Explanipedia

Methodology for the Pediatric Dose Optimization for Seizures in Emergency Medical Services (PediDOSE) study Open

Manish I. Shah, Kathleen Adelgais, James M. Chamberlain, Henry E. Wang, Lindsey A. Morgan , et al. · 2025

Background Seizures are one of the most common reasons for emergency medical services (EMS) activation for children, and current EMS practice results in underdosing and delayed delivery of anti-seizure medication. A prehospital evidence-ba…

Rethinking Emergency Medical Services Triage for Children With Chest Pain Open

Jason Williams, Caleb E. Ward · 2025

Systems-Based Care of the Injured Child: Policy Statement Open

Katherine T. Flynn‐O’Brien, Vijay Srinivasan, Mary E. Fallat, Toni Gross, Kerry Caperell , et al. · 2025

Injury is the leading cause of death and a frequent cause of disability in children and negatively affects physical health, mental health, and quality of life in both the short- and long-term. The goal of a pediatric trauma system is to op…

Systems-Based Care of the Injured Child: Technical Report Open

Katherine T. Flynn‐O’Brien, Vijay Srinivasan, Mary E. Fallat, Toni Gross, Kerry Caperell , et al. · 2025

Injury is the leading cause of death and a cause of disability in children and negatively affects physical health, mental health, and quality of life in both the short- and long-term. The goal of a pediatric trauma system is to optimize th…

Emergency Medical Services Clinician Accuracy Using the Pediatric Observation Priority Score Open

Caleb E. Ward, Tae-Jun Ha, Graeme Morland-Tellez, Haroon Shaukat, Damian Roland , et al. · 2025

Objectives: One barrier to including low-acuity children in alternative EMS disposition programs is a lack of triage tools to identify children at low risk of deterioration. The Pediatric Observation Priority Score (POPS) is a triage tool …

Application of digital engagement tools for exception from informed consent community consultation and public disclosure in the pediatric prehospital airway resuscitation trial Open

Henry E. Wang, Shannon W. Stephens, Kammy Jacobsen, Brittany Brown, Cara Elsholz , et al. · 2025

Digital engagement tools efficiently reached a large and diverse population and yielded key community feedback to inform research trial deployment. Digital engagement tools offer valuable techniques to enrich EFIC CC and PD efforts.

Analyzing patient perspectives with large language models: a cross-sectional study of sentiment and thematic classification on exception from informed consent Open

Aaron E. Kornblith, Chandan Singh, Johanna C. Innes, Todd P. Chang, Kathleen Adelgais , et al. · 2025

Large language models (LLMs) can improve text analysis efficiency in healthcare. This study explores the application of LLMs to analyze patient perspectives within the exception from informed consent (EFIC) process, which waives consent in…

Differences in Accuracy Between Paramedics and Emergency Medical Technicians (EMTs) When Identifying Low-Acuity Pediatric Patients Open

Jerry Yang, Kathleen Brown, Joelle N. Simpson, James Chamberlain, Caleb E. Ward · 2024

Background Alternative emergency medical services (EMS) disposition programs have been developed for adults with low-acuity complaints. One barrier to including children in such programs is a lack of evidence regarding whether paramedics a…

PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study Open

Julie C. Leonard, Monica Harding, Lawrence J. Cook, Jeffrey R. Leonard, Kathleen Adelgais , et al. · 2024

Table of Contents Open

Aneeb Mohideen, Lindsay Ber, Hafsa Hussain, Zachary Gohsman, Donna Hallas , et al. · 2024

Factors Associated with Caregiver Decision Not to Transport Pediatric Patients Assessed by Emergency Medical Services Open

Kristen Johnson, Caleb E. Ward · 2024

Objectives: Almost one third of pediatric 9-1-1 calls result in non-transport by Emergency Medical Services (EMS). It is unknown to what extent these decisions are driven by caregivers’ decisions to decline transport versus EMS advice that…

Prevalence of Low-Acuity Pediatric Emergency Medical Services Transports to a Pediatric Emergency Department in an Urban Area Open

Caleb E. Ward, Gia M. Badolato, Michael F. Taylor, Kathleen M. Brown, Joelle N. Simpson , et al. · 2024

Objectives Many patients transported by Emergency Medical Services (EMS) do not have emergent resource needs. Estimates for the proportion of pediatric EMS calls for low-acuity complaints, and thus potential candidates for alternative disp…

