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  1. Article ; Online: Ultrasonographically Guided Peripheral Intravenous Access: The Answer for Pediatric Patients With Difficult Access.

    Marin, Jennifer R

    Annals of emergency medicine

    2019  Volume 74, Issue 1, Page(s) 28–29

    MeSH term(s) Child ; Emergency Service, Hospital ; Humans ; Infusions, Intravenous ; Injections, Intravenous
    Language English
    Publishing date 2019-05-09
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2019.03.035
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  2. Article ; Online: Peering Through the Telescope: Bringing POCUS for Intussusception into Focus.

    Stem, Christopher T / Marin, Jennifer R

    Annals of emergency medicine

    2021  Volume 78, Issue 5, Page(s) 616–618

    MeSH term(s) Humans ; Intussusception/diagnostic imaging ; Intussusception/surgery ; Point-of-Care Systems ; Ultrasonography
    Language English
    Publishing date 2021-08-11
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2021.06.008
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  3. Article ; Online: Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy.

    Perera, Ag Nuwan D / Noorbakhsh, Kathleen A / Marin, Jennifer R / Azhdam, Devora B

    Pediatric emergency care

    2024  Volume 40, Issue 2, Page(s) 164–165

    Abstract: Abstract: We report the case of a 6-year-old boy presenting to the emergency department after a syncopal event during a flu-like illness. Intermittent ventricular tachycardia was noted during Emergency Medical Services transport, and a focused cardiac ... ...

    Abstract Abstract: We report the case of a 6-year-old boy presenting to the emergency department after a syncopal event during a flu-like illness. Intermittent ventricular tachycardia was noted during Emergency Medical Services transport, and a focused cardiac ultrasound (FOCUS) in the emergency department revealed a dilated left ventricle and left atrium as well as severe global systolic dysfunction. Point-of-care ultrasound findings prompted expedited evaluation and management of this critically ill patient.
    MeSH term(s) Male ; Humans ; Child ; Cardiomyopathy, Dilated/diagnostic imaging ; Echocardiography ; Electrocardiography ; Heart Ventricles ; Arrhythmias, Cardiac
    Language English
    Publishing date 2024-01-31
    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.0000000000003123
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  4. Article ; Online: Ultrasonography for Infant Lumbar Puncture: Time to Pop the Champagne?

    Marin, Jennifer R

    Annals of emergency medicine

    2017  Volume 69, Issue 5, Page(s) 620–621

    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Editorial
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2016.11.018
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  5. Article ; Online: Racial and ethnic differences in low-value pediatric emergency care.

    Li, Joyce / Ramgopal, Sriram / Marin, Jennifer R

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2022  Volume 29, Issue 6, Page(s) 698–709

    Abstract: Background: Disparities in health care quality frequently focus on underuse. We evaluated racial/ethnic differences in low-value services delivered in the pediatric emergency department (ED).: Methods: We performed a retrospective cross-sectional ... ...

