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  1. Article ; Online: Response to "Managing Anaphylaxis - Epinephrine, Antihistamines, and Corticosteroids: Over 10 years of C-CARE Registry Data".

    Scheier, Eric

    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology

    2024  Volume 132, Issue 2, Page(s) 248

    MeSH term(s) Humans ; Anaphylaxis/drug therapy ; Routinely Collected Health Data ; Epinephrine/therapeutic use ; Histamine Antagonists/therapeutic use ; Adrenal Cortex Hormones/therapeutic use
    Chemical Substances Epinephrine (YKH834O4BH) ; Histamine Antagonists ; Adrenal Cortex Hormones
    Language English
    Publishing date 2024-01-11
    Publishing country United States
    Document type Letter
    ZDB-ID 1228189-x
    ISSN 1534-4436 ; 0003-4738 ; 1081-1206
    ISSN (online) 1534-4436
    ISSN 0003-4738 ; 1081-1206
    DOI 10.1016/j.anai.2023.10.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series.

    Scheier, Eric

    POCUS journal

    2024  Volume 9, Issue 1, Page(s) 55–59

    Abstract: Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we ... ...

    Abstract Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testicular torsion confirmed intraoperatively, who had intact blood flow on POCUS. Markers of testicular torsion can include surrounding hydrocele, heterogenous echotexture, absent venous or high resistance arterial flow, or a torsed cord complex. POCUS practitioners should be familiar with these findings, and the presence of any one or more of these findings should prompt urgent urology consultation to avoid missed torsion.
    Language English
    Publishing date 2024-04-22
    Publishing country Canada
    Document type Case Reports
    ISSN 2369-8543
    ISSN (online) 2369-8543
    DOI 10.24908/pocus.v9i1.17201
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Are E-cigarette Users a Unique Group of Smokers? Latent Class Analysis of the National Youth Tobacco Survey.

    Scheier, Lawrence M / Komarc, Martin

    Journal of drug education

    2020  Volume 49, Issue 3-4, Page(s) 87–114

    Abstract: ... behavior and tobacco use. In light of the recent upsurge in e-cigarette use, we modeled current use and ... other tobacco products (i.e., cigars, cigarillos, chew, snuff, and dip). Latent class analyses indicated four discrete ... a class blending e-cigarette and cigars, a class of youth who predominantly use combustible cigarettes ...

    Abstract We used data from the 2014 National Youth Tobacco Survey to examine patterns of cigarette smoking behavior and tobacco use. In light of the recent upsurge in e-cigarette use, we modeled current use and future intentions to use vape products along with combustible cigarette smoking and other tobacco products (i.e., cigars, cigarillos, chew, snuff, and dip). Latent class analyses indicated four discrete classes of smokers including a nominally involved class with very modest levels of tobacco product use, a class blending e-cigarette and cigars, a class of youth who predominantly use combustible cigarettes, and a group reporting indiscriminate use of almost all tobacco products excluding chew. Tests of invariance in item response probabilities and latent class proportions showed little variation across race and gender, albeit a new class of combustible cigarette and e-cigarette users emerged when examined by grade. Members of the heavy smoking and tobacco use class were more likely to be male, White, and older. Predictors of class membership included expectancies (perceived benefits of use), perceived harm (risk), media exposure, tobacco dependence, and the desire to quit. Findings are discussed in terms of characterizing risk among already smoking youth and how actionable prevention measures can be incorporated into existing universal and indicated programs that target reducing tobacco use and smoking behaviors.
    MeSH term(s) Adolescent ; Age Factors ; Cigarette Smoking/epidemiology ; Continental Population Groups ; Electronic Nicotine Delivery Systems ; Female ; Humans ; Latent Class Analysis ; Male ; Sex Factors ; Socioeconomic Factors ; Tobacco Products ; Tobacco Smoking/trends ; Tobacco Use Disorder/epidemiology ; United States/epidemiology ; Vaping/epidemiology
    Language English
    Publishing date 2020-12-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 189324-5
    ISSN 1541-4159 ; 0047-2379
    ISSN (online) 1541-4159
    ISSN 0047-2379
    DOI 10.1177/0047237920980483
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review.

    Scheier, Eric

    Journal of clinical medicine

    2023  Volume 12, Issue 17

    Abstract: Purpose of this review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency ... ...

