Nathan Timm

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OBJECTIVE To examine the relationship between childhood obesity as measured by body mass index (BMI) and long-term morbidity after an acute ankle sprain. DESIGN Six-month prospective cohort study with follow-up telephone questionnaires at 6 weeks and 6 months. SETTING Cincinnati Children's Hospital Medical Center emergency department. PATIENTS(More)
STUDY OBJECTIVE We develop a comprehensive view of aspects of care associated with parental satisfaction with pediatric emergency department (ED) visits, using both quantitative and qualitative data. METHODS This was a retrospective observational study using data from an institution-wide system to measure patient satisfaction. For this study, 2,442(More)
The purpose of this study was to examine the effects of virtual reality simulation (VRS) on learning outcomes and retention of disaster training. The study used a longitudinal experimental design using two groups and repeated measures. A convenience sample of associate degree nursing students enrolled in a disaster course was randomized into two groups;(More)
OBJECTIVES Research on spontaneous pneumothorax (SP) has focused on management strategies in adolescents and adults, yet pediatric population-based data are lacking. The objective of this study was to determine the incidence of SP in the pediatric population in different age groups. METHODS This was a retrospective analysis of patients aged 0 to 17 years(More)
Children have unique physical, emotional, and developmental needs making them particularly vulnerable during disasters. Most existing disaster preparedness courses lack a pediatric perspective. This article describes a pediatric disaster preparedness program presented to pediatric nurses in an urban, Level 1 trauma center. Survey results from the(More)
BACKGROUND Understanding the impact of overcrowding in pediatric emergency departments (PEDs) on quality of care is a growing concern. Boarding admitted patients in the PED and increasing emergency department (ED) visits are two potentially significant factors affecting quality of care. OBJECTIVES The objective was to describe the impact ED boarding time(More)
BACKGROUND Two of the most prevalent problems facing youth in the United States are injury and obesity. Obesity increases the risk of injury, prolongs recovery time, and increases morbidity among injured children. OBJECTIVE The purpose of this study was to compare characteristics of injuries between obese and nonobese children who presented to a pediatric(More)
OBJECTIVES The objective was to assess the relationship between emergency department (ED) crowding and timeliness of antibiotic administration to neonates presenting with fever in a pediatric ED. METHODS This was a retrospective cohort study of febrile neonates (aged 0-30 days) evaluated for serious bacterial infections (SBIs) in a pediatric ED from(More)
BACKGROUND Migraine headache is a common presenting condition to the pediatric emergency department (PED). Dopamine receptor antagonists, such as prochlorperazine and metoclopramide, serve as the primary treatment for migraine headache in many emergency departments; however, in 2012, our institution experienced a shortage of these drugs, resulting in the(More)
BACKGROUND Gastrostomy tube (g-tube) dislodgement is a common problem in special needs children. There are no studies on the frequency of complications after g-tube replacement for children in a pediatric emergency department (ED). OBJECTIVES The objective of this study is to determine the frequency of misplacement and subsequent complications for(More)