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Article ; Online: [No title information]

Greenky, David / Goldman, Ran D

Canadian family physician Medecin de famille canadien

2023 Volume 68, Issue 6, Page(s) 431–433

Title translation	Les β
Language	French
Publishing date	2023-12-13
Publishing country	Canada
Document type	Journal Article
ZDB-ID	603565-6
ISSN	1715-5258 ; 0008-350X
ISSN (online)	1715-5258
ISSN	0008-350X
DOI	10.46747/cfp.6806431
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Article ; Online: [No title information]

Greenky, David / Goldman, Ran D

Canadian family physician Medecin de famille canadien

2022 Volume 68, Issue 6, Page(s) 429–430

Title translation	Use of β
MeSH term(s)	Bronchiolitis, Viral ; Bronchodilator Agents ; Humans
Chemical Substances	Bronchodilator Agents
Language	English
Publishing date	2022-06-14
Publishing country	Canada
Document type	Journal Article
ZDB-ID	603565-6
ISSN	1715-5258 ; 0008-350X
ISSN (online)	1715-5258
ISSN	0008-350X
DOI	10.46747/cfp.6806429
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Article ; Online: COVID-19 testing for providers: Leading by example.

Greenky, David / Wiltrakis, Susan

The American journal of emergency medicine

2021 Volume 47, Page(s) 301–302

MeSH term(s)	COVID-19/prevention & control ; COVID-19 Testing ; Health Personnel ; Humans ; SARS-CoV-2 ; United States
Language	English
Publishing date	2021-01-11
Publishing country	United States
Document type	Letter
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2021.01.010
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Article ; Online: Severe Agitation in a Teenager With Spastic Cerebral Palsy: A Clinical Challenge.

Greenky, David / Khan, Naghma S

Pediatric emergency care

2020 Volume 36, Issue 12, Page(s) e745–e746

Abstract: Neuroleptic malignant syndrome is a challenging diagnosis because it mimics many other conditions. We present a case of a 16-year-old boy with spastic cerebral palsy who presented with severe agitation, hyperthermia, and autonomic dysfunction. He arrived ...

Abstract	Neuroleptic malignant syndrome is a challenging diagnosis because it mimics many other conditions. We present a case of a 16-year-old boy with spastic cerebral palsy who presented with severe agitation, hyperthermia, and autonomic dysfunction. He arrived to a community pediatric hospital without a caregiver to provide a detailed history, which further complicated his management.
MeSH term(s)	Adolescent ; Cerebral Palsy ; Humans ; Male ; Neuroleptic Malignant Syndrome ; Psychomotor Agitation
Language	English
Publishing date	2020-05-29
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	632588-9
ISSN	1535-1815 ; 0749-5161
ISSN (online)	1535-1815
ISSN	0749-5161
DOI	10.1097/PEC.0000000000002118
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Article ; Online: Rethinking the Initial Board Certification Exam.

Greenky, David / Reddy, Pranav / George, Paul

Medical science educator

2021 Volume 31, Issue 2, Page(s) 889–891

Language	English
Publishing date	2021-01-13
Publishing country	United States
Document type	Editorial
ISSN	2156-8650
ISSN (online)	2156-8650
DOI	10.1007/s40670-021-01209-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Assessment of Disaster Preparedness at the Household Level in a Pediatric Cardiology Clinic Population.

Mosgrove, Matthew / Greenky, David / Iannucci, Glen / Philipsborn, Rebecca / Bohling, Amy / Steigerwald, Samantha / Herron, Benjamin / Jergel, Andrew / Murray, Brittany

Pediatric cardiology

2024 Volume 45, Issue 4, Page(s) 840–846

Abstract: Natural and human-provoked disasters pose serious health risks to children, particularly children and youth with special healthcare needs, including many cardiology patients. The American Academy of Pediatrics (AAP) provides preparedness recommendations ... ...

