Explanipedia

Evaluation of Pediatric Triage Decisions Using the SALT (Sort, Assess, Life-saving Intervention, Treatment/Transport) Triage System across Training Levels Open

Joelle N. Simpson · 2025

Objective Evaluate and improve the accuracy of disaster triage decisions for pediatric patients among clinicians of various training levels using the Sort, Assess, Life-Saving Intervention, Treatment/Transport (SALT) triage system. Methods…

The Interplay of Racism, Climate, and the Environment on Child and Adolescent Health: Implications for Pediatricians Open

Aida Miles, Sheela Sathyanarayana, Leslie R. Walker-Harding, Joelle N. Simpson, Katy Simpson Smith , et al. · 2024

Purpose of Review We highlight the disparate effects of climate change and unhealthy environments on children and youth and suggest pragmatic steps for pediatricians to address the harms both inside and outside the clinic space. Recent Fin…

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…

Table of Contents Open

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

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…

The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies Open

Mohsen Saidinejad, Susan Duffy, Dina Wallin, Jennifer A. Hoffmann, Jennifer Schieferle Uhlenbrock , et al. · 2023

Access to Critical Health Information for Children During Emergencies: Emergency Information Forms and Beyond Open

James Callahan, Steve Baldwin, Chelsea Bodnar, Susan Fuchs, Steven Krug , et al. · 2023

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

Rapid Development and Testing of a COVID-19 Vaccine Curriculum for Pediatricians Open

Pavan Zaveri, Shannon Clark, Kristin Kan, Brian Lee, Vishal Naik , 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…

Coronavirus Disease 2019 in the Emergency Department: Establishing an Interprofessional Incident Command System Open

Timothy Holtzclaw, Shaina Derstine Newman, Matthew B. Dwyer, Joelle N. Simpson, Tress Goodwin · 2022

Factors Associated With Severe Illness in Patients Aged <21 Years Hospitalized for COVID-19 Open

Rewa Choudhary, Bryant J. Webber, Lindsay S. Womack, Hannah Dupont, Sophia Chiu , et al. · 2022

OBJECTIVES To describe coronavirus disease 2019 (COVID-19)–related pediatric hospitalizations during a period of B.1.617.2 (Δ) variant predominance and to determine age-specific factors associated with severe illness. METHODS We abstracted…

<i>Erratum:</i> Vol. 70, No. 51–52 Open

Valentine Wanga, Megan E. Gerdes, Dallas S. Shi, Rewa Choudhary, Theresa M. Dulski , et al. · 2022

Characteristics and Clinical Outcomes of Children and Adolescents Aged <18 Years Hospitalized with COVID-19 — Six Hospitals, United States, July–August 2021 Open

Valentine Wanga, Megan E. Gerdes, Dallas S. Shi, Rewa Choudhary, Theresa M. Dulski , et al. · 2021

During June 2021, the highly transmissible^† B.1.617.2 (Delta) variant of SARS-CoV-2, the virus that causes COVID-19, became the predominant circulating strain in the United States. U.S. pediatric COVID-19-related hospitalization…

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…

Creating a Pediatric Prehospital Destination Decision Tool Using a Modified Delphi Method Open

Jennifer Anders, Jennifer N. Fishe, Kyle A. Fratta, Jessica Katznelson, Matthew J. Levy , et al. · 2021

Decisions for patient transport by emergency medical services (EMS) are individualized; while established guidelines help direct adult patients to specialty hospitals, no such pediatric equivalents are in wide use. When children are transp…

Association between pediatric asthma and positive tests for SARS-CoV-2 in the District of Columbia Open

Rachel Margolis, Shilpa J. Patel, William J. Sheehan, Joelle N. Simpson, Nikita Kachroo , et al. · 2021

Disaster Training Following COVID-19 for Pediatric Medical Residents: Demand and Format Open

