2023
Acute and Critical Pathology Diagnosed by Timely Point-of-Care Ultrasound Review at a Tertiary Children's Hospital
Shah R, Leviter J, Riera A. Acute and Critical Pathology Diagnosed by Timely Point-of-Care Ultrasound Review at a Tertiary Children's Hospital. Pediatric Emergency Care 2023, 39: 636-640. PMID: 37256276, DOI: 10.1097/pec.0000000000002974.Peer-Reviewed Original ResearchConceptsPediatric emergency departmentPediatric emergency medicineTertiary children's hospitalCare ultrasound usePediatric patientsChildren's HospitalEmergency departmentUltrasound reviewAppropriate followCritical pathologyAmerican AcademyUltrasound useEfficient careEmergency medicinePatientsHospitalImage reviewReviewFollowPediatricsPOCUSPathologyCare
2019
Reevaluation of FAST Sensitivity in Pediatric Blunt Abdominal Trauma Patients
Riera A, Hayward H, Silva C, Chen L. Reevaluation of FAST Sensitivity in Pediatric Blunt Abdominal Trauma Patients. Pediatric Emergency Care 2019, 37: e1012-e1019. PMID: 31356479, DOI: 10.1097/pec.0000000000001877.Peer-Reviewed Original ResearchConceptsBlunt abdominal trauma patientsAbdominal trauma patientsFree fluidTrauma patientsUpper quadrantPredictive valueLevel I pediatric trauma centerPediatric trauma centerRetrospective chart reviewRight upper quadrantFAST examinationNegative predictive valuePositive predictive valueNegative likelihood ratioChart reviewBAT patientsMedian ageTrauma centerUpper abdomenIntraperitoneal fluidMAIN OUTCOMEPhysiologic amountsTrauma (FAST) examinationPatientsFocused assessment
2018
An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia
Emerson BL, Prozora S, Jacob A, Clark K, Kotrady D, Edwards L, Ciaburri R, Riera A. An Initiative to Decrease Time to Antibiotics for Patients With Fever and Neutropenia. American Journal Of Medical Quality 2018, 34: 158-164. PMID: 30078347, DOI: 10.1177/1062860618792305.Peer-Reviewed Original ResearchConceptsMultidisciplinary teamRapid Plan-DoPediatric emergency departmentStudy-Act cyclesEfficiency of careAntibiotic administrationEmergency departmentVulnerable patientsPlan-DoPatientsNeutropeniaAverage timeFeverInterventionProcess control chartsData reviewDecrease timeAntibioticsSignificant improvementAdministration
2017
Vaginal Foreign Bodies
Gross IT, Riera A. Vaginal Foreign Bodies. Pediatric Emergency Care 2017, 33: 756-759. PMID: 29095775, DOI: 10.1097/pec.0000000000001304.Peer-Reviewed Original Research
2016
Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation
Cicero MX, Overly F, Brown L, Yarzebski J, Walsh B, Shabanova V, Auerbach M, Riera A, Adelgais K, Meckler G, Cone DC, Baum CR. Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation. Disaster Medicine And Public Health Preparedness 2016, 10: 253-260. PMID: 26744228, DOI: 10.1017/dmp.2015.171.Peer-Reviewed Original ResearchConceptsTriage strategiesBlack patientsTriage levelRed patientsProspective cohort studyBetter patient outcomesEmergency medical services (EMS) providersCross-sectional analysisCohort studyPatient outcomesTriage outcomesMedical service providersPatientsTriageSignificant differencesTriage accuracyTriage resultsOutcomesPDT strategyParticipants
2014
Creation and Delphi-method Refinement of Pediatric Disaster Triage Simulations
Cicero MX, Brown L, Overly F, Yarzebski J, Meckler G, Fuchs S, Tomassoni A, Aghababian R, Chung S, Garrett A, Fagbuyi D, Adelgais K, Goldman R, Parker J, Auerbach M, Riera A, Cone D, Baum CR. Creation and Delphi-method Refinement of Pediatric Disaster Triage Simulations. Prehospital Emergency Care 2014, 18: 282-289. PMID: 24401167, DOI: 10.3109/10903127.2013.856505.Peer-Reviewed Original ResearchConceptsTriage levelSpecial health care needsHealth care needsPDT strategySchool bus crashModified Delphi processPediatric victimsPatient incidentsDelphi consensusTriage categoryGunshot woundsSimilar acuityGlobal assessmentAppropriate interventionsLow fidelity manikinsDelphi processHigh-fidelity manikinEvaluation toolOnline survey toolPatientsStandardized patients
2012
Design, Validity, and Reliability of a Pediatric Resident JumpSTART Disaster Triage Scoring Instrument
Cicero MX, Riera A, Northrup V, Auerbach M, Pearson K, Baum CR. Design, Validity, and Reliability of a Pediatric Resident JumpSTART Disaster Triage Scoring Instrument. Academic Pediatrics 2012, 13: 48-54. PMID: 23153602, DOI: 10.1016/j.acap.2012.09.002.Peer-Reviewed Original ResearchConceptsIntraclass correlation coefficientGlobal assessmentPediatric disaster triagePostgraduate yearScoring instrumentOverall intraclass correlation coefficientAmbulatory patientsAirway managementColor-coding algorithmHead injuryPatientsTotal scoreTriage decisionsTriage performanceInstrument itemsModerate reliabilityOverall scoreScoresTriageInternal validityExcellent reliabilityResident performanceDisaster triageAnalysis of varianceAssessment