Pediatric Emergency CT Scans at a Children's Hospital and at Community Hospitals: Radiation Technical Factors Are an Important Source of Radiation Exposure

2015 ◽  
Vol 205 (2) ◽  
pp. 409-413 ◽  
Author(s):  
Saurabh Agarwal ◽  
Clinton Jokerst ◽  
Marilyn J. Siegel ◽  
Charles Hildebolt
Keyword(s):  
Radiation Exposure ◽  
Pediatric Emergency ◽  
Ct Scans ◽  
Community Hospitals ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Technical Factors

Radiation exposure – how do CT scans for appendicitis compare between a free standing children’s hospital and non-dedicated pediatric facilities?

2014 ◽  
Vol 49 (6) ◽  
pp. 1016-1019 ◽  
Author(s):  
Nicole E. Sharp ◽  
Maneesha U. Raghavan ◽  
Wendy J. Svetanoff ◽  
Priscilla T. Thomas ◽  
Susan W. Sharp ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Ct Scans ◽  
Free Standing ◽  
Children's Hospital ◽  
Children’S Hospital

scholarly journals The Value of CT Scans for Children with Headaches

1990 ◽  
Vol 17 (3) ◽  
pp. 309-310 ◽  
Author(s):  
J.M. Dooley ◽  
P.R. Camfield ◽  
M. O'Neill ◽  
A. Vohra
Keyword(s):  
Clinical Assessment ◽  
Neurological Disease ◽  
Ct Scans ◽  
Pediatric Neurology ◽  
Children's Hospital ◽  
Limited Role ◽  
Children’S Hospital

ABSTRACT:We studied the value of CT scans for all children referred because of headache to one secondary and one tertiary pediatric centre during a 1 year period. Of 117 children who were seen by the Pediatric Neurology Service, at the I.W.K. Children's Hospital, 4 had CT scans and only 1 of these was abnormal. The consultant Pediatrician saw 40 children because of headache. CT scans were done on 3 of these patients and all were normal. None of the children who had a clinical assessment alone had unrecognized neurological disease during 20 months of follow-up. Therefore only 1 of 157 children had significant intracranial pathology. We conclude that CT scans have a limited role in the management of children with headache.

Quality of pediatric abdominal CT scans performed at a dedicated children’s hospital and its referring institutions: a multifactorial evaluation

2017 ◽  
Vol 47 (4) ◽  
pp. 391-397 ◽  
Author(s):  
Aisling Snow ◽  
Carly E. Milliren ◽  
Dionne A. Graham ◽  
Michael J. Callahan ◽  
Robert D. MacDougall ◽  
...  
Keyword(s):  
Ct Scans ◽  
Abdominal Ct ◽  
Children's Hospital ◽  
Children’S Hospital

Evaluation of regional hospitals’ use of children in disaster drills

2013 ◽  
Vol 8 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Aaron H. Gardner, MD ◽  
Michael R. FitzGerald, PhD ◽  
Hamilton P. Schwartz, MD ◽  
Nathan L. Timm, MD
Keyword(s):  
Pediatric Patients ◽  
Community Hospital ◽  
Simulated Patients ◽  
Community Hospitals ◽  
Hospital Emergency ◽  
Children's Hospital ◽  
Management Personnel ◽  
Children’S Hospital ◽  
Regional Hospitals ◽  
General Community

Objective: Describe the prevalence of pediatric casualties in disaster drills by community hospitals and determine if there is an association between the use of pediatric casualties in disaster drills and the proximity of a community hospital to a tertiary children’s hospital.Design: Survey, descriptive study.Setting: Tertiary children’s hospital and surrounding community hospitals.Participants: Hospital emergency management personnel for 30 general community hospitals in the greater Cincinnati, Ohio region.Interventions: NoneMain Outcome Measure(s): The utilization of pediatric casualties in community hospital disaster drills and its relationship to the distance of those hospitals from a tertiary children’s hospital.Results: Sixteen hospitals reported a total of 57 disaster drills representing 1,309 casualties. The overwhelming majority (82 percent [1,077/1,309]) of simulated patients from all locations were 16 years of age or older. Those hospitals closest to the children’s hospital reported the lowest percentage of pediatric patients (10 percent [35/357]) used in their drills.The hospitals furthest from the children’s hospital reported the highest percentage of pediatric patients (32 percent [71/219]) used during disaster drills.Conclusions: The majority of community hospitals do not incorporate children into their disaster drills, and the closer a community hospital is to a tertiary children’s hospital, the less likely it is to include children in its drills. Focused effort and additional resources should be directed toward preparing community hospitals to care for children in the event of a disaster.