Kaitlyn Boggs, Tress Goodwin, Joelle N. Simpson · 2021

Objectives: Assess the knowledge, confidence, and attitudes of residents toward disaster medicine education in the coronavirus disease 2019 (COVID-19) era. Methods: Survey distributed to pediatric residents at a tertiary care center, asses…

Access to Optimal Emergency Care for Children Open

Kathleen Brown, Alice D. Ackerman, Timothy Ruttan, Sally K. Snow, Gregory P. Conners , et al. · 2021

Every year, millions of pediatric patients seek emergency care. Significant barriers limit access to optimal emergency services for large numbers of children. The American Academy of Pediatrics, American College of Emergency Physicians, an…

The Use of Saliva as a Diagnostic Specimen for SARS CoV-2 Molecular Diagnostic Testing for Pediatric Patients Open

Meghan Delaney, Joelle N. Simpson, Bobbe Thomas, Christal Ralph, Michael Evangalista , et al. · 2021

Background: Testing children for COVID-19 via sensitive molecular methods is important, although collecting nasopharyngeal (NP) specimens can be challenging.A less invasive specimen collection approach that yields test results comparable t…

Estimated SARS-CoV-2 Seroprevalence in Healthy Children and Those with Chronic Illnesses in The Washington Metropolitan Area as of October 2020 Open

Burak Bahar, Joelle N. Simpson, Cara Biddle, Andrew Campbell, Jeffrey S. Dome , et al. · 2021

The estimated SARS-CoV-2 seroprevalence in children was found to be 9.46% for the Washington Metropolitan area. Hispanic/Latinx individuals were found to have higher odds of seropositivity. While chronic medical conditions were not associa…

Implementing Paper Documentation During an Influenza Surge in a Pediatric Emergency Department Open

Deena Berkowitz, Joelle N. Simpson, Joanna S. Cohen, Ashaini Kadakia, Gia M. Badolato , et al. · 2021

Objective We hypothesized that a paper documentation and discharge bundle can expedite patient care during an influenza-related surge. Methods Retrospective cohort study of low-acuity patients younger than 21 years surging into a pediatric…

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…

Managing a Primary Care Pediatric Practice Through COVID-19 Open

Ellen K. Hamburger, Kandra Strauss‐Riggs, Joelle N. Simpson · 2020

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Results of Testing Children for Severe Acute Respiratory Syndrome Coronavirus-2 Through a Community-based Testing Site Open

Joelle N. Simpson, Monika Goyal, Joanna S. Cohen, Gia M. Badolato, Mark A. McGuire , et al. · 2020

The Use of Saliva as a Diagnostic Specimen for SARS CoV-2 Molecular Diagnostic Testing for Pediatric Patients Open

Meghan Delaney, Joelle N. Simpson, Bobbe Thomas, Christal Ralph, Michael Evangalista , et al. · 2020

Background Children are an important population to test for COVID-19 infection, particularly because they may shed the virus without displaying symptoms. Testing children for COVID-19 via sensitive molecular methods is important, although …

COVID-19 Result Follow-Up Process in the Pediatric Emergency Department Setting Open

Shaina Derstine Newman, Joelle N. Simpson, Ashley Perritt, Sephora Morrison, Deena Berkowitz , et al. · 2020

The novel coronavirus disease 2019 (COVID-19) pandemic upended the world. As emergency departments and hospitals across the nation and world braced themselves for the surge of this new disease, the emergency department (ED) at Children’s N…

544. Severe COVID-19 in Children and Young Adults in the Washington DC Metropolitan Region Open

Roberta L. DeBiasi, Xiaoyan Song, Emily Ansusinha, Karen L. Smith, M. J. Bell , et al. · 2020

Background Children and young adults were initially reported as largely spared from severe complications of SARS-CoV-2 infection, but the impact to this population has been significant. Methods This observational retrospective cohort study…

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…

Pediatric Readiness in the Emergency Department Open

Katherine Remick, Marianne Gausche‐Hill, Madeline Joseph, Kathleen M. Brown, Sally K. Snow , et al. · 2018

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