Abstract	Natural and human-provoked disasters pose serious health risks to children, particularly children and youth with special healthcare needs, including many cardiology patients. The American Academy of Pediatrics (AAP) provides preparedness recommendations for families, but little is known about recommendation adherence. Caregivers of children seen in a pediatric cardiology clinic network were recruited to complete an electronic survey. Participants self-reported child medical history and their household's implementation of AAP recommended disaster preparedness items. Families received a link to AAP resources and a child ID card. Data were analyzed using descriptive statistics with Fisher's exact and Wilcoxon rank sum tests. 320 caregivers participated in the study, of whom 124 (38.8%) indicated that their child has a diagnosed cardiac condition, and 150 (46.9%) indicated that their child had special healthcare needs. The average preparedness item completion rate was 70.7% for household preparedness, 40.1% for reunification preparedness, and 26.3% for community preparedness. Households of children with medical needs had similar rates of preparedness compared to overall rates. Of all respondents, 27.8% previously received disaster preparedness resources, 67.7% would like resources on discussing disaster preparedness, and 93.0% intend to talk with their household about disaster preparedness after completing the survey. These results demonstrate a gap between AAP recommendations and household-level disaster preparedness, including patients with cardiac conditions and those with special healthcare needs. Families expressed that they were interested in getting resources for disaster preparedness. Pediatric cardiologists may consider asking about disaster preparedness and providing disaster preparedness resources tailored to the needs of their patients.
MeSH term(s)	Adolescent ; Child ; Humans ; United States ; Disaster Planning/methods ; Disasters ; Surveys and Questionnaires ; Self Report ; Ambulatory Care Facilities
Language	English
Publishing date	2024-03-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	800857-7
ISSN	1432-1971 ; 0172-0643
ISSN (online)	1432-1971
ISSN	0172-0643
DOI	10.1007/s00246-024-03445-5
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Article ; Online: Disaster Preparedness in a Resettled Refugee Community: Qualitative Findings.

Greenky, David / Hassan, Saria / Nerhood, Kayleigh / O'Connor, Mary Helen / Pozzo, Nicole / Prasad, Prachi / Schoendorf, Emily / Soti, Subada / Murray, Brittany

Disaster medicine and public health preparedness

2024 Volume 18, Page(s) e2

Abstract: Introduction: Under-resourced communities face disaster preparedness challenges. Research is limited for resettled refugee communities, which have unique preparedness needs.: Study objective: This study aims to assess disaster preparedness among the ... ...

Abstract	Introduction: Under-resourced communities face disaster preparedness challenges. Research is limited for resettled refugee communities, which have unique preparedness needs. Study objective: This study aims to assess disaster preparedness among the refugee community in Clarkston, GA. Methods: Twenty-five semi-structured interviews were completed with community stakeholders. Convenience sampling using the snowball method was utilized until thematic saturation was reached. Thematic analysis of interviews was conducted through an inductive, iterative approach by a multidisciplinary team using manual coding and MAXQDA. Results: Three themes were identified: First, prioritization of routine daily needs took precedence for families over disaster preparedness. Second, communication impacts preparedness. Community members speak different languages and often do not have proficiency in English. Access to resources in native languages and creative communication tactics are important tools. Finally, the study revealed a unique interplay between government, community-based organizations, and the refugee community. A web of formal and informal responses is vital to helping this community in times of need. Conclusion: The refugee community in Clarkston, GA faces challenges, and disaster preparedness may not be top of mind for them. However, clear communication, disaster preparedness planning, and collaboration between government, community-based organizations, and the community are possible areas to focus on to bolster readiness.
MeSH term(s)	Humans ; Refugees ; Disasters ; Disaster Planning ; Communication ; Language
Language	English
Publishing date	2024-01-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2023.241
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: A neonate with metabolic acidosis: Intentional ethylene glycol poisoning.

Greenky, David / Ball, Tamara Taylor / Murray, Brittany

The American journal of emergency medicine

2020 Volume 44, Page(s) 478.e5–478.e6

Abstract: We present a rare case of the intentional poisoning of a neonate. An 8-day old child presented to an academic pediatric emergency department (ED) with respiratory distress and decreased intake. In the ED the patient was stabilized, and workup uncovered ... ...

Abstract	We present a rare case of the intentional poisoning of a neonate. An 8-day old child presented to an academic pediatric emergency department (ED) with respiratory distress and decreased intake. In the ED the patient was stabilized, and workup uncovered an anion gap metabolic acidosis. Blood, urine, and CSF cultures were negative at 48 h and a metabolic screen revealed elevated glycine. Calcium oxalate crystals were later found in the urinalysis, raising concern for ethylene glycol poisoning. The patient's father admitted to mixing antifreeze with the child's formula. The workup of an ill or distressed neonate should be methodical, ruling out sepsis, inborn errors of metabolism, cardiac disease, trauma, and less common etiologies such as intestinal catastrophes, renal or hepatic disease, neurologic disease, drug withdrawal, non-accidental trauma, formula mixing errors, and poisoning.
MeSH term(s)	Acidosis/chemically induced ; Child Abuse/diagnosis ; Diagnosis, Differential ; Ethylene Glycols/poisoning ; Female ; Humans ; Infant, Newborn ; Poisoning/diagnosis
Chemical Substances	Ethylene Glycols
Language	English
Publishing date	2020-11-06
Publishing country	United States
Document type	Case Reports
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2020.10.078
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Article ; Online: The Utility of a Travel Screen at Triage in Pediatric Emergency Medicine.

Greenky, David / Gillespie, Scott / Levine, Aly / Murray, Brittany

Pediatric emergency care

2020 Volume 36, Issue 8, Page(s) 384–388

Abstract: Background: The travel screen was implemented by emergency departments (EDs) across the country in 2014 to detect patients exposed to Ebola early and prevent local outbreaks. It remains part of the triage protocol in many EDs to detect communicable ... ...

