Impact of a discharge prescription for dexamethasone on outcomes of children treated in the emergency department for acute asthma exacerbations.

Objective: To evaluate dexamethasone prescribing practices, patient adherence, and outcomes by dosing regimen in children with acute asthma discharged from the emergency department (ED).

Study Design: Prospective study of children 2-18 years treated with dexamethasone for acute asthma prior to discharge from an urban, tertiary care ED between 2018 and 2022. Demographics, clinical characteristics, ED treatment, and discharge prescriptions were collected via chart review.

Pediatric Sepsis in General Emergency Departments: Association Between Pediatric Sepsis Case Volume, Care Quality, and Outcome.

Study Objective: To assess whether a general emergency department's (ED) annual pediatric sepsis volume increases the odds of delivering care concordant with Surviving Sepsis pediatric guidelines.

Methods: A retrospective cohort study of children <18 years with sepsis presenting to 29 general EDs. Emergency department and hospital data were abstracted from the medical records of 2 large health care systems, including all hospitals to which children were transferred.

Overview of an emergent, arts-based resiliency curriculum to mitigate medical trainee burnout.

: Physician and trainee burnout are becoming an epidemic within the medical community.  : This paper describes an innovative emergent curriculum that uses narrative medicine, creative activities, and group discussions to alleviate burnout.  : Between August 2016 and August 2019, 394 medical trainees participated in sessions that focused on themes relevant to promoting wellbeing, such as maintaining sensitivity to patients and finding balance.