Publications by authors named "Kimball Prentiss"
Background: Behavioral health crises in pediatric emergency department (ED) patients are increasingly common. Chemical restraints can be utilized for patients who present imminent danger to self or others. We sought to describe the use of intravenous (IV)/intramuscular (IM) chemical restraints for pediatric behavioral health ED patients across a nationwide sample of hospitals and describe factors associated with restraint use.
View Article and Find Full Text PDFRepetitive simulation is an effective instructional design within a pediatric resident simulation curriculum.
BMJ Simul Technol Enhanc Learn
October 2018
Introduction: Repetitive paediatric simulation (scenario-debrief-scenario; RPS) is an instructional design that allows immediate application of learner-directed feedback, in contrast to standard simulation (scenario-debrief; STN). Our aim was to examine the impact of RPS embedded within a paediatric resident simulation curriculum, comparing it to STN.
Methods: In this prospective educational cohort study, paediatric residents were enrolled in STN (n=18) or RPS (n=15) groups from August 2012 through June 2013.
We report on a young adult female presenting with altered mental status and chest pain. Timely review of her electronic medical record revealed a history of panhypopituitarism with poor medication adherence, although this was unknown at the time of her initial evaluation.The patient required hormone replacement and significant fluid resuscitation, followed by definitive treatment with a pericardiocentesis.
View Article and Find Full Text PDFArticle Synopsis
- Pediatric and emergency medicine residents are increasingly engaging in clinical rotations in low-income countries, but effective pre-departure preparation methods are still being developed.
- A study evaluated a high-fidelity simulation curriculum focused on severe pediatric conditions, showing significant increases in residents' comfort with managing severe malnutrition and malaria after participating.
- The results suggest that this simulation-based training enhances readiness for international rotations and is highly supported by residents as a valuable component of pre-departure training.
Adolescent female with urinary symptoms: a diagnostic challenge for the pediatrician.
Pediatr Emerg Care
September 2011
Objectives: The objective of this study was to determine the accuracy with which physicians diagnose sexually transmitted infections (STIs) and urinary tract infections (UTIs) in adolescent females with urinary symptoms. Secondary aims were to determine the prevalence of STIs and UTIs in this subset of patients and to identify variables associated with a physician diagnosis of STI or UTI.
Methods: We performed a prospective cross-sectional study of females aged 13 to 21 years who presented to an urban pediatric emergency department with urinary symptoms.
Examining the young child who presents to the emergency department with a visual or ocular complaint can be a challenge. This article discusses basic concepts of visual and behavioral development and methods for an accurate ocular examination in young children. Topics reviewed include conjunctivitis, orbital and periorbital cellulitis, lacrimal system infections, congenital issues, misalignment, and oncology.
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- The study investigates the usefulness of white blood cell (WBC) count and left shift in diagnosing appendicitis in children, as existing beliefs are primarily based on adult data.
- Approximately 10.2% of pediatric patients with acute abdominal pain had appendicitis, with varying implications of WBC counts across age groups; higher counts indicated a greater likelihood of appendicitis.
- The findings highlight that while a normal WBC count is not definitive for ruling out appendicitis in children, it does show a significant negative predictive value, particularly in toddlers and older children.