    Abstract Purpose of this review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with relevance to pediatric emergency, and other pediatric cardiac studies outside pediatric emergency with relevance to PED detection of potentially emergent pediatric cardiac pathology.
    Recent findings: Pediatric emergency physicians can reliably detect decreased left-sided systolic function and pericardial effusion using POCUS. Case reports show that pediatric emergency physicians have detected right-sided outflow tract obstruction, aortic root dilatation, and congenital cardiac disease using POCUS. Training for pediatric cardiac POCUS competency is feasible, and cardiac POCUS does not increase the burden on cardiology resources to the PED.
    Summary: While cardiac pathology in children is relatively rare, pediatric cardiac POCUS can incorporate a broad curriculum beyond systolic function and the presence of pericardial fluid. Further research should assess pediatric emergency physician performance in the identification of a broader range of cardiac pathology.
    Language English
    Publishing date 2023-08-31
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12175666
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Diagnosis and Management of Pediatric Ovarian Torsion in the Emergency Department: Current Insights.

    Scheier, Eric

    Open access emergency medicine : OAEM

    2022  Volume 14, Page(s) 283–291

    Abstract: Ovarian torsion is defined as twisting of the ovary around an axis consisting of its vascular pedicle, the infundibulopelvic ligament and the tubo-ovarian ligament, and can occur in females of any age. Torsion can be a result of ovarian mass causing ... ...

    Abstract Ovarian torsion is defined as twisting of the ovary around an axis consisting of its vascular pedicle, the infundibulopelvic ligament and the tubo-ovarian ligament, and can occur in females of any age. Torsion can be a result of ovarian mass causing asymmetry and subsequent torsion, or can be spontaneous. While ovarian torsion is a surgical emergency, early diagnosis and treatment can preserve ovarian viability even if necrosis is seen operatively. Presentation classically involves sudden onset severe abdominal pain and vomiting but diagnostic delay can follow subtler presentations. Diagnosis is most commonly based on sonographic findings, but advanced imaging such as CT or MRI may be required if sonography is not diagnostic. Treatment is surgical, with ovarian preservation preferred in almost all cases. In this review, I present the most recent evidence on epidemiology, diagnosis, and management of pediatric ovarian torsion, with a focus on point-of-care ultrasound for the emergency care provider.
    Language English
    Publishing date 2022-06-23
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2520704-0
    ISSN 1179-1500
    ISSN 1179-1500
    DOI 10.2147/OAEM.S342725
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: POCUS for Infectious Enteritis-A Retrospective Case Series Analysis.

    Scheier, Eric / Nachmany, Aviad

    Pediatric emergency care

    2024  

    Abstract: Introduction: The abdominal pain associated with diarrhea can be difficult to distinguish from appendicitis. We present a case series of all children found on pediatric emergency department point-of-care ultrasound (POCUS) to have right-sided bowel wall ...

    Abstract Introduction: The abdominal pain associated with diarrhea can be difficult to distinguish from appendicitis. We present a case series of all children found on pediatric emergency department point-of-care ultrasound (POCUS) to have right-sided bowel wall edema.
    Methods: Over the study period June 2020 through September 2023, POCUS images were collected by a pediatric emergency physician with 6 years of experience with POCUS. Children found to have small bowel wall edema on POCUS were identified, and hospital charts were reviewed.
    Results: One hundred thirteen children were found on POCUS to have right-sided small bowel wall edema. Thirty-one (27%) were referred by their pediatrician or urgent care provider to evaluate for appendicitis. Seventy-eight children (69%) provided stool samples. Of those, 58% resulted Campylobacter, 8% Salmonella, and 8% Shigella. Forty (35%) were discharged after POCUS without further evaluation. One child in our case series was subsequently diagnosed with uncomplicated appendicitis. To date, no child in the series has subsequently been diagnosed with inflammatory bowel disease.
    Conclusions: Enteritis can initially be difficult to distinguish on clinical grounds from acute appendicitis. Bowel wall edema on POCUS in a child without sonographic signs of appendicitis strongly suggests bacterial enteritis. Early POCUS demonstrating enteritis without signs of appendicitis may decrease hospital resource usage.
    Language English
    Publishing date 2024-02-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000003139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Resolution of Sonographic Appendicitis in Pediatrics: a Point of Care Ultrasound Case-Series.

