Publications by authors named "Jacqueline Grupp-Phelan"
Article Synopsis
- Minoritized youth in under-resourced neighborhoods often depend on emergency medical services (EMS) for care during behavioral health emergencies (BHEs), but law enforcement (LE) may use forceful methods during these situations.
- A study in Alameda County, California, investigated the factors like race, ethnicity, neighborhood disadvantage, sex, and age that are linked to LE handcuffing during pediatric BHEs between 2012 and 2019.
- Results showed that handcuffing occurred in 7.6% of pediatric BHE encounters, with Black children and those from neighborhoods with moderate to high disadvantage facing significantly higher odds of being handcuffed compared to their peers.
Background: The COVID-19 pandemic adversely affected children's mental health (MH) and changed patterns of MH emergency department (ED) utilization. Our objective was to assess how pediatric MH ED visits during the COVID-19 pandemic differed from expected prepandemic trends.
Methods: We retrospectively studied MH ED visits by children 5 to <18 years old at nine U.
Introduction: Headache is a common chief complaint of children presenting to emergency departments (EDs). Approximately 0.5%-1% will have emergent intracranial abnormalities (EIAs) such as brain tumours or strokes.
View Article and Find Full Text PDFBackground And Objective: Pediatric firearm injuries increased during the coronavirus disease 2019 pandemic, but recent trends in firearm injury emergency department (ED) visits are not well described. We aimed to assess how pediatric firearm injury ED visits during the pandemic differed from expected prepandemic trends.
Methods: We retrospectively studied firearm injury ED visits by children <18 years old at 9 US hospitals participating in the Pediatric Emergency Care Applied Research Network Registry before (January 2017 to February 2020) and during (March 2020 to November 2022) the pandemic.
Objective: Emergency medical services (EMS) transport for mental and behavioral health (MBH) emergencies occurs frequently in children, yet little is understood regarding prehospital physical restraint use despite the potential for serious adverse events. We aim to describe restraint use prevalence and primary impressions among children with MBH emergencies.
Methods: This is a retrospective cross-sectional study of children with MBH emergencies evaluated by Alameda County (ALCO), California EMS from January 1, 2012 to December 31, 2018.
Article Synopsis
- In 2020, firearm injuries became the leading cause of death for children in the US, surpassing car accidents, prompting a need for effective public health interventions.
- A study analyzed firearm injury data from 2003 to 2018 for patients under 19, focusing on demographics, injury intent, and outcomes across four pediatric hospitals in different regions.
- Results showed a significant rise in firearm injuries, particularly in the South, emphasizing variations in injury causes and implications for developing targeted prevention strategies based on regional data.
Background: Pediatric patients with behavioral health emergencies (BHEs) are often transported to an emergency department (ED) by emergency medical services (EMS), despite having no physical medical complaints, to await psychiatric evaluation and treatment. This process leads to significant delays in their care. We examined the safety of directly transporting pediatric patients with BHEs from the field to an alternative destination of a psychiatric emergency service (PES) facility using an EMS protocol.
View Article and Find Full Text PDFBackground: Daycare and school closures prompted by shelter-in-place orders may have increased opportunities for unintentional ingestions among young children.
Objectives: We examined emergency department (ED) presentations for toxic exposures among young children during the COVID-19 pandemic in the San Francisco Bay Area, which had some of the strictest and most prolonged shelter-in-place policies in the United States.
Methods: We performed a retrospective cross-sectional study of children 0 to 5 years of age who presented with an ED International Statistical Classification of Diseases and Related Health Problems, Tenth Revision diagnosis code of toxic exposure within a tertiary care hospital system between March 16, 2016 and March 15, 2021.
Objective: The Pediatric Emergency Care Applied Research Network (PECARN) has developed a clinical-decision instrument (CDI) to identify children at very low risk of intra-abdominal injury. However, the CDI has not been externally validated. We sought to vet the PECARN CDI with the Predictability Computability Stability (PCS) data science framework, potentially increasing its chance of a successful external validation.
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- Pediatric FAST is an ultrasound technique used to quickly assess trauma in children, but many clinicians struggle with consistently capturing all necessary views.
- A new deep learning view classifier was developed using a large dataset from 699 FAST studies performed by various clinicians, demonstrating high accuracy in classifying ultrasound views.
- The classifier achieved 97.8% accuracy for video clips and 93.4% for still frames, suggesting its potential to improve the reliability and efficiency of trauma assessments in pediatric care.
CT has excellent accuracy for appendicitis but is associated with risks. Research and educational campaigns have been conducted to implement an ultrasound-first strategy for children but not for adults. The purpose of this study was to measure the use of CT and ultrasound in emergency department (ED) visits for abdominal pain and appendicitis to examine the impact of these efforts.
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