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OBJECTIVE To describe the rates of serious bacterial illness (SBI) in children presenting to emergency departments (EDs) with first-time uncomplicated febrile seizures. METHODS The ED visits from seven Chicago metropolitan area hospitals (two tertiary pediatric EDs, five community general EDs) for all pediatric patients seen between July 1995 and December(More)
BACKGROUND Cerebral edema is an uncommon but devastating complication of diabetic ketoacidosis in children. Risk factors for this complication have not been clearly defined. METHODS In this multicenter study, we identified 61 children who had been hospitalized for diabetic ketoacidosis within a 15-year period and in whom cerebral edema had developed. Two(More)
OBJECTIVE To investigate the relation between outcomes of children with diabetic ketoacidosis (DKA)-related cerebral edema and baseline clinical features and therapeutic interventions for treatment of cerebral edema. STUDY DESIGN All children </=18 years old with DKA and cerebral edema (n = 61) were retrospectively identified from 10 pediatric centers(More)
PURPOSE The infrequency of severe childhood illness limits opportunities for emergency medicine (EM) providers to learn from real-world experience. Simulation offers an evidence-based educational approach to develop and practice clinical skills. METHOD This was a two-phase, randomized trial with a wait-list control condition. The development phase(More)
OBJECTIVES To describe the experience with external auditory canal foreign body removal in a pediatric emergency department. To identify factors associated with procedural complications and/or failed removal. METHODS Retrospective case series of patients treated in the emergency department over a 5-year period. Primary outcomes include success and(More)
PURPOSE To compare the psychometric performance of two rating instruments used to assess trainee performance in three clinical scenarios. METHODS This study was part of a two-phase, randomized trial with a wait-list control condition assessing the effectiveness of a pediatric emergency medicine curriculum targeting general emergency medicine residents.(More)
OBJECTIVE Pediatric residency programs need objective methods of trainee assessment. Patient simulation can contribute to objective evaluation of acute care event management skills. We describe the development and validation of 4 simulation case scenarios for pediatric resident evaluation. METHODS We created 4 pediatric simulation cases: apnea, asthma,(More)
OBJECTIVES To describe the current educational experience of pediatric residents in pediatric emergency care, to identify areas of variability between residency programs, and to distinguish areas in need of further improvement. DESIGN A 63-item survey mailed to all accredited pediatric residency training program directors in the United States and Puerto(More)
BACKGROUND Failure to promptly recognize and treat anaphylaxis can result in death. Understanding the incidence, etiology, and management is imperative. A previous pediatric study identified latex as the most common anaphylaxis allergen. We aim to describe the incidence, etiology, and management of anaphylaxis prelatex and postlatex-precaution(More)
OBJECTIVE To identify provider-based differences in the ED assessment and management of children presenting with uncomplicated, first-time febrile seizures. METHODS Multicenter, retrospective cohort study of seven EDs in-the Chicago area: two tertiary academic pediatric EDs (PEDs) and five community-based general EDs (GEDs). The visits of all patients(More)