How good is our diagnostic intuition? Clinician prediction of bacteremia in critically ill children.

Background: Clinical intuition and nonanalytic reasoning play a major role in clinical hypothesis generation; however, clinicians' intuition about whether a critically ill child is bacteremic has not been explored. We endeavored to assess pediatric critical care clinicians' ability to predict bacteremia and to evaluate what affected the accuracy of those predictions.

Methods: We conducted a retrospective review of clinicians' responses to a sepsis screening tool ("Early Sepsis Detection Tool" or "ESDT") over 6 months.

Critical care resource use, cost, and mortality associated with firearm-related injuries in US children's hospitals.

Background/purpose: To assess trends and resource use attributable to firearm-related injuries in US pediatric intensive care units (PICUs).

Methods: Retrospective data from Pediatric Health Information Systems (PHIS) database from 2004 to 2017.

Results: Of 5,984,938 admissions to 28 children's hospitals, 3707 were for firearm injuries.

Human papillomavirus vaccination: the policy debate over the prevention of cervical cancer--a commentary.

The human papillomavirus (HPV) family causes a variety of benign, premalignant, and malignant lesions in men and women. HPV types 16 and 18 are responsible for causing 70% of all cases of cervical cancer each year. Recently, a vaccine that can prevent cervical cancer by protecting women from infection with the most common types of HPV has been made available.