Publications by authors named "Brian L Park"
Background: Transabdominal pelvic ultrasound (TPUS) is the diagnostic test of choice for the evaluation of ovarian torsion, a time-sensitive surgical emergency. A full bladder is required to visualize the ovaries. Bladder filling is a time-consuming process leading to delays to TPUS, poor visualization of ovaries requiring repeat studies, and prolonged emergency department length of stay (ED LOS).
View Article and Find Full Text PDFIntroduction: Jimson weed is a poisonous plant containing tropane alkaloids that can cause anticholinergic toxicity. Recognition of anticholinergic toxidrome is important for prevention and management of potentially life-threatening complications of severe toxicity, including dysrhythmia and seizure.
Methods: Designed for pediatric emergency medicine (PEM) fellows, this simulation featured a 15-year-old female presenting to the emergency department (ED) with agitation and hallucinations.
Background and Purpose- There are few large studies examining comorbidities, outcomes, and acute interventions for patients with retinal artery occlusion (RAO). RAO shares pathophysiology with acute ischemic stroke (AIS); direct comparison may inform emergent treatment, evaluation, and secondary prevention. Methods- The National Readmissions Database contains data on ≈50% of US hospitalizations from 2013 to 2015.
View Article and Find Full Text PDFArticle Synopsis
- Enteroviruses are a common cause of meningoencephalitis in children, with a study analyzing cases from 2012 to 2017 revealing that the majority presented as meningitis, predominantly in summer and fall seasons.
- The study involved reviewing medical records and found that 91.4% of cases were positive for enteroviruses in cerebrospinal fluid, highlighting the importance of testing both cerebrospinal fluid and respiratory samples for diagnosis.
- Most patients received antibiotics, and many also received antiviral treatment, resulting in favorable outcomes, as indicated by Modified Rankin Scores upon discharge; this underscores the need for ongoing research to track epidemiological trends in enterovirus-related CNS infections.
Background: Identification of intussusception is feasible with emergency department (ED) point-of-care ultrasound (PoCUS) due to its ease-of-use and high accuracy. Little is known about the clinical characteristics and outcomes of small bowel-small bowel intussusception (SB-SBI) relative to ileocolic intussusception (ICI) identified by PoCUS.
Methods: We conducted a retrospective cohort study at a single, tertiary care, urban pediatric ED of intussusception identified by PoCUS.