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 life
2021
Racial 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 ResearchManagement of Adolescents With OUD: A Simulation Case for Subspecialty Trainees in Addiction Medicine and Addiction Psychiatry
Garcia-Vassallo G, Edens EL, Heward B, Auerbach MA, Wong AH, Camenga D. Management of Adolescents With OUD: A Simulation Case for Subspecialty Trainees in Addiction Medicine and Addiction Psychiatry. MedEdPORTAL 2021, 17: 11147. PMID: 33889724, PMCID: PMC8056775, DOI: 10.15766/mep_2374-8265.11147.Peer-Reviewed Original ResearchConceptsOpioid use disorderSimulation-based educational interventionClinical Opiate Withdrawal ScaleSymptoms of opioid withdrawalOpiate Withdrawal ScaleEducational interventionWithdrawal ScaleUse disorderOpioid withdrawalTreating adolescentsConfidence surveyTrainee confidenceAddiction medicineMedical treatment optionsAssess symptomsMedication treatment optionsQuality health careManagement of adolescentsParticipants' reportsEvaluating adolescentsMedical education curriculumAdolescentsIncrease trainees' confidenceAddictionTreatment optionsVirtual 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 functionSchools
2020
Changes in pediatric emergency department visits for mental health during the COVID-19 pandemic: A cross-sectional study
Leff RA, Setzer E, Cicero MX, Auerbach M. Changes in pediatric emergency department visits for mental health during the COVID-19 pandemic: A cross-sectional study. Clinical Child Psychology And Psychiatry 2020, 26: 33-38. PMID: 33183097, DOI: 10.1177/1359104520972453.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentMental health disordersCross-sectional studyHealth disordersPatient demographicsEmergency departmentMental health-related diagnosisEarly COVID-19 pandemic periodMental healthCoordination of careHealth-related diagnosesBehavioral health disordersMental health conditionsMental health care provisionCOVID-19 pandemicElectronic medical recordsWarrants further studyMode of arrivalHealth care provisionDelayed PresentationED dispositionPre-pandemic periodInsurance statusPatient genderMedical recordsA 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 CollegeCOVID-19
Isba R, Edge R, Auerbach M, Cicero MX, Jenner R, Setzer E, Broughton E, Keegan T. COVID-19. Pediatric Emergency Care 2020, 36: 10.1097/pec.0000000000002260. PMID: 32925702, PMCID: PMC7493767, DOI: 10.1097/pec.0000000000002260.Peer-Reviewed Original ResearchConceptsChildren's HospitalPaediatric emergency department attendancesYale-New Haven Children's HospitalRoyal Manchester Children's HospitalAcuity of illnessSARS-CoV-2/COVIDEmergency department attendancesOdds of admissionManchester Children's HospitalLikelihood of admissionCross-sectional studyDepartment attendancesOdds ratioWeek 13Week 1HospitalAdmissionAbsolute numberCOVID-19ChildrenAdolescentsAttendanceAttendance numbersAcuityIllnessSexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers
Bechtel K, Bhatnagar A, Joseph M, Auerbach M. Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers. MedEdPORTAL 2020, 16: 10942. PMID: 32875091, PMCID: PMC7449576, DOI: 10.15766/mep_2374-8265.10942.Peer-Reviewed Original ResearchConceptsSexual assaultStructured debriefingCognitive skillsCognitive aidsLearners’ attitudesAdolescent femalesSexual assault patientsCommunication skillsKnowledge skillsPsychomotor skillsSkillsForensic evaluationPediatric Simulation CaseEvidence collection processAssaultDebriefingTraineesAssault patientsAttitudesTrainingEM traineesInterventionAdolescentsContent expertsConfidence
2019
Eye-tracking during simulation-based neonatal airway management
Wagner M, Gröpel P, Bibl K, Olischar M, Auerbach MA, Gross IT. Eye-tracking during simulation-based neonatal airway management. Pediatric Research 2019, 87: 518-522. PMID: 31499516, DOI: 10.1038/s41390-019-0571-9.Peer-Reviewed Original ResearchConceptsEye-tracking glassesAirway managementNeonatal airway managementUmbilical vein catheterMain outcome measuresAirway providersMedical tasksVein catheterNeonatal resuscitationOutcome measuresMethodsThis studySimulation-based studyProvider behaviorUsabilityGaze behaviorSignificant differencesReal situationIdeal useFuture studiesProvidersParticipantsTeam membersTime of interestManagementCatheterImproving 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 catheterThe effect of an International competitive leaderboard on self-motivated simulation-based CPR practice among healthcare professionals: A randomized control trial
Chang TP, Raymond T, Dewan M, MacKinnon R, Whitfill T, Harwayne-Gidansky I, Doughty C, Frisell K, Kessler D, Wolfe H, Auerbach M, Rutledge C, Mitchell D, Jani P, Walsh CM, Investigators O. The effect of an International competitive leaderboard on self-motivated simulation-based CPR practice among healthcare professionals: A randomized control trial. Resuscitation 2019, 138: 273-281. PMID: 30946919, DOI: 10.1016/j.resuscitation.2019.02.050.Peer-Reviewed Original ResearchEarly Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department