Primary Series COVID-19 Vaccine Effectiveness among Health Care Workers in the Country of Georgia, March–December 2021 Open

Mark A. Katz, Madelyn Yiseth Rojas Castro, Giorgi Chakhunashvili, Nazibrola Chitadze, Caleb E. Ward , et al. · 2023

Background Healthcare workers (HCWs) have suffered considerable morbidity and mortality during the COVID-19 pandemic. Few data on COVID-19 vaccine effectiveness (VE) are available from middle-income countries in Europe. We evaluated primar…

Primary Series COVID-19 Vaccine Effectiveness among Health Care Workers in the Country of Georgia, March–December 2021 Open

Mark A. Katz, Madelyn Yiseth Rojas Castro, Giorgi Chakhunashvili, Nazibrola Chitadze, Caleb E. Ward , et al. · 2023

Background Healthcare workers (HCWs) have suffered considerable morbidity and mortality during the COVID-19 pandemic. Few data on COVID-19 vaccine effectiveness (VE) are available from middle-income countries in Europe. We evaluated primar…

A Cervical Spine Injury Prediction Rule for Children after Blunt Trauma Open

Julie C. Leonard, Monica Harding, Lawrence J. Cook, Jeffrey R. Leonard, Kathleen Adelgais , et al. · 2023

Prehospital Recognition and Management of Pediatric Sepsis: A Qualitative Assessment Open

Chelsea B. Kadish, Julia Lloyd, Kathleen Adelgais, Caleb E. Ward, Charmaine B. Lo , et al. · 2023

Sepsis is a life-threatening disease in children and is a leading cause of morbidity and mortality. Early prehospital recognition and management of children with sepsis may have significant effects on the timely resuscitation of this high-…

Clinician and Caregiver Determinations of Acuity for Children Transported by Emergency Medical Services: A Prospective Observational Study Open

Caleb E. Ward, Gia M. Badolato, Michael F. Taylor, Kathleen M. Brown, Joelle N. Simpson , et al. · 2022

Caregiver Perceptions Regarding Alternative Emergency Medical Services Dispositions for Children: A Cross-Sectional Survey Analysis Open

Caleb E. Ward, Jonathan Gougelet, Ryan Pearman, Gia M. Badolato, Joelle N. Simpson · 2022

Introduction: Emergency medical services (EMS) systems have developed alternative disposition processes for patients (including leaving the patient at the scene, using taxis, and transporting to clinics) vs taking patients directly to an e…

The Effect of Documenting Patient Weight in Kilograms on Pediatric Medication Dosing Errors in Emergency Medical Services Open

Caleb E. Ward, Michael Alan Taylor, Clare Keeney, Emily J. Dorosz, Cynthia Wright-Johnson , et al. · 2022

Objectives: Up to 40% of children who receive a medication from emergency medical services (EMS) are subject to a dosing error. One of the reasons for this is difficulties adjusting dosages for weight. Converting weights from pounds…

281 The Impact of Documenting Patient Weight in Kilograms on Pediatric Medication Dosing Errors in Emergency Medical Services Open

Caleb E. Ward, Marcus Taylor, Clare Keeney, Kemar Brown · 2021

National Characteristics of Non-Transported Children by Emergency Medical Services in the United States Open

Caleb E. Ward, Anqing Zhang, Kathleen M. Brown, Joelle N. Simpson, James Chamberlain · 2021

Study Objective: Most 911 calls result in ambulance transport to an emergency department. In some cases, transport is refused or deemed unnecessary. The frequency of pediatric non-transport is unknown. Our primary objective was to d…

National Characteristics of Non-Transported Children by Emergency Medical Services in the United States Open

Caleb E. Ward, Anqing Zhang, Kathleen M. Brown, Joelle N. Simpson, James Chamberlain · 2021

Study Objective: Most 911 calls result in ambulance transport to an emergency department. In some cases, transport is refused or deemed unnecessary. The frequency of pediatric non-transport is unknown. Our primary objective was to d…

Evaluation of a Selective Prehospital Pediatric Spinal Protection Protocol Open

Caleb E. Ward, Gia M. Badolato, Kristen Breslin, Kathleen M. Brown, Joelle N. Simpson · 2019

Background: Recent studies demonstrate an association between spinal immobilization and neck pain, increased use of radiographs, and increased admission rates for pediatric trauma patients. There is an increasing trend toward spinal…

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