Background: The low published survival rate of pediatric in-hospital cardiopulmonary arrest (25-38%) 1 has led to the development of early warning systems (EWS) to identify patients at risk for deterioration. On our general pediatric unit, we implemented the published validated Children’s Hospital Early Warning System (CHEWS)2 in 04/2021. This composite scoring tool includes caregiver assessment [...]

Background: The low published survival rate of pediatric in-hospital cardiopulmonary arrest (25-38%) 1 has led to the development of early warning systems (EWS) to identify patients at risk for deterioration. On our general pediatric unit, we implemented the published validated Children’s Hospital Early Warning System (CHEWS)2 in 04/2021. This composite scoring tool includes caregiver assessment [...]

Case Presentation: A previously healthy 4-year-old female born in Mexico was sent to the emergency department for elevated blood pressures noted at her routine outpatient clinic visit. On arrival, her blood pressure was 161/126. The patient reported polydipsia, polyuria, and weight loss. Her initial physical exam was unremarkable and her vitals were otherwise within normal [...]

Background: Pediatric hospitalists are responsible for educating various levels of learners when overseeing rounds to provide high quality care to patients and families. While many effective teaching techniques are described in the literature, efficient teaching on rounds is a skill not always taught during training. The effective use of these techniques by pediatric hospitalists is [...]

Background: High flow nasal cannula (HFNC) is a non-invasive oxygen delivery system commonly used in emergency rooms, pediatric intensive care units (PICU), and pediatric wards for respiratory illnesses. Previously, HFNC was strictly managed in the ICU, but this is becoming less common as more pediatric wards have initiated its use. Questions have arisen regarding the [...]

Background: Pediatric hospitalists are responsible for providing high quality care in the hospital setting while teaching learners and maintaining a professional learning environment. This skill is rarely taught during medical training. Peer observation is a collaborative tool with potential for mutual benefit; offering the observer an opportunity to learn new strategies and the individual observed [...]

Background: Growth faltering or failure to thrive is a common cause of admission in infancy and early childhood. In the United States, approximately 2-10% of children experience lower-than-expected growth associated with malnutrition (Tang et al). Growth faltering accounts for 3-5% of pediatric hospitalizations (Mazze et al, 2019). Malnutrition is associated with complications of increased risk [...]

Background: Postpartum Depression can have a negative impact on the physical, cognitive, and behavioral development of children. In the most extreme cases, it can be associated with the cause of death for mothers and their children. Some risk factors that can lead to Postpartum Depression are teenage pregnancy, late or lack of prenatal care, food/housing [...]

Background: Regionalization of pediatric healthcare has led to an increased proportion of hospitalizations at tertiary care centers and freestanding children’s hospitals. For some of these patients, transfer from another hospital is required to access inpatient care. There are known disparities in access to care for historically marginalized races/ethnicities, but it is unclear if these disparities [...]

Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes mellitus that is increasing in frequency, and yet is preventable with adequate outpatient management. Studies have shown that children with diabetes in minority populations experience more frequent DKA admissions, possibly due to inequities in healthcare access. We examined whether disparities by race/ethnicity exist in DKA [...]