    Abstract Background: Disparities in health care quality frequently focus on underuse. We evaluated racial/ethnic differences in low-value services delivered in the pediatric emergency department (ED).
    Methods: We performed a retrospective cross-sectional study of low-value services in children discharged from 39 pediatric EDs from January 2018 to December 2019 using the Pediatric Hospital Information System. Our primary outcome was receipt of one of 12 low-value services across nine conditions, including chest radiography in asthma and bronchiolitis; beta-agonist and corticosteroids in bronchiolitis; laboratory testing and neuroimaging in febrile seizure; neuroimaging in afebrile seizure; head injury and headache; and any imaging in sinusitis, constipation, and facial trauma. We analyzed the association of race/ethnicity on receipt of low-value services using generalized linear mixed models adjusted for age, sex, weekend, hour of presentation, payment, year, household income, and distance from hospital.
    Results: We included 4,676,802 patients. Compared with non-Hispanic White (NHW) patients, non-Hispanic Black (NHB) and Hispanic patients had lower adjusted odds (aOR [95% confidence interval]) of receiving imaging for asthma (0.60 [0.56 to 0.63] NHB; 0.84 [0.79 to 0.89] Hispanic), bronchiolitis (0.84 [0.79 to 0.89] NHB; 0.93 [0.88 to 0.99] Hispanic), head injury (0.84 [0.80 to 0.88] NHB; 0.80 [0.76 to 0.84] Hispanic), headache (0.67 [0.63 to 0.72] NHB; 0.83 [0.78 to 0.88] Hispanic), and constipation (0.71 [0.67 to 0.74] NHB; 0.76 [0.72 to 0.80] Hispanic). NHB patients had lower odds (95% CI) of receiving imaging for afebrile seizures (0.89 [0.8 to 1.0]) and facial trauma (0.69 [0.60 to 0.80]). Hispanic patients had lower odds (95% CI) of imaging (0.57 [0.36 to 0.90]) and blood testing (0.82 [0.69 to 0.98]) for febrile seizures. NHB patients had higher odds (95% CI) of receiving steroids (1.11 [1.00 to 1.21]) and beta-agonists (1.38 [1.24 to 1.54]) for bronchiolitis compared with NHW patients.
    Conclusions: NHW patients more frequently receive low-value imaging while NHB patients more frequently receive low-value medications for bronchiolitis. Our study demonstrates the differences in care across race and ethnicity extend to many services, including those of low value. These findings highlight the importance of greater understanding of the complex interaction of race and ethnicity with clinical practice.
    MeSH term(s) African Americans ; Asthma/diagnosis ; Asthma/therapy ; Bronchiolitis ; Child ; Constipation ; Craniocerebral Trauma/diagnostic imaging ; Craniocerebral Trauma/therapy ; Cross-Sectional Studies ; Emergency Service, Hospital ; Headache ; Humans ; Retrospective Studies ; Whites
    Language English
    Publishing date 2022-03-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14468
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  6. Article ; Online: Resource Utilization During Low-Acuity Pediatric Emergency Department Visits.

    Li, Joyce / Ramgopal, Sriram / Marin, Jennifer R

    Pediatric emergency care

    2022  Volume 38, Issue 2, Page(s) e983–e987

    Abstract: Objectives: The aims of the study were to estimate testing and treatment rates among pediatric low-acuity emergency department (ED) visits and to compare testing and treatment patterns at general and pediatric-specific EDs.: Methods: We performed a ... ...

    Abstract Objectives: The aims of the study were to estimate testing and treatment rates among pediatric low-acuity emergency department (ED) visits and to compare testing and treatment patterns at general and pediatric-specific EDs.
    Methods: We performed a cross-sectional study of triage level 4 or 5 pediatric visits from a complex survey of nonfederal US EDs from 2008 to 2017. We analyzed demographics, vital signs, disposition, testing, and treatment. We calculated proportions for each data element and used χ2 tests to determine differences between general and pediatric EDs.
    Results: There were an estimated 306.2 million pediatric visits with 129.1 million acuity level 4 or 5 visits (57.2%; 95% confidence interval, 55.4%-58.9%), with diagnostic testing performed in 47.1% and medications administered in 69.6% of the visits. Most low-acuity visits (82.0%) were to general EDs. Tests performed more frequently in general EDs compared with pediatric EDs included radiographs (25.8% vs 15.7%, P < 0.01), complete blood count (6.4% vs 3.9%, P < 0.01), electrolytes (11.6% vs 3.7%, P < 0.01), and glucose (2.0% vs 0.9%, P < 0.01). Ultrasound was used less frequently in general EDs (0.5 vs 0.7, P < 0.01). There were similar rates of intravenous fluid and overall medication administration and a higher proportion of patients receiving antibiotics in general EDs (28.7% vs 23.8%, P < 0.01).
    Conclusions: More than half of pediatric visits to the ED are low acuity. Although general EDs relied on more imaging, blood testing and antibiotics, and pediatric EDs on ultrasound, overall resource utilization was high in this population across both ED types and can likely be reduced.
    MeSH term(s) Anti-Bacterial Agents/therapeutic use ; Blood Cell Count ; Child ; Cross-Sectional Studies ; Diagnostic Imaging ; Emergency Service, Hospital ; Humans
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2022-01-27
    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.0000000000002508
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  7. Article ; Online: Racial differences in low-value pediatric emergency care in general emergency departments.

