Publications by authors named "Madeline H Renny"
Article Synopsis
- Emergency department visits for substance use among youth (ages 12-21) rose from 2.8% to 3.4% of all visits between 2018 and 2023, particularly among 18-21-year-olds, but also in younger groups.
- Female visits for substance use increased significantly, from 43.4% to 52.4% during this period.
- Cannabis-related visits saw a substantial rise from 17.9% to 35.3%, while alcohol remained the most common substance involved, accounting for 53.1% of visits.
Objective: Our primary objective was to determine the frequency and type of substance use in youth presenting to our pediatric ED (PED). Our secondary objective was to identify characteristics associated with higher-risk substance use.
Methods: We conducted a tablet-based, anonymous, self-administered screening for substance use using a modified version of the Screening to Brief Intervention (S2BI) tool among a convenience sample of 383 patients 12-21 years presenting to an urban, academic PED from February to July 2023.
Article Synopsis
- The American Academy of Pediatrics released their first clinical practice guideline to help healthcare providers safely prescribe opioids for acute pain in children and adolescents, focusing on minimizing risks such as opioid use disorder and overdose.
- The guideline also highlights disparities in pain management for Black, Hispanic, and American Indian/Alaska Native youth, advocating for fair treatment across all demographics, regardless of language, socioeconomic status, or geographic location.
- It emphasizes a multimodal approach to pain management, recommending nonpharmacologic therapies and nonopioid medications, with strict guidelines for opioid prescriptions, including avoiding certain medications for specific age groups and starting with low doses and short supply durations.
Background: Adolescent substance use is a growing public health concern, particularly given rising mortality rates from drug overdose deaths. The emergency department (ED) provides a unique opportunity to screen adolescents for substance use and provide brief interventions and linkage to care.
Objective Of The Review: This article provides a narrative review of the current evidence for ED screening and brief interventions for adolescents with substance use and identifies important opportunities, challenges, and areas for future research.
Introduction: Clozapine is an atypical antipsychotic used to treat refractory schizophrenia; in both therapeutic use and overdose, it can cause significant toxicity. We report two young siblings who developed altered mental status after ingesting clozapine due to a pharmacy dispensing error.
Case Report: A 5-year-old girl and her 19-month-old sister presented to the emergency department (ED) with altered mental status after they took their first dose of what was believed to be cimetidine, prescribed to treat molluscum contagiosum.
Objectives: The aims of the study were to determine the frequency of and factors associated with leftover or expired prescription medication ("leftover medication") presence in homes with children and to assess caregivers' reported behaviors and knowledge regarding disposal of leftover medications in the home.
Methods: This study is a planned secondary analysis from a survey of primary caregivers of children aged 1 to 17 years presenting to an emergency department. The survey assessed leftover medications in the home and medication disposal practices, knowledge, and guidance.
Importance: Prescription opioids are involved in more than half of opioid overdoses among younger persons. Understanding opioid prescribing practices is essential for developing appropriate interventions for this population.
Objective: To examine temporal trends in opioid prescribing practices in children, adolescents, and younger adults in the US from 2006 to 2018.
Frequency of and Factors Associated With Prescription Medication Sharing Within Families.
Pediatr Emerg Care
December 2021
Objectives: Limited literature has investigated caregiver sharing of prescription medications with children. Our primary aim was to determine the frequency of and factors associated with prescription medication sharing within families. Our secondary aim was to determine the source and type of medications shared.
View Article and Find Full Text PDFPurpose Of Review: We present data from recently conducted research on the diagnosis and management of skin and soft tissue infections (SSTIs) in children.
Recent Findings: Current research in the area of SSTIs (cellulitis and abscess) has focused on the use of ultrasound, risk factors associated with bacteremia, antibiotic choice, and incision and drainage (I&D) practices. When clinical examination is equivocal at distinguishing abscess from cellulitis, ultrasound can aid in the diagnosis and alter management.