1
40
7
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Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
April 2022 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
April 2022 List
URL Address
<a href="http://doi.org/10.1097/pec.0000000000002437" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/pec.0000000000002437</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Low-Resource Emergency Department Visits for Children With Complex Chronic Conditions
Publisher
An entity responsible for making the resource available
Pediatric Emergency Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2022
Subject
The topic of the resource
Emergency Medical Services; Emergency Service Hospital; Child; Chronic Disease; Hospitalization; Humans; Infant; Retrospective Studies
Creator
An entity primarily responsible for making the resource
Pulcini CD; Coller RJ; Macy ML; Alpern E; Harris D; Rodean J; Hall M; Chung PJ; Berry JG
Description
An account of the resource
OBJECTIVE: Reducing emergency department (ED) use in children with complex chronic conditions (CCC) is a national health system priority. Emergency department visits with minimal clinical intervention may be the most avoidable. We assessed characteristics associated with experiencing such a low-resource ED visit among children with a CCC. METHODS: A retrospective study of 271,806 ED visits between 2014 and 2017 among patients with a CCC in the Pediatric Health Information System database was performed. The main outcome was a low-resource ED visit, where no medications, laboratory, procedures, or diagnostic tests were administered and the patient was not admitted to the hospital. χ2 Tests and generalized linear models were used to assess bivariable and multivariable relationships of patients' demographic, clinical, and health service characteristics with the likelihood of a low- versus higher-resource ED visit. RESULTS: Sixteen percent (n = 44,111) of ED visits among children with CCCs were low-resource. In multivariable analysis, the highest odds of experiencing a low- versus higher-resource ED visit occurred in patients aged 0 year (vs 16+ years; odds ratio [OR], 3.9 [95% confidence interval {CI}, 3.7-4.1]), living <5 (vs 20+) miles from the ED (OR, 1.7 [95% CI, 1.7-1.8]), and who presented to the ED in the day and evening versus overnight (1.5 [95% CI, 1.4-1.5]). CONCLUSIONS: Infant age, living close to the ED, and day/evening-time visits were associated with the greatest likelihood of experiencing a low-resource ED visit in children with CCCs. Further investigation is needed to assess key drivers for ED use in these children and identify opportunities for diversion of ED care to outpatient and community settings.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/pec.0000000000002437" target="_blank" rel="noreferrer noopener">10.1097/pec.0000000000002437</a>
2022
Alpern E
April 2022 List
Berry JG
Child
Chronic Disease
Chung PJ
Coller RJ
Emergency Medical Services
Emergency Service Hospital
Hall M
Harris D
Hospitalization
Humans
Infant
Macy ML
Pediatric Emergency Care
Pulcini CD
Retrospective Studies
Rodean J
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
January 2020 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
January 2020 List
URL Address
<a href="http://doi.org/10.1089/jpm.2019.0087" target="_blank" rel="noreferrer noopener">http://doi.org/10.1089/jpm.2019.0087</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Breaking Down Silos: Consensus-Based Recommendations for Improved Content, Structure, and Accessibility of Advance Directives in Emergency and Out-of-Hospital Settings
Publisher
An entity responsible for making the resource available
Journal of Palliative Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
Subject
The topic of the resource
community paramedicine; emergency medical services; health system design; mobile integrated health
Creator
An entity primarily responsible for making the resource
Carter A J E; Earle R; Gregoire M C; MacConnell G; MacDonald T; Frager G
Description
An account of the resource
Background: Patients receiving palliative care often interact with a variety of health care providers across various settings. While patients may experience good care from these services, the connection between these can be disjointed as care providers may work siloed from each other. This is particularly true in out-of-hospital and hospital emergency settings, where providers have no prior knowledge of the patient, particularly their advanced directives (ADs) and goals of care. In the Emergency Department or when paramedics respond to the home, ADs are further challenged by issues of clarity of content, contextual relevance, and accessibility. Objectives: (1) What content should be in AD for medical emergencies, and (2) what would ensure the AD is accessible in times of crisis? Design: Phase 1 involved a review of existing AD and published literature to generate a list of candidate elements. Phase 2 presented these in an online survey using modified Delphi method to paramedics, emergency nurses, and physicians. During phase 3, a focus group with palliative and emergency care providers and information technology experts was held regarding current accessibility of AD and a vision for improvement. The detailed focus group notes were coded using inductive analysis. Results: Fifty-five candidate elements were provided for the Delphi. After three rounds, 36 panelists achieved consensus on 46 elements. Participation was greater than 80% in all rounds. From the focus group on access, six themes emerged; (1) imprecise language, (2) mismatch of protocols, (3) lack of understanding by patients/families, (4) lack of AD, (5) difficulty accessing AD, and (6) opportunities: database, education. Conclusion: This project makes recommendations to improve palliative care in emergency or crisis situations and facilitate care consistent with patient's goals: (1) a consensus-based template for AD content; and (2) development of a centralized database. These findings served as the foundation for the "Paramedics Providing Palliative Care at Home" program.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1089/jpm.2019.0087" target="_blank" rel="noreferrer noopener">10.1089/jpm.2019.0087</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2019
