Publications by authors named "Maxwell Wickens"
Background: Although millions of children sustain concussions each year, a rapid and objective test for concussion has remained elusive. The aim of this study was to investigate quantitative pupillometry in pediatric patients in the acute, postinjury setting.
Methods: This was a prospective case-control study of concussed patients presenting to the emergency department within 72 hours of injury.
Background: Pediatric patients transferred by Emergency Medical Services (EMS) from urgent care (UC) and office-based physician practices to the emergency department (ED) following activation of the 9-1-1 EMS system are an under-studied population with scarce literature regarding outcomes for these children. The objectives of this study were to describe this population, explore EMS level-of-care transport decisions, and examine ED outcomes.
Methods: This was a retrospective review of patients zero to <15 years of age transported by EMS from UC and office-based physician practices to the ED of two pediatric receiving centers from January 2017 through December 2019.
Background: Child maltreatment is distressingly prevalent yet remains under-recognized by healthcare providers. In 2015 the Ohio Children's Hospital Association developed the Timely Recognition of Abusive INjuries (TRAIN) collaborative in an effort to promote child physical abuse (CPA) screening. Our institution implemented the TRAIN initiative in 2019.
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- Accurate weight assessment is crucial for pediatric medication dosing but is challenging in prehospital settings, making medication errors common; two systems, the Handtevy method and Broselow tape, aid EMS providers in weight estimation and dosing.
- This study aimed to evaluate how well these methods work in real-life scenarios by analyzing data from EMS transport of pediatric patients to a children's hospital between January and June 2021.
- Findings showed that the Broselow method estimated patient weight accurately within +/-10% of the ED scale in 51.3% of cases, while the Handtevy method did so in 43.7%; no significant differences were observed between the two methods.