Publications by authors named "Jenna Dyas"
Objectives: High-quality clinical research of resuscitations in a pediatric emergency department is challenging because of the limitations of traditional methods of data collection (chart review, self-report) and the low frequency of cases in a single center. To facilitate valid and reliable research for resuscitations in the pediatric emergency department, investigators from 3 pediatric centers, each with experience completing successful single-center, video-based studies, formed the Videography In Pediatric Emergency Research (VIPER) collaborative.
Methods: Our initial effort was the development of a multicenter, video-based registry and simulation-based testing of the feasibility and reliability of the VIPER registry.
Background: The pediatric emergency department (PED) provides care for adolescents at high risk of unintended pregnancy, but little is known regarding the efficacy of PED-based pregnancy prevention interventions. The objectives of this PED-based pilot intervention study were to 1) assess the rate of contraception initiation after contraceptive counseling and appointment facilitation in the PED during the study period, 2) identify barriers to successful contraception initiation, and 3) determine adolescent acceptability of the intervention.
Methods: This pilot intervention study included females 14 to 19 years of age at risk for unintended pregnancy.
Purpose: Results of a study to determine whether checklist-based interventions improved the selection and administration of rapid-sequence intubation (RSI) medications in a pediatric emergency department (ED) are reported.
Methods: A retrospective study of data collected during a quality-improvement project was conducted. Data sources included the electronic health record and video review.
Background: There have been few trials of interventions to facilitate recovery following mild traumatic brain injury (mTBI) in adolescence. To address this gap, we developed and piloted a novel Web-based intervention, entitled Self-Management Activity Restriction and Relaxation Training (SMART), and examined its impact on symptom burden, functional disability, and executive functioning during the month following mTBI in adolescents.
Materials And Methods: Open-label, single arm study.
Objective: We sought to describe and compare chart and video review as data collection sources for the study of emergency department (ED) rapid sequence intubation (RSI).
Methods: This retrospective cohort study compares the availability and content of key RSI outcome and process data from two sources: chart and video data from 12 months of pediatric ED RSI. Key outcomes included adverse effects (oxyhemoglobin desaturation, physiologic changes, inadequate paralysis, vomiting), process components (number of laryngoscopy attempts, end-tidal CO detection), and timing data (duration of preoxygenation and laryngoscopy attempts).
Background: There is a paucity of evidence-based interventions for mild traumatic brain injury (mTBI).
Objective: To evaluate the feasibility and potential benefits of an interactive, Web-based intervention for mTBI.
Setting: Emergency department and outpatient settings.
Objective: (1) To develop an automated algorithm to predict a patient's response (ie, if the patient agrees or declines) before he/she is approached for a clinical trial invitation; (2) to assess the algorithm performance and the predictors on real-world patient recruitment data for a diverse set of clinical trials in a pediatric emergency department; and (3) to identify directions for future studies in predicting patients' participation response.
Materials And Methods: We collected 3345 patients' response to trial invitations on 18 clinical trials at one center that were actively enrolling patients between January 1, 2010 and December 31, 2012. In parallel, we retrospectively extracted demographic, socioeconomic, and clinical predictors from multiple sources to represent the patients' profiles.
Article Synopsis
- Rapid sequence intubation (RSI) is critical for managing airways in emergency pediatric cases, but a previous study noted high variability and adverse effects like low oxygen saturation.
- A local initiative in a busy pediatric emergency department tested four interventions, including an RSI checklist and video laryngoscopy, to enhance safety and performance, with data collected pre- and post-implementation.
- Results showed significant improvements, with a 50% reduction in desaturation rates, indicating that the new strategies made RSI more reliable and safer for patients.