Powers E, Tiyyagura G, Asnes AG, Leventhal JM, Moles R, Christison-Lagay E, Groisberg S, Auerbach M. Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department. Journal Of Emergency Medicine 2019, 56: 592-600. PMID: 30879856, DOI: 10.1016/j.jemermed.2019.01.030.Peer-Reviewed Original ResearchConceptsChild protection teamPediatric emergency departmentEmergency departmentClinical pathwayProtection teamEvaluation of infantsEarly involvementMonths of ageInfant morbidityAbusive injuriesSignificant causeDiagnostic testingInjuryInfantsPrivate insuranceSocioeconomic disparitiesChild protective servicesEarly detectionDiagnostic studiesConsultationPhysical abuseMonthsAbuseProtective servicesInvolvementOral 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 studyAdherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation‐based Study
Auerbach M, Brown L, Whitfill T, Baird J, Abulebda K, Bhatnagar A, Lutfi R, Gawel M, Walsh B, Tay KY, Lavoie M, Nadkarni V, Dudas R, Kessler D, Katznelson J, Ganghadaran S, Hamilton MF. Adherence to Pediatric Cardiac Arrest Guidelines Across a Spectrum of Fifty Emergency Departments: A Prospective, In Situ, Simulation‐based Study. Academic Emergency Medicine 2018, 25: 1396-1408. PMID: 30194902, DOI: 10.1111/acem.13564.Peer-Reviewed Original ResearchConceptsPulseless electrical activityCardiac arrest guidelinesBasic life supportLower-volume EDsPediatric patient volumePatient volumeCardiac arrestPediatric volumeAdherence scoreVentricular fibrillationVolume groupHospital cardiac arrest survival outcomesProvider experiencePediatric Advanced Life Support trainingAdvanced life support trainingBetter guideline adherenceLow pediatric volumeTotal adherence scoreHigh-volume hospitalsHospital-level characteristicsTrauma center designationMore providersLower mortality rateHospital-level dataCare of childrenPreferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians
Craig SS, Auerbach M, Cheek JA, Babl FE, Oakley E, Nguyen L, Rao A, Dalton S, Lyttle MD, Mintegi S, Nagler J, Mistry RD, Dixon A, Rino P, Kohn-Loncarica G, Dalziel SR. Preferred learning modalities and practice for critical skills: a global survey of paediatric emergency medicine clinicians. Emergency Medicine Journal 2018, 36: 273. PMID: 30327413, DOI: 10.1136/emermed-2017-207384.Peer-Reviewed Original ResearchConceptsAlternative clinical settingsPreferred learning modalityInvasive proceduresPediatric emergency medicine cliniciansPediatric Emergency Research NetworksClinical settingBag-valve mask ventilationPaediatric emergency cliniciansPediatric critical proceduresLaryngeal mask insertionEmergency medicine cliniciansCross-sectional surveyDC cardioversionED cliniciansEndotracheal intubationEmergency cliniciansMask insertionMask ventilationTranscutaneous pacingAirway maneuversClinician's perspectiveMedicine cliniciansPediatric proceduresFrequency of practicePreferred modalityCorrelation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations
Cicero MX, Whitfill T, Walsh B, Diaz MCG, Arteaga GM, Scherzer DJ, Goldberg SA, Madhok M, Bowen A, Paesano G, Redlener M, Munjal K, Auerbach M. Correlation Between Paramedic Disaster Triage Accuracy in Screen-Based Simulations and Immersive Simulations. Prehospital Emergency Care 2018, 23: 83-89. PMID: 30130424, DOI: 10.1080/10903127.2018.1475530.Peer-Reviewed Original ResearchConceptsEmergency medical techniciansTriage accuracyEmergency medical services personnelEducational interventionMedical services personnelEvaluation of outcomesCohort studyMore patientsStudy completionCohort dataMedical techniciansMean numberSimilar improvementsPrevious studiesSignificant increaseAmount of improvementInterventionDisaster triageParticipantsGPS 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 perceptionsProviders' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis
Goldman MP, Wong AH, Bhatnagar A, Emerson BL, Brown LL, Auerbach MA. Providers' Perceptions of Caring for Pediatric Patients in Community Hospital Emergency Departments: A Mixed‐methods Analysis. Academic Emergency Medicine 2018, 25: 1385-1395. PMID: 29947453, DOI: 10.1111/acem.13509.Peer-Reviewed Original ResearchConceptsCommunity emergency departmentsPediatric readinessProviders' perceptionsProviders' perceptions of careEmergency departmentEmotional tollSick childrenCommunity hospital emergency departmentChildren's hospitalPerceptions of carePediatric emergency careQuality improvement workCommunity hospital providersSafety deficitsHospital emergency departmentSelf-reported comfortActual clinical eventsLocal children's hospitalInterprofessional teamPediatric QualityEmergency carePediatric resuscitationPediatric simulationHospital providersPediatric careSimulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking
Bechtel K, Bhatnagar A, Auerbach M. Simulation-based research to improve infant health outcomes: Using the infant simulator to prevent infant shaking. Infant Behavior And Development 2018, 56: 101263. PMID: 29903429, DOI: 10.1016/j.infbeh.2018.05.006.Peer-Reviewed Original Research