👶 How often do EDs care for critically ill children? New research examines the frequency of pediatric critical illness across EDs and the implications for pediatric readiness, training, and regionalized care. Read more: annemergmed.com doi.org/10.1016/j.an... #EmergencyMedicine #PedsEM #FOAMed
Allan Joseph
@allanmjoseph.bsky.social
I take care of critically ill kids, study the systems in which we take care of them, and try to make those systems better.
Critically ill children are rarely seen in most emergency departments. A new Cincinnati Children's study published in Annals of Emergency Medicine found that regionalization alone isn't enough, highlighting the need for training and support across all care settings. Read more:
Limited Experience, High Stakes in Pediatric Emergency Care - Research Horizons
Study finds critically ill children are rarely seen in most EDs and few can be redirected, highlighting need for targeted pediatric readiness.
scienceblog.cincinnatichildrens.org
Some new work, in @annalsofem.bsky.social - how often do EDs treat critically ill children? It's rare - the median ED sees just 5 a year. @cincyresearch.bsky.social summary here: scienceblog.cincinnatichildrens.org/limited-expe... Full open access text here: www.sciencedirect.com/science/arti...
Limited Experience, High Stakes in Pediatric Emergency Care - Research Horizons
Study finds critically ill children are rarely seen in most EDs and few can be redirected, highlighting need for targeted pediatric readiness.
scienceblog.cincinnatichildrens.org
She's not kidding - here's a screenshot of notes I took in a class in 2016, in all likelihood followed by a text to Adrianna. Super cool work which could unlock a whole new era of pediatric acute care research.
@allanmjoseph.bsky.social has been telling me there needs to be a "Dartmouth Atlas, but for pediatrics" for maybe a literal decade? And now there is! (h/t to coauthor @johngraves.bsky.social)
Some of my newest work - amidst everything going on, we're still trying to deliver excellent care to really sick children. But the system is under a lot of strain:
U.S. Children Are Gradually Losing Access to Top Quality Emergency Care. #Pediatrics #CriticalCare #PedsICU @pccmdoc.bsky.social @pedcritcaremed.bsky.social @childrenshospitals.bsky.social Study: www.jpeds.com/article/S002... Blog post: scienceblog.cincinnatichildrens.org/u-s-children...
RFK Jr talking about the need for doctors to know how to treat measles for those who are unvaccinated. “Only very sick kids should die from measles.” No. They shouldn’t. That was the point of the vaccine. We eradicated the virus so children didn’t die. Sick & disabled kids are not expendable!
I study patient administrative burden. Here is a thread of studies/articles I share often and/or have been suggesting for the newly interested. My first foray, with Austin Frakt. TL;DR ~1/4 people reported delayed/foregone care due to admin in past 12 mos. onlinelibrary.wiley.com/doi/full/10....
<em>Health Services Research</em> | AcademyHealth & HRET Journal | Wiley Online Library
Objective To assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. Data Source March 2019 Health Reform Monitoring Survey. Stud...
onlinelibrary.wiley.com
Giving a talk next month on the effective use of images/visualizations to communicate data. Target audience is clinical fellows. Looking for examples of your favorite scientific figures/graphs/images! Please share and amplify! #PICUSky
Just popping back up to highlight our new work developing pediatric-specific hospital referral regions. It was a heavy lift but I'm proud of the work we've done bringing researchers a new tool to understand pediatric acute care: www.jpeds.com/article/S002...
DEFINE_ME
jpeds.com
@rakesofmallow.bsky.social We probably need to start saying "this is mission control...we got 'im" after every sack. Thanks Sam! (~2:45) www.youtube.com/watch?v=V3TM...
Best game by a defender EVER? | Irish Access: Game 8 vs Southern Cal | Notre Dame Football
Bob Hinton Defensive Coordinator Al Golden put on a master class in pass rush defense against the reigning Heisman Trophy winner in Caleb Williams. Safety Xa...
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