    Scheier, Eric / Taragin, Benjamin

    POCUS journal

    2024  Volume 9, Issue 1, Page(s) 44–50

    Abstract: Studies of pediatric appendicitis treated conservatively show a considerable rate of recurrence. Point of care ultrasound (POCUS) imaging at our facility is routinely performed for abdominal pain and may be more likely than radiology-performed ultrasound ...

    Abstract Studies of pediatric appendicitis treated conservatively show a considerable rate of recurrence. Point of care ultrasound (POCUS) imaging at our facility is routinely performed for abdominal pain and may be more likely than radiology-performed ultrasound to encounter cases that then self-resolve. We present a case series collected from a POCUS quality assurance review from 2019 through 2022. Five children were identified with sonographic appendicitis on review of stored POCUS images, and subsequent improvement of pain. A pediatric radiologist reviewed blinded images and agreed with the POCUS interpretation in all five cases. No child in this series received antibiotics. The national patient database was used to ensure that the patients in this series did not present elsewhere with appendicitis. We suggest that these cases represent early appendicitis that self-resolved. Patients should be aware that POCUS showed signs of appendicitis, and should seek medical attention for recurrence of symptoms.
    Language English
    Publishing date 2024-04-22
    Publishing country Canada
    Document type Case Reports
    ISSN 2369-8543
    ISSN (online) 2369-8543
    DOI 10.24908/pocus.v9i1.16860
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Inguinal ovarian hernia on point of care ultrasound: case reports and review of the literature.

    Scheier, Eric

    Emergency radiology

    2021  Volume 29, Issue 1, Page(s) 215–217

    Abstract: An inguinal mass may be an incidental finding on physical examination. There are few descriptions of pediatric hernia with ovarian content in the pediatric emergency literature, and no recommendations for routine point of care ultrasound (POCUS) ... ...

    Abstract An inguinal mass may be an incidental finding on physical examination. There are few descriptions of pediatric hernia with ovarian content in the pediatric emergency literature, and no recommendations for routine point of care ultrasound (POCUS) evaluation of inguinal hernia. We present three cases of ovarian content within an inguinal hernia sac found on POCUS by a pediatric emergency physician, and discuss ultrasound technique and implications of these findings. Inguinal masses should routinely be evaluated with POCUS in order to prevent forceful reduction efforts that may damage the ovary, and to allow for effective surgical triage and early involvement of surgical subspecialists.
    MeSH term(s) Child ; Female ; Hernia, Inguinal/diagnostic imaging ; Humans ; Ovarian Diseases ; Point-of-Care Systems ; Ultrasonography
    Language English
    Publishing date 2021-08-24
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1425144-9
    ISSN 1438-1435 ; 1070-3004
    ISSN (online) 1438-1435
    ISSN 1070-3004
    DOI 10.1007/s10140-021-01981-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Abscesses Should Be Both Seen and Heard: The Case for Routine Point-of-Care Ultrasound Before Drainage.

    Scheier, Eric

    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine

    2021  Volume 41, Issue 2, Page(s) 519–520

    MeSH term(s) Abscess ; Drainage ; Humans ; Point-of-Care Systems ; Point-of-Care Testing ; Ultrasonography
    Language English
    Publishing date 2021-03-31
    Publishing country England
    Document type Letter
    ZDB-ID 604829-8
    ISSN 1550-9613 ; 0278-4297
    ISSN (online) 1550-9613
    ISSN 0278-4297
    DOI 10.1002/jum.15709
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Pediatric Gastritis on Point-of-care Ultrasound.

    Scheier, Eric

    Journal of medical ultrasound

    2021  Volume 30, Issue 3, Page(s) 223–225

    Abstract: Point of care ultrasound (POCUS) is used routinely in pediatric emergency medicine. I present a case in which repeat POCUS after admission directed the evaluation and followed the recovery of a child admitted with epigastric pain. POCUS of the ... ...

    Abstract Point of care ultrasound (POCUS) is used routinely in pediatric emergency medicine. I present a case in which repeat POCUS after admission directed the evaluation and followed the recovery of a child admitted with epigastric pain. POCUS of the epigastrium may decrease the number of imaging examinations and endoscopies in the evaluation of pediatric epigastric pain.
    Language English
    Publishing date 2021-11-19
    Publishing country India
    Document type Case Reports
    ISSN 0929-6441
    ISSN 0929-6441
    DOI 10.4103/JMU.JMU_38_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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