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
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 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
Vascular 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 systemDepartmentSepsisMorbidity
2013
Neonatal 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 concentrations
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