergency Service, HospitalHumansInfantInfant, NewbornReferral and ConsultationConceptsCommunity emergency departmentsHigh-risk injuriesChild protection teamSkeletal surveyChild protective servicesEmergency departmentClinical pathway implementationHospital child protection teamInitiation of interventionsStudy-Act approachDetection of abuseChild abuse expertsAbusive injuriesPathway implementationProvider trainingEmergency careInjuryTeam consultationInfantsMonthsProtection teamStatistical process control chartsInterventionSuch interventionsConsultation
2017
Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment
Tiyyagura G, Beucher M, Bechtel K. Nonaccidental Injury in Pediatric Patients: Detection, Evaluation, and Treatment. Pediatric Emergency Medicine Practice 2017, 14: 1-32. PMID: 28665574.Peer-Reviewed Original ResearchMeSH KeywordsBurnsChildChild AbuseChild, PreschoolContusionsCraniocerebral TraumaDiagnosis, DifferentialEmergency Medical ServicesEvidence-Based MedicineFemaleFractures, BoneGuidelines as TopicHumansInfantIntensive Care Units, PediatricMaleMandatory ReportingPhysical ExaminationPhysician's RolePractice Patterns, Physicians'Retinal HemorrhageUnited StatesWounds and Injuries
2016
Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance
Alphonso A, Auerbach M, Bechtel K, Bilodeau K, Gawel M, Koziel J, Whitfill T, Tiyyagura GK. Development of a Child Abuse Checklist to Evaluate Prehospital Provider Performance. Prehospital Emergency Care 2016, 21: 222-232. PMID: 27700209, DOI: 10.1080/10903127.2016.1229824.Peer-Reviewed Original ResearchConceptsInter-rater reliabilityClinical experiencePrehospital providersLight's kappaEmergency medical services (EMS) providersCronbach's alphaAuthors' clinical experienceOverall Cronbach's alphaOverall inter-rater reliabilityInternal consistencyChild abuseSubstantial inter-rater reliabilityDelphi review processStrong content validityMedical service providersSemi-structured qualitative interviewsFinal checklistSelf-reported confidenceProvider experienceParticipant characteristicsItem completionLevel of trainingDelphi reviewContent validityProvider performanceBarriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers
Tiyyagura GK, Gawel M, Alphonso A, Koziel J, Bilodeau K, Bechtel K. Barriers and Facilitators to Recognition and Reporting of Child Abuse by Prehospital Providers. Prehospital Emergency Care 2016, 21: 46-53. PMID: 27436455, DOI: 10.1080/10903127.2016.1204038.Peer-Reviewed Original ResearchConceptsPrehospital care providersCare providersChief complaintInfant abusive head traumaReal-time decision supportPresence of caregiversAbusive head traumaPediatric patientsHead traumaPatient's airwayProtective servicesRecognition of signsDecision supportHospital providersPatients' thoughtsPrehospital providersCaregiver reactionsThematic saturationChild protective servicesChild abuseFocused educationKey taskAirwayPatientsScene safety
2013
Pediatric Anaphylaxis Management in the Prehospital Setting
Tiyyagura GK, Arnold L, Cone DC, Langhan M. Pediatric Anaphylaxis Management in the Prehospital Setting. Prehospital Emergency Care 2013, 18: 46-51. PMID: 24028748, PMCID: PMC3865171, DOI: 10.3109/10903127.2013.825352.Peer-Reviewed Original ResearchMeSH KeywordsAnaphylaxisChildConnecticutEmergency Medical ServicesEpinephrineFemaleHumansMaleRetrospective StudiesSympathomimeticsConceptsPediatric emergency departmentEmergency medical servicesAnaphylactic reactionsAllergic reactionsUrban tertiary care pediatric emergency departmentLife-threatening systemic allergic reactionTertiary care pediatric emergency departmentPatients 18 yearsHistory of asthmaRetrospective chart reviewSystemic allergic reactionsPast medical historyTreatment of choiceParents/patientsCases of anaphylaxisAllergy-causing substanceGastrointestinal symptomsChart reviewRespiratory symptomsEarly administrationIntramuscular epinephrinePatient's symptomsEmergency departmentEpinephrine administrationMean age