Abstract	Background: The travel screen was implemented by emergency departments (EDs) across the country in 2014 to detect patients exposed to Ebola early and prevent local outbreaks. It remains part of the triage protocol in many EDs to detect communicable disease from abroad and has become a defacto screen for other travel-related illness. Its utility has not been studied in the pediatric ED. Methods: This was a retrospective review of electronic medical records across 3 EDs from January 1, 2016, to December 31, 2016. The screening question reads, "Has the child or a close contact of the child traveled outside the United States in the past 21 days?" A follow-up question requesting travel details is included for positive screens. We compared length of stay, return-visit rates, and differences in disposition between patients with positive and negative travel screens using generalized linear regression. Matched regression estimates, 95% confidence intervals, and P values were reported. Results: The study population included 152,945 patients with a total of 322,229 encounters in 2016, of which 232,787 encounters had a travel screen documented during triage. There were 2258 patient encounters that had positive travel screens. Only 201 (8.9%) of these encounters had further description of the travel in the comments box. The odds of hospital admission for patients with positive travel screens were 1.76 (95% confidence interval, 1.54-2.01; P < 0.001) times the odds of hospital admission for patients screened negative. The significance of this finding was largely driven by general hospital admission. Other metrics did not differ significantly between the groups. Conclusions: Although a positive travel screen was mildly predictive of inpatient admission, information is not available to providers about travel-related risk. Recent literature suggests integrating a travel history with presenting symptoms and region of travel and could produce a more specific travel screen. A revised travel screen should be implemented and studied in the pediatric ED.
MeSH term(s)	Adolescent ; Child ; Child, Preschool ; Disease Outbreaks/prevention & control ; Emergency Service, Hospital ; Female ; Hemorrhagic Fever, Ebola/diagnosis ; Humans ; Infant ; Infant, Newborn ; Male ; Mass Screening/methods ; Pediatric Emergency Medicine ; Retrospective Studies ; Travel ; Triage ; United States/epidemiology
Language	English
Publishing date	2020-05-08
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.0000000000002116
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Article ; Online: Triage Travel Screening in the Pediatric ED: A Cross-Sectional Analysis to Evaluate Current Use and Effectiveness in Identifying Travel Related Illness.

Greenky, David / Linam, Matt / Yaffee, Anna / Costello, Brian / Gillespie, Scott / Murray, Brittany

The American journal of emergency medicine

2022 Volume 56, Page(s) 113–116

Abstract: Objectives: In 2014 the Center for Disease Control and Prevention recommended emergency departments (EDs) implement triage travel screening to identify persons at risk for Ebola Virus Disease (EVD). EVD remains rare in the United States, and in practice ...

Abstract	Objectives: In 2014 the Center for Disease Control and Prevention recommended emergency departments (EDs) implement triage travel screening to identify persons at risk for Ebola Virus Disease (EVD). EVD remains rare in the United States, and in practice the triage travel screen serves as a de facto screen for all travel-related illnesses. This study seeks to determine the current use and effectiveness of the triage travel screen to detect travel-related illness in the pediatric ED. Methods: This was a retrospective, cross-sectional study of visits across three pediatrics EDs in 2019 in Atlanta, GA. Prevalences of travel-related illnesses were compared between patients with positive and negative travel screens. Patient charts with diagnoses of travel-related illness were then reviewed. Results: Out of 244,841 patient encounters during the study period, 13 patients with travel-related illness were identified. 5/13 cases of travel-related illness were not diagnosed at the initial ED visit. Of these 5 cases, 2 had correctly negative travel screens (as travel was not within the specified timeframe) and 3 had correctly positive travel screens, but none had a clinician-documented travel history in the ED clinical notes. Of the 8/13 cases that were diagnosed at the initial ED visit, 7/8 had a clinician-documented travel history in the ED note. Conclusions: This study highlights the limitations of the current pediatric ED triage travel screen to detect travel-related illness and reinforces the importance of a provider-taken travel history. Strategies to increase provider-administered travel history documentation and revisions to increase triage travel-screen efficacy should be considered.
MeSH term(s)	Child ; Cross-Sectional Studies ; Emergency Service, Hospital ; Hemorrhagic Fever, Ebola/diagnosis ; Humans ; Pediatrics ; Retrospective Studies ; Travel ; Travel-Related Illness ; Triage ; United States
Language	English
Publishing date	2022-03-31
Publishing country	United States
Document type	Journal Article
ZDB-ID	605890-5
ISSN	1532-8171 ; 0735-6757
ISSN (online)	1532-8171
ISSN	0735-6757
DOI	10.1016/j.ajem.2022.03.061
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