Practice Changing Research in Pediatric Emergency Medicine: Synopses of the Best New Papers in 2023-2024

Presenting interesting and practice-changing 2023-2024 articles in pediatric emergency medicine (PEM) and assess their application to current practice in general emergency departments (EDs). Upon completion of this session, participants will have the knowledge to incorporate current PEM literature into their practice.

27 million ED visits are made annually by pediatric patients in the United States, with more than 90% seen in general EDs. It is crucial for all emergency medicine (EM) providers to have a working knowledge of current literature related to emergency care of pediatric patients.

Through review of select critical 2023-2024 studies we will update EM providers on new literature related to pediatric emergency care and discuss how these findings might change current practice. Presenters are two dual boarded EM/PEM faculty members and one dual boarded pediatric/PEM faculty member, all of whom have a keen understanding of PEM literature and EM training needs. Below are example articles under consideration for inclusion.

1. Aronson PL, Louie JP, Kerns E, et al. Prevalence of Urinary Tract Infection, Bacteremia, and Meningitis Among Febrile Infants Aged 8 to 60 Days With SARS-CoV-2. JAMA Netw Open. 2023;6(5):e2313354. Published 2023 May 1. doi:10.1001/jamanetworkopen.2023.13354
2. Chedid I, Bachir R, Rizk J, El Sayed M, Sawaya RD. Which Trauma Severity Scores Are Useful in Predicting Pediatric Mortality?. Pediatr Emerg Care. 2023;39(7):495-500. doi:10.1097/PEC.0000000000002972
3. Morgan KM, Abou-Khalil E, Strotmeyer S, Richardson WM, Gaines BA, Leeper CM. Association of Prehospital Transfusion With Mortality in Pediatric Trauma. JAMA Pediatr. 2023;177(7):693–699. doi:10.1001/jamapediatrics.2023.1291
4. Saidinejad M, Duffy S, Wallin D, et al. The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies. Ann Emerg Med. 2023;82(3):e97-e105. doi:10.1016/j.annemergmed.2023.06.003

5. Zaoutis T, Shaikh N, Fisher BT, et al. Short-Course Therapy for Urinary Tract Infections in Children: The SCOUT Randomized Clinical Trial. JAMA Pediatr. 2023;177(8):782–789.

Presenters:

  • Nicole L. Nadeau, MD
  • Margaret Lin-Martore, MD
  • Moon Lee, MD, MPH, MS
Authors

  • Nicole L. Nadeau, MD

    Massachusetts General Hospital

    Nicole is a specialized Pediatric Emergency Medicine Attending in the pediatric emergency department of MassGeneral for Children. She grew up in the Northeast and attended College of the Holy Cross where she earned a BA in Spanish with a pre-medical concentration. She spent a year of college studying in Spain, where she learned to speak Spanish. She attended Holy Cross on an Air Force ROTC scholarship and, after graduation, was active duty at Edwards Air Force Base in California where she helped to lead disaster preparedness for the base. Nicole left the Air Force to pursue medicine and returned home to attend the University of Massachusetts Medical School. She then completed her residency in pediatrics at Yale New Haven Children's Hospital, where she also served as chief resident. She went on to complete her fellowship in Pediatric Emergency Medicine at Boston Children's Hospital. In fellowship Nicole became deeply interested in quality improvement and patient safety. She now has joined MassGeneral for Children as full-time faculty, where she continues to focus on quality improvement, working collaboratively with both the Pediatrics and Emergency Medicine departments. Her clinical interests include diagnostic challenges in the emergency room and development/utilization of clinical pathways to decrease unnecessary variation in the care of pediatric patients, decreasing resource utilization while improving outcomes.

  • Margaret Lin-Martore, MD

    UCSF

    Margaret Lin-Martore, MD, is an Associate Clinical Professor in the Departments of Emergency Medicine and Pediatrics at UCSF in the Division of Pediatric Emergency Medicine (PEM). She is the Director of Pediatric Emergency Ultrasound at UCSF Benioff Children's Hospitals-San Francisco, co-Director of the Pediatric Emergency Ultrasound Fellowship and is a Bridges Coach and Co-Director of the Physician Identity Weeks for the UCSF School of Medicine.

    As an educator, Dr. Lin-Martore is interested in developing innovative curricula around Pediatric Emergency Point-of-Care Ultrasound (POCUS) applications and is the series editor of the PEM POCUS series at Academic Life in Emergency Medicine (ALiEM). She is interested in examining and defining competency in POCUS and in procedural skills education, as well as motivation for life-long learning. Dr. Lin-Martore is a member of the UCSF Academy of Medical Educators. Dr. Lin-Martore's other research and academic interests focus on the diagnostic accuracy of POCUS for various applications, as well as its effects on clinical care including length-of-stay and patient satisfaction. She has also examined health literacy and numeracy in the emergency department population.

    Dr. Lin-Martore attends in the Pediatric Emergency Department at UCSF Benioff Children's Hospital Mission Bay and in the Emergency Department at the Zuckerberg San Francisco General Hospital.

  • Moon O. Lee, MD, MPH, MS

    Stanford University School of Medicine

    Moon Lee, MD, MPH, MS is a Clinical Associate Professor in the Department of Emergency Medicine at Stanford University School of Medicine. She was Associate Vice Chair for the Department of Emergency Medicine and the Quality Director for the Pediatric Emergency Department. She completed an emergency medicine residency at University of California, Davis Medical Center followed by a pediatric emergency medicine fellowship at Hasbro Children's Hospital/Brown University following Her academic interests include pediatric emergency medicine, quality improvement and safety, clinical informatics, and health equity.

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