    Li, Joyce / Marin, Jennifer R / Ramgopal, Sriram

    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine

    2022  Volume 29, Issue 9, Page(s) 1132–1134

    MeSH term(s) Child ; Emergency Service, Hospital ; Hospitals, Pediatric ; Humans ; Race Factors
    Language English
    Publishing date 2022-06-19
    Publishing country United States
    Document type Letter
    ZDB-ID 1329813-6
    ISSN 1553-2712 ; 1069-6563
    ISSN (online) 1553-2712
    ISSN 1069-6563
    DOI 10.1111/acem.14543
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  8. Article ; Online: Point-of-Care Ultrasound Diagnosis of Perforated Appendicitis in the Pediatric Emergency Department: A Case Series.

    Azhdam, Devora Bita / Marin, Jennifer R

    Pediatric emergency care

    2020  Volume 36, Issue 12, Page(s) 606–608

    Abstract: Point-of-care ultrasound (POCUS) is being used for clinical decision making with increasing frequency across a broad range of indications in pediatric emergency medicine (PEM). We present a series of 4 patients in whom POCUS was used to facilitate a ... ...

    Abstract Point-of-care ultrasound (POCUS) is being used for clinical decision making with increasing frequency across a broad range of indications in pediatric emergency medicine (PEM). We present a series of 4 patients in whom POCUS was used to facilitate a diagnosis of perforated appendicitis.
    MeSH term(s) Appendicitis/diagnostic imaging ; Child ; Emergency Service, Hospital ; Humans ; Point-of-Care Systems ; Ultrasonography
    Language English
    Publishing date 2020-03-20
    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.0000000000002082
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  9. Article ; Online: 2023 Update on Pediatric Medical Overuse.

    Money, Nathan M / Wolf, Elizabeth R / Marin, Jennifer R / Liang, Danni / Thomas, Elizabeth T / Ho, Timmy

    Pediatrics

    2023  Volume 152, Issue 4

    MeSH term(s) Child ; Humans ; Medical Overuse/prevention & control ; Health Services Misuse
    Language English
    Publishing date 2023-09-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207677-9
    ISSN 1098-4275 ; 0031-4005
    ISSN (online) 1098-4275
    ISSN 0031-4005
    DOI 10.1542/peds.2023-062650
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  10. Article ; Online: Point-of-Care Ultrasound for Targeted Assessment of Shock: Remember HIPP in Children.

    Weberding, Nathaniel T / Marin, Jennifer R

    Pediatric emergency care

    2019  Volume 35, Issue 8, Page(s) 575–578

    Abstract: The differential diagnosis for patients presenting in shock can be broad, making rapid diagnosis and management challenging. We present a case of a medically complex patient with presumed septic shock, diagnosed with a large pericardial effusion with ... ...

    Abstract The differential diagnosis for patients presenting in shock can be broad, making rapid diagnosis and management challenging. We present a case of a medically complex patient with presumed septic shock, diagnosed with a large pericardial effusion with evidence of tamponade using the rapid ultrasound in shock and hypotension protocol. The point-of-care ultrasound examination allowed for more timely and definitive management.
    MeSH term(s) Adolescent ; Echocardiography/methods ; Emergency Service, Hospital ; Humans ; Male ; Pediatric Emergency Medicine ; Pericardial Effusion/complications ; Pericardial Effusion/diagnostic imaging ; Pericardial Effusion/therapy ; Pericardiocentesis/methods ; Point-of-Care Systems/standards ; Shock/diagnosis ; Shock/etiology ; Treatment Outcome ; Ultrasonography/methods
    Language English
    Publishing date 2019-07-09
    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.0000000000001891
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