2023
Spotlighting the imbalance: Gender disparities among speakers and awardees at pediatric emergency medicine conferences
Reichard K, Levine D, Reed J, Barrick‐Groskopf L, Bechtel K, Cooper G, Hall J, White M, Langhan M. Spotlighting the imbalance: Gender disparities among speakers and awardees at pediatric emergency medicine conferences. Academic Emergency Medicine 2023, 30: 1138-1143. PMID: 37550843, DOI: 10.1111/acem.14786.Peer-Reviewed Original ResearchWords Used in Letters of Recommendation for Pediatric Residency Applicants: Demographic Differences and Impact on Interviews
Boolchandani H, Osborn R, Tiyyagura G, Sheares B, Chen L, Phatak U, Puthenpura V, Elder R, Lee S, Amster L, Langhan M. Words Used in Letters of Recommendation for Pediatric Residency Applicants: Demographic Differences and Impact on Interviews. Academic Pediatrics 2023, 23: 1614-1619. PMID: 36889506, DOI: 10.1016/j.acap.2023.02.012.Peer-Reviewed Original ResearchConceptsLetters of recommendationLetter writersCommunal termsNatural language processing applicationsLanguage processing applicationsApplicant genderInterview statusCommunal wordsWritersLanguageAgentic termsWordsGenderLetterSenior academic ranksRaceTextAgenciesEquitable approachResidency candidatesWomenSignificant associationEthnicitySignificant differencesInterviews
2021
Exploring 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 ResearchConceptsMaslach 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 signsNeonatesCauseDepartmentMedicationsMorbidityEtiologySymptomsManagementMortalityDiagnosis
2019
Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography.
Riera A, Langhan M, Silva CT. Terminal Ileitis Presenting With a Spontaneously Reduced Ileocolic Intussusception Diagnosed by Point-of-Care Ultrasonography. Pediatric Emergency Care 2019, 36: e30-e32. PMID: 31433363, DOI: 10.1097/pec.0000000000001879.Peer-Reviewed Original ResearchConceptsIleocolic intussusceptionCare ultrasoundIschemic bowel injurySignificant inflammatory changesBowel injuryInitial workupInflammatory changesSurgical reductionTerminal ileitisTerminal ileumCare ultrasonographyRadiology ultrasoundIntussusceptionAcademic centersReduction attemptsSensitivity of studiesSpontaneous reductionTest characteristicsUltrasoundDiagnostic techniquesRadiologyIleitisUltrasonographyIleumInjuryOral 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
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
Capnography 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 childrenPatientsAcute 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 ResearchConceptsAcute kidney injuryPediatric acute kidney injuryKidney injuryPediatric patientsEmergency departmentChronic kidney diseaseIntravascular volume statusMedication exposureCardiac dysfunctionCommon etiologySignificant morbidityVolume statusKidney diseasePediatric nephrologistsHigh riskInjuryPatientsEtiologyDiagnosisChildrenRiskClassification systemDepartmentSepsisMorbidity
2016
Respiratory depression detected by capnography among children in the postanesthesia care unit: a cross‐sectional study
Langhan ML, Li FY, Lichtor JL. Respiratory depression detected by capnography among children in the postanesthesia care unit: a cross‐sectional study. Pediatric Anesthesia 2016, 26: 1010-1017. PMID: 27396979, DOI: 10.1111/pan.12965.Peer-Reviewed Original ResearchConceptsPostanesthesia care unitCross-sectional studyRespiratory depressionPulse oximetryOxygen desaturationCare unitSupplemental oxygenTertiary care hospitalNarcotic medicationsCapnography monitoringCare hospitalRoutine careHealthy childrenMedication administrationPatient interventionsOutcome measuresHypoventilationApneaCapnography monitorPatientsVital signsCapnographyPatient safetyOximetryIntervention
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
A 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 ResearchConceptsEpisodes 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
Bioacoustics, Breaths, and Biostatistics
Overdyk FJ, Marino J, Langhan M, Dahan A. Bioacoustics, Breaths, and Biostatistics. Anesthesia & Analgesia 2013, 117: 1507-1508. PMID: 24257403, DOI: 10.1213/ane.0b013e3182a9238c.Peer-Reviewed Original ResearchNeonatal Seizures
Thornton MD, Chen L, Langhan ML. Neonatal Seizures. Pediatric Emergency Care 2013, 29: 1107-1110. PMID: 24084610, PMCID: PMC3822764, DOI: 10.1097/pec.0b013e3182a62fd6.Peer-Reviewed Original ResearchMeSH KeywordsAntacidsBlood Group IncompatibilityCalcium CarbonateDiabetes, GestationalDiagnosis, DifferentialEmergenciesFemaleGastroesophageal RefluxHumansHyperbilirubinemia, NeonatalHypocalcemiaHypoglycemiaHypoglycemic AgentsHypoparathyroidismInfant, NewbornMagnesiumMaleMaternal-Fetal ExchangeParathyroid HormonePregnancyPregnancy ComplicationsPregnancy Trimester, ThirdPrenatal Exposure Delayed EffectsSeizuresConceptsNeonatal seizuresTertiary pediatric emergency departmentCalcium carbonate intakeLow serum calciumParathyroid hormone concentrationsSeizure-like episodesSerum phosphate concentrationPediatric emergency departmentVariety of causesGastroesophageal refluxSuch patientsDrug withdrawalSerum calciumThird trimesterPotential morbidityBirth traumaCounter medicationsEmergency departmentMaternal ingestionPregnant mothersMale infantMetabolic disturbancesCongenital anomaliesAnticipatory guidanceHormone concentrationsPediatric 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 ResearchConceptsPediatric 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 ageAcute 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
Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium
Langhan ML, Mallory M, Hertzog J, Lowrie L, Cravero J, Consortium F. Physiologic Monitoring Practices During Pediatric Procedural Sedation: A Report From the Pediatric Sedation Research Consortium. JAMA Pediatrics 2012, 166: 990-998. PMID: 22965648, DOI: 10.1001/archpediatrics.2012.1023.Peer-Reviewed Original ResearchConceptsPediatric procedural sedationPediatric Sedation Research ConsortiumProcedural sedationMonitoring modalitiesProcedural sedation/anesthesiaPhysiologic monitoringHealth care provider typeOperating roomIntensive care unitSedation/anesthesiaCare provider typeAge 21 yearsHealth care providersAmerican SocietyResearch ConsortiumAnesthesiologists classificationSedative medicationsAdverse eventsCare unitEmergency departmentEmergency physiciansObservational studyAmerican CollegeCare providersProvider type
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