scholarly journals Computed Tomography Risk Disclosure in the Emergency Department: A Survey of Pediatric Emergency Medicine Fellowship Program Leaders

2018 ◽  
Vol 19 (4) ◽  
pp. 715-721
Author(s):  
Jennifer Marin ◽  
Karen Thomas ◽  
Angela Mills ◽  
Kathy Boutis
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Risk Disclosure ◽  
Fellowship Program ◽  
Program Leaders

scholarly journals How to conduct implementation trials and multicentre studies in the emergency department

CJEM ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 448-452
Author(s):  
Ian G. Stiell ◽  
Jeffrey J. Perry ◽  
Jamie Brehaut ◽  
Erica Brown ◽  
Janet A. Curran ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Implementation Research ◽  
Pediatric Emergency ◽  
Research Infrastructure ◽  
Pediatric Emergency Medicine ◽  
Structured Interviews ◽  
Local Study ◽  
Multicentre Studies ◽  
Implementation Studies

AbstractObjectiveThe objective of Panel 2b was to present an overview of and recommendations for the conduct of implementation trials and multicentre studies in emergency medicine.MethodsPanel members engaged methodologists to discuss the design and conduct of implementation and multicentre studies. We also conducted semi-structured interviews with 37 Canadian adult and pediatric emergency medicine researchers to elicit barriers and facilitators to conducting these kinds of studies.ResultsResponses were organized by themes, and, based on these responses, recommendations were developed and refined in an iterative fashion by panel members.ConclusionsWe offer eight recommendations to facilitate multicentre clinical and implementation studies, along with guidance for conducting implementation research in the emergency department. Recommendations for multicentre studies reflect the importance of local study investigators and champions, requirements for research infrastructure and staffing, and the cooperation and communication between the coordinating centre and participating sites.

A Specialized Pediatric Emergency Medicine Track Decreases Computed Tomography in Head Injured Patients

2019 ◽  
Vol 35 (7) ◽  
pp. 506-508 ◽  
Author(s):  
Heather B. Conrad ◽  
Kathryn A. Hollenbach ◽  
Kristin Ratnayake ◽  
Daniel L. Gehlbach ◽  
Keri L. Carstairs
Keyword(s):  
Computed Tomography ◽  
Emergency Medicine ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Head Injured ◽  
Injured Patients

scholarly journals Practice variability in the management of complex febrile seizures by pediatric emergency physicians and fellows

CJEM ◽  
2011 ◽  
Vol 13 (03) ◽  
pp. 145-149 ◽  
Author(s):  
Justin W. Sales ◽  
Blake Bulloch ◽  
Mark A. Hostetler
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Lumbar Puncture ◽  
Online Survey ◽  
Admission Rate ◽  
Febrile Seizures ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Case Vignettes ◽  
Department Evaluation

ABSTRACT Objective: Febrile seizures are the most common type of childhood seizure and are categorized as simple or complex. Complex febrile seizures (CFSs) are defined as events that are focal, prolonged (> 15 minutes), or recurrent. The management of CFS is poorly defined. The objective of this study was to determine the degree of variability in the emergency department evaluation of children with CFSs. Methods: An online survey questionnaire was developed and sent to physicians identified via the listserv of the emergency medicine section of the American Academy of Pediatrics and the pediatric emergency medicine discussion list. The questionnaire consisted of five hypothetical case vignettes describing children under 5 years of age presenting with a CFS. Following review of the first four vignettes, participants were asked if they would (1) obtain blood and urine for evaluation; (2) perform a lumbar puncture; (3) perform neurologic imaging while the child was in the emergency department; (4) admit the child to the hospital; or (5) discharge with follow-up as an outpatient, with either the primary care provider or a neurologist. The final vignette determined if antiepileptic medication would be prescribed by the physician on discharge. Results: Of the 353 physicians who participated, 293 (83%) were pediatric emergency medicine attending physicians and 60 (17%) were pediatric emergency medicine fellows. Overall, 54% of participants indicated that they would obtain blood for evaluation, 62% would obtain urine, 34% would perform a lumbar puncture, and 36% would perform neurologic imaging. The overall hypothetical admission rate for the case vignettes was 42%. Conclusions: This study indicates that extensive variability exists in the emergency department approach to patients with CFS. Our findings suggest that optimal management for CFS remains unclear and support the potential benefit of future prospective studies on this subject.

Sign in / Sign up

Export Citation Format

Share Document