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 ResearchMedical Knowledge Acquisition during a Pandemic: Pediatric Subspecialty in-Training Examination and Board Certification Exam Passing Rate
Ngo T, Yanek L, Caglar D, Bailey J, Roskind C, Langhan M. Medical Knowledge Acquisition during a Pandemic: Pediatric Subspecialty in-Training Examination and Board Certification Exam Passing Rate. Academic Pediatrics 2023, 24: 147-154. PMID: 37245666, PMCID: PMC10219674, DOI: 10.1016/j.acap.2023.05.013.Peer-Reviewed Original ResearchConceptsPediatric subspecialtiesRetrospective observational studyEmergency medicineCritical care medicineCOVID-19 pandemicObservational studyCare medicineClinical careFellowship traineesInfectious diseasesClinical programsTraining ExaminationBoard certification examsSignificant decreaseScoresSignificant increaseSubspecialtyFellowship programsAmerican BoardExamSubspecialty programsSummative dataCertification examT-test analysisPandemicWords 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 differencesInterviewsPredicting Delayed Shock in Multisystem Inflammatory Disease in Children
Levine D, Uy V, Krief W, Bornstein C, Daswani D, Patel D, Kriegel M, Jamal N, Patel K, Liang T, Arroyo A, Strother C, Lim C, Langhan M, Hassoun A, Chamdawala H, Kaplan C, Waseem M, Tay E, Mortel D, Sivitz A, Kelly C, Lee H, Qiu Y, Gorelik M, Platt S, Dayan P. Predicting Delayed Shock in Multisystem Inflammatory Disease in Children. Pediatric Emergency Care 2023, 39: 555-561. PMID: 36811547, DOI: 10.1097/pec.0000000000002914.Peer-Reviewed Original ResearchConceptsC-reactive proteinMultisystem inflammatory diseaseLymphocyte percentLower riskIndependent predictorsInflammatory diseasesSerum C-reactive proteinRetrospective cross-sectional studyWorld Health Organization criteriaRisk of progressionCross-sectional studyLevel of careCRP levelsPediatric EDOrganization criteriaLaboratory factorsMAIN OUTCOMEPatientsRiskChildrenDiseaseDifferentiated childrenPlateletsPredictorsTri-state areaWomen in pediatric emergency medicine: Trends in gender from 2000 to 2020
Kayani J, Reed J, Safdar B, Langhan M. Women in pediatric emergency medicine: Trends in gender from 2000 to 2020. Academic Emergency Medicine 2023, 30: 675-677. PMID: 36545838, DOI: 10.1111/acem.14644.Peer-Reviewed Original Research
2022
Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors
Langhan M, Stafford D, Myers A, Herman B, Curran M, Czaja A, Turner D, Weiss P, Mink R. Clinical competency committee perceptions of entrustable professional activities and their value in assessing fellows: A qualitative study of pediatric subspecialty program directors. Medical Teacher 2022, 45: 650-657. PMID: 36420760, DOI: 10.1080/0142159x.2022.2147054.Peer-Reviewed Original ResearchPediatric Emergency Medicine Fellowship Program Directors' Viewpoint
Hsu DC, Baghdassarian A, Caglar D, Rose JA, Herman BE, Schwartz A, Mink R, Langhan ML. Pediatric Emergency Medicine Fellowship Program Directors' Viewpoint. Pediatric Emergency Care 2022, 39: 574-579. PMID: 35947053, DOI: 10.1097/pec.0000000000002817.Peer-Reviewed Original ResearchConceptsCommon Pediatric Subspecialty Entrustable Professional ActivitiesFellowship program directorsPEM physiciansEntrustable professional activitiesPEM fellowship program directorsCross-sectional surveyEntrustment levelsPEM fellowship programsSecondary analysisPhysiciansMost respondentsFellowship programsLevel 4Program directorsEpa-1Adequate supportHigh levelsPediatric Residency Preparedness for Pediatric Emergency Medicine Fellowship
Malik RN, Langhan ML. Pediatric Residency Preparedness for Pediatric Emergency Medicine Fellowship. Pediatric Emergency Care 2022, 38: e1462-e1468. PMID: 35904957, DOI: 10.1097/pec.0000000000002705.Peer-Reviewed Original ResearchConceptsClinical evaluationPediatric residency programsPEM fellowsPediatric emergency medicine fellowshipFirst-year fellowsResidency programsPsychomotor skillsPediatric residency trainingPEM fellowship programsEmergency medicine (EM) program directorsGeneral paediatric trainingIncoming fellowsPediatric trainingDemographic informationPediatric residencyPEM fellowshipResidency trainingMost respondentsGuiding Fellows to Independent Practice
