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OBJECTIVES Sonographic B-lines are a sign of increased extravascular lung water. Several techniques for quantifying B-lines within individual rib spaces have been described, as well as different methods for "scoring" the cumulative B-line counts over the entire thorax. The interobserver reliability of these methods is unknown. This study examined 3 methods(More)
The 2015 Academic Emergency Medicine (AEM) consensus conference, "Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization," was held on May 12, 2015, with the goal of developing a high-priority research agenda on which to base future research. The specific aims of the conference were to: 1) understand the current state of(More)
BACKGROUND Carvedilol reduces mortality and hospitalization in adults with congestive heart failure. Limited information is available about its use in children. METHODS We reviewed the medical records of 24 children with dilated cardiomyopathy and left ventricular ejection fraction of <or=40%, who were treated with carvedilol as adjunct therapy to(More)
Indications Suprapubic bladder aspiration is performed to obtain a sterile urine sample from children when the urethra cannot be adequately visualized, such as in girls with labial adhesions or labial edema, in uncircumcised boys with unretractable foreskins, in children with conditions such as severe, protracted diarrhea that may make it difficult to(More)
OBJECTIVES The purpose of this study was to evaluate the use of and training in emergency ultrasound (US) in pediatric emergency departments (EDs) with pediatric emergency medicine (EM) fellowship programs. We hypothesized that emergency US use and pediatric EM fellow training have become widespread and that more structured training is being offered. (More)
Trends in Visits for Traumatic Brain Injury to EmergencyDepartments in the United States In the last decade, traumatic brain injury (TBI) garnered increased attention, including public campaigns and legislation to increaseawarenessandpreventhead injuries.1TheCenters forDiseaseControl andPrevention (CDC)describesTBI as a serious public health concern.2 We(More)
OBJECTIVES The objective was to evaluate a training protocol for pediatric emergency physicians (EPs) learning emergency ultrasound (EUS) for the evaluation of skin and soft tissue infections (SSTIs) by assessing technical ability and interrater reliability. METHODS Pediatric emergency medicine (EM) fellows and attending physicians completed a 1-day(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)
OBJECTIVE To determine the interrater reliability of clinical examination by pediatric emergency medicine physicians for the diagnosis of skin and soft-tissue infections (SSTIs). METHODS A cross-sectional study of patients presenting to a pediatric emergency department with SSTIs was performed. Each lesion was examined by a treating physician and a study(More)
The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers.  To(More)