Rapid response events with multiple triggers are associated with poor outcomes in children.

Objective: We describe the characteristics and outcomes of pediatric rapid response team (RRT) events within a single institution, categorized by reason for RRT activation (RRT triggers). We hypothesized that events with multiple triggers are associated with worse outcomes.

Patients And Methods: Retrospective 3-year study at a high-volume tertiary academic pediatric hospital.

Mail-Back Envelopes for Retrieval of Opioids After Pediatric Surgery.

Background: Opioid overprescription has the potential to lead to harmful medications remaining in homes and to a rise in accidental or deliberate ingestion by children and adolescents. Although methods for opioid disposal are available, many are costly or require greater than minimal effort for the patient. In this study, we used a mail-back return envelope to retrieve unused opioids after ambulatory pediatric surgery.

Real-Time Ultrasound Improves Accuracy of Caudal Block in Children.

Background: Caudal block, the most common regional anesthetic in children, is predominantly performed using palpation to determine placement. The efficacy of the palpation technique is unknown with respect to block success. While ultrasound has been suggested for use during caudal block, its use is infrequent.

Increased trauma center volume is associated with improved survival after severe injury: results of a Resuscitation Outcomes Consortium study.

Objective: To investigate the relationship between trauma center volume and outcome.

Background: The Resuscitation Outcomes Consortium is a network of 11 centers and 60 hospitals conducting emergency care research. For many procedures, high-volume centers demonstrate superior outcomes versus low-volume centers.