scholarly journals Unique pharmacist competency program at community-based, teaching hospitals

2013 ◽  
Vol 2 (3) ◽  
pp. 119 ◽  
Author(s):  
Tu T. Tran ◽  
Shareen El-Ibiary ◽  
Robert Tindula ◽  
Neepa Rai ◽  
Austin Nguyen ◽  
...  
Keyword(s):  
Pharmacy Practice ◽  
Teaching Hospitals ◽  
Long Beach ◽  
Community Hospitals ◽  
Community Based ◽  
Children's Hospital ◽  
Age Related ◽  
Pharmacy Profession ◽  
Children’S Hospital ◽  
Competency Program

Background: The pharmacy profession continues to evolve and shape itself with increasing complexity. With this escalating complexity, pharmacist clinical competency needs to be addressed within each healthcare practice setting. The objectives of this study were to describe a unique pharmacist competency program and evaluate its satisfaction at two community hospitals. Methods: Long Beach Memorial and Miller Children’s Hospital of Long Beach are tertiary community hospitals with 308 total beds for Millers Children’s Hospital and 462 total beds for Long Beach Memorial. A unique and intensive pharmacist competency program has been established at these hospitals for over 20 years. The content of this program was assessed and a survey was conducted in March 2011 to ascertain pharmacist satisfaction. Results: The unique pharmacist competency program was structured in the form of age-related, hospital-wide and unit specific modules, pharmacy-regulated therapies (PRT), and a Pharmacy Skills Day that provide updates on PRT and other pharmacy-related topics. Forty-two of 61 (69%) pharmacists responded to the survey. Mean age of pharmacists was 38.8 ± 11.5 years, 36% were male, 86% completed residency training, and 12% were board-certified pharmacotherapy specialists. Over 80% of pharmacists agreed that the program was informative and supportive of their daily patient care activities. Although the program was well-received by the pharmacists, there were facets of the program that needed improvement, including resources for continuing education opportunities and additional modules for competency. Conclusion: A unique pharmacist competency program at two community hospitals was described. The program was well-received by the pharmacists, and, more importantly, ensured continuous professional development in pharmacy practice.

The Pediatric Emergency Transport System: Momentum toward Regionalization

1985 ◽  
Vol 1 (S1) ◽  
pp. 156-157
Author(s):  
Robert S. Dobrin ◽  
Janet Cunningham ◽  
Mary Dexter ◽  
Chelle Gifford ◽  
Liz Ivancie ◽  
...  
Keyword(s):  
Intensive Care ◽  
Tertiary Care ◽  
Pediatric Intensive Care ◽  
Rocky Mountain ◽  
Pediatric Emergency ◽  
Critically Ill Children ◽  
Respiratory Therapists ◽  
Children's Hospital ◽  
Emergency Transport ◽  
Children’S Hospital

Tertiary care for critically ill children requires a safe, efficient transport modality designed for the pediatric patient. This system should be capable of delivering mobile intensive care en route after resuscitation and stabilization at the sending hospital.In July 1979, a Pediatric Emergency Transport Service (PETS) was organized at The Children's Hospital, Denver, to provide physicians of the Rocky Mountain-Plains Region with the capability of triaging pediatric nonneonatal patients to three Denver Pediatric Intensive Care Units (PICU's). The components of the system included: (1) a transport team comprising of a medical attending-director, twelve transport physicians including nine pediatricians, two anesthesiologists and one surgeon, six pediatric transport nurses, six pediatric transport respiratory therapists, and four emergency medical technicians; (2) a communication dispatch system; (3) an answering service with Wide Area Telecommunications Service capability; (4) an equipment depot within the PICU at The Children's Hospital; (5) a complete dispatch log; (6) a continuing education and information system for the team, providers, consumers and health planners; (7) a cost and administrative center with established billing procedures and support services; (8| management, drug and equipment protocols, and (9) specifically designed air and ground ambulances which are owned and/or leased by The Children's Hospital.

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