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Search Results for Pediatric
Abstract Number: 142
SHM Converge 2021
Background: Adolescents have poor access to preventive care and outpatient providers face many barriers to addressing sexual health with adolescents. Recent literature advises providers to address sexual health in nontraditional settings including emergency department (ED) visits and hospitalizations. In our previous work we identified missed opportunities to address sexual health on the hospital medicine service, […]
Abstract Number: 143
SHM Converge 2021
Background: Sleep is critical to children’s health and recovery, but pediatric inpatient sleep is often disrupted by nonessential overnight interruptions. The COVID-19 pandemic necessitated social distancing policies which minimized contact with low-risk patients. These policies have the potential to decrease overnight disruptions and improve sleep for hospitalized patients. Methods: This cohort study compared sleep disruptions […]
Abstract Number: 144
SHM Converge 2021
Background: Bronchiolitis is one of the most common reasons for hospitalizations in children with > 100,000 admissions each year. High-flow nasal cannula (HFNC) therapy has been widely adopted to treat bronchiolitis with increasing use outside of the pediatric intensive care unit (PICU). The use of oral feeding while on HFNC has been questioned due to […]
Abstract Number: 147
SHM Converge 2021
Background: Pediatric orbital cellulitis/abscess (OC) is a known complication of sinusitis that can have detrimental outcomes such as vision loss and intracranial extension if not diagnosed and treated promptly. In many patients with OC, the microbiologic data is not available to guide provider selection of targeted antibiotics, so variation in prescribing patterns exists. Many institutions […]
Abstract Number: 148
SHM Converge 2021
Background: The indications for lumbar puncture (LP) among febrile infants 29-60 days old continue to evolve. We studied febrile infants age 29-60 days with an ED visit and compared the characteristics and outcomes of those with and without an LP. We also describe the clinical course of infants receiving antibiotics before or after the LP. […]
Abstract Number: 154
SHM Converge 2021
Background: Maintenance intravenous fluids (IVFs) are a critical treatment utilized frequently in pediatric medicine to support children with impaired enteral intake suffering from a wide variety of illnesses. Traditional pediatric practice of utilizing hypotonic fluids is thought to derive from Holiday and Seger’s mathematical calculations on IVFs that concluded that the use of hypotonic fluids […]
Abstract Number: 171
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the growing emphasis on high-quality HCT, there remains a paucity of evidence to guide inpatient providers in transitioning adolescents to adult medical care. An inter-professional team at our institution created a video incorporating Self-Determination Theory (SDT) concepts as the educational construct emphasizing key elements of HCT. The objectives were to determine the effect […]
Abstract Number: 172
SHM Converge 2024
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 […]
Abstract Number: 172
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Improved outcomes in pediatric to adult-oriented HCT especially for children with special health care needs (SHCN) are a national objective of Healthy People 2020, with only 40% of adolescents with SHCN currently meeting the national core outcomes in pediatric to adult-oriented HCT. Despite the potential of hospitalized AYA being higher utilizers of the health […]
Abstract Number: 173
SHM Converge 2024
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 […]