Comparing Outcomes Between Direct and ED Admissions for Neonatal Hyperbilirubinemia.

Objectives: Pediatric direct admissions (DA) have multiple benefits including reduced emergency department (ED) volumes, greater patient and provider satisfaction, and decreased costs without compromising patient safety. We sought to compare resource utilization and outcomes between patients with a primary diagnosis of neonatal hyperbilirubinemia directly admitted with those admitted from the ED.

Methods: Single-center, retrospective study at a large, academic, free-standing children's hospital (2017-2021).

Shifting practice in pediatric prescription opioid use in the emergency department for fractures.

Objectives: Judicious opioid use is important for balancing patient comfort and safety. Although opioid use is well studied in adult populations, pediatric opioid prescription practices are less understood and there are very few guidelines regarding its usage. The purpose of this study was to investigate pediatric opioid prescription trends by emergency medicine physicians over the last ten years, including assessing proxies for the adequacy of pain control and risk of any opioid-related adverse events including overdose.

Prehospital Epinephrine Use in Pediatric Anaphylaxis by Emergency Medical Services.

Objectives: Anaphylaxis requires prompt assessment and management with epinephrine to reduce its morbidity and mortality. This study examined the prehospital management of pediatric anaphylactic reactions in Northeast Ohio.

Methods: This is a retrospective chart review using emergency medical service (EMS) run charts of patients 18 years and younger from February 2015 to April 2019.