Kou M, Baghdassarian A, Khanna K, Jamal N, Carney M, Fein DM, Kim I, Langhan ML, Rose JA, Zuckerbraun NS, Roskind CG. Guiding Fellows to Independent Practice. Pediatric Emergency Care 2022, 38: 517-520. PMID: 35353795, DOI: 10.1097/pec.0000000000002676.Peer-Reviewed Original Research
2021
Pediatric Emergency Medicine Fellowship Directors' 2021 Collective Statement on Virtual Interviews and Second Looks
Allister L, Baghdassarian A, Caglar D, Chapman J, Ciener DA, Fein DM, Graff D, Jacobs E, Jain P, Kane I, Langhan ML, McGreevy J, Nagler J, Nesiama JA, Ngo TL, Rose JA, Seaton K, Stukus K, Vu T, Werner H, Woods R, Directors F. Pediatric Emergency Medicine Fellowship Directors' 2021 Collective Statement on Virtual Interviews and Second Looks. Pediatric Emergency Care 2021, 37: 585-587. PMID: 34731878, DOI: 10.1097/pec.0000000000002562.Peer-Reviewed Original ResearchVirtual Interviewing for Pediatric Emergency Medicine Fellowship—A National Survey
van der Laan L, George R, Nesiama JA, Nagler J, Langhan ML, Yen K, Ngo TL, Rose JA, Caglar D, Kant S, Ciener D, Feng SY. Virtual Interviewing for Pediatric Emergency Medicine Fellowship—A National Survey. Pediatric Emergency Care 2021, 38: e1207-e1212. PMID: 34608060, DOI: 10.1097/pec.0000000000002549.Peer-Reviewed Original ResearchAn 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
Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index
Kovalerchik O, Powers E, Holland ML, Sharifi M, Langhan ML. Differences in Frequency of Visits to Pediatric Primary Care Practices and Emergency Departments by Body Mass Index. Academic Pediatrics 2020, 20: 532-539. PMID: 31904438, DOI: 10.1016/j.acap.2019.12.011.Peer-Reviewed Original ResearchConceptsPrimary care visitsCare visitsBMI percentile categoryED visitsNormal BMISevere obesityBMI categoriesIndex primary care visitPediatric primary care practicesBody mass index categoriesEmergency department visitsRisk of hospitalizationPediatric weight managementPrevalence of overweightBody mass indexHealth care utilizationNormal BMI rangeCare-seeking patternsPrimary care practicesChildren’s BMI categoryHealth care settingsRace/ethnicityElectronic health recordsImpact of stigmaIndex visit
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
Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population
Bovino L, Brainard C, Beaumier K, Concetti V, Lefurge N, Mittelstadt E, Wilson T, Langhan ML. Use of Capnography to Optimize Procedural Sedation in the Emergency Department Pediatric Population. Journal Of Emergency Nursing 2017, 44: 110-116. PMID: 29169819, DOI: 10.1016/j.jen.2017.10.016.Peer-Reviewed Original ResearchConceptsUse of capnographyProcedural sedationWaveform capnographyRespiratory rateNursing practiceEmergency nursing practicePediatric procedural sedationGood nursing practicePatient's respiratory ratePediatric populationAbnormal ventilationPatient outcomesObservational studyEmergency nursesTidal volumePulse oximetryLarger studyPhysical assessmentCapnographySedationVentilationAnalgesiaCarbon dioxide levelsOximetryNursesCan Providers Use Clinical Skills to Assess the Adequacy of Ventilation in Children During Bag-Valve Mask Ventilation?
Becker HJ, Langhan ML. Can Providers Use Clinical Skills to Assess the Adequacy of Ventilation in Children During Bag-Valve Mask Ventilation? Pediatric Emergency Care 2017, Publish Ahead of Print: 1. PMID: 29084068, DOI: 10.1097/pec.0000000000001314.Peer-Reviewed Original ResearchConceptsBag-valve mask ventilationBVM ventilationPediatric patientsAbnormal ventilationMask ventilationNineteen providersNormal ventilationCapnography dataInduction of anesthesiaTotal mean durationAdequacy of ventilationClinical skillsCapnography monitoringRespiratory supportMedian ageNonintubated patientsElective surgeryMean durationHealthy childrenMinute ventilationClinical assessmentPatientsInappropriate ventilationStandard monitoringCapnography valuesCapnography 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 childrenPatientsVascular 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 ResearchConceptsAcute kidney injuryPediatric acute kidney injuryKidney injuryPediatric patientsEmergency departmentChronic kidney diseaseIntravascular volume statusMedication exposureCardiac dysfunctionCommon etiologySignificant morbidityVolume statusKidney diseasePediatric nephrologistsHigh riskInjuryPatientsEtiologyDiagnosisChildrenRiskClassification systemDepartmentSepsisMorbidity