Carter A J E
community paramedicine
Earle R
Emergency Medical Services
Frager G
Grégoire M C
health system design
January 2020 List
Journal of Palliative Medicine
MacConnell G
MacDonald T
mobile integrated health
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/s0885-3924(03)00314-2" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0885-3924(03)00314-2</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Intravenous fentanyl for cancer pain: a "fast titration" protocol for the emergency room
Publisher
An entity responsible for making the resource available
Journal Of Pain And Symptom Management
Date
A point or period of time associated with an event in the lifecycle of the resource
2003
Subject
The topic of the resource
Adult; Analgesics; Aged; Middle Aged; Time Factors; Emergency Medical Services; Titrimetry; Pain/drug therapy/etiology; Palliative Care/methods; Injections; Intravenous; Neoplasms/complications; Opioid/administration & dosage; Fentanyl/administration & Humans
Creator
An entity primarily responsible for making the resource
Soares LG; Martins M; Uchoa R
Description
An account of the resource
Patients with cancer sometimes are admitted to the emergency room due to severe pain. Despite the fact that morphine's hydrophilicity can delay its peak effects after intravenous administration up to 30 minutes, it is still the most commonly used opioid during cancer pain emergencies. Fentanyl is a synthetic, lipophilic opioid, more potent than morphine, and achieves peak effects after intravenous administration in 5 minutes. According to our observations, intravenous fentanyl could be safely used in the emergency room to treat patients who need fast titration of an opioid to control their pain. In our study, fentanyl was employed in a four-step protocol to treat patients admitted to our palliative care emergency room due to severe pain, regardless of the previous use of morphine at home. Titration with intravenous fentanyl was successfully employed in 18/18 (100%) of patients, with an average time for pain control at about 11 minutes, and without relevant adverse effects. We conclude that intravenous fentanyl could be safely used for severe cancer pain when rapid titration is being considered.
2003
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/s0885-3924(03)00314-2" target="_blank" rel="noreferrer">10.1016/s0885-3924(03)00314-2</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2003
Adult
Aged
Analgesics
Backlog
Emergency Medical Services
Fentanyl/administration & Humans
Injections
Intravenous
Journal Article
Journal of Pain and Symptom Management
Martins M
Middle Aged
Neoplasms/complications
Opioid/administration & dosage
Pain/drug therapy/etiology
Palliative Care/methods
Soares LG
Time Factors
Titrimetry
Uchoa R
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1038/nm0604-570" target="_blank" rel="noreferrer">http://doi.org/10.1038/nm0604-570</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
When are research risks reasonable in relation to anticipated benefits?
Publisher
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Nature Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2004
Subject
The topic of the resource
Humans; Risk Factors; Research; Emergency Medical Services; Ethics; Internationality; Non-U.S. Gov't; Research Support; Clinical Trials; Placebos; Research Subjects; Therapeutic Human Experimentation/ethics
Creator
An entity primarily responsible for making the resource
Weijer C; Miller PB
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1038/nm0604-570" target="_blank" rel="noreferrer">10.1038/nm0604-570</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
Description
An account of the resource
2004
2004
Backlog
Clinical Trials
Emergency Medical Services
Ethics
Humans
Internationality
Journal Article
Miller PB
Nature Medicine
Non-U.S. Gov't
Placebos
Research
Research Subjects
Research Support
Risk Factors
Therapeutic Human Experimentation/ethics
Weijer C
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1542/peds.103.4.826" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.103.4.826</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Advance directives in a pediatric emergency department.
Publisher
An entity responsible for making the resource available
Pediatrics
Date
A point or period of time associated with an event in the lifecycle of the resource
1999
Subject
The topic of the resource
Child; Humans; Program Evaluation; Hospitals; Wisconsin; Emergency Service; Pediatric; DNAR; Resuscitation Orders; Hospital; Advance Directives; Emergency Medical Services
Creator
An entity primarily responsible for making the resource
Walsh-Kelly CM; Lang KR; Chevako J; Blank EL; Korom N; Kirk K; Gray A
Description
An account of the resource
Parents of children with terminal illnesses are not always present when a life-threatening event occurs. For many of these children, an advance directive specifying alternate code orders has been written by the parent or legal guardian (hereafter the use of parent is to be interpreted as parent/legal guardian) and the patient's attending physician. Implementing a pediatric advanced directive presents significant problems for emergency personnel if the parent is not present to identify the existence of the directive and interpret the contents in the context of the current medical crisis.
1999
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1542/peds.103.4.826" target="_blank" rel="noreferrer">10.1542/peds.103.4.826</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
1999
Advance Directives
Backlog
Blank EL
Chevako J
Child
DNAR
Emergency Medical Services
Emergency Service
Gray A
Hospital
Hospitals
Humans
Journal Article
Kirk K
Korom N
Lang KR
Pediatric
Pediatrics
Program Evaluation
Resuscitation Orders
Walsh-Kelly CM
Wisconsin
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1001/virtualmentor.2012.14.10.ecas3-1210" target="_blank" rel="noreferrer">http://doi.org/10.1001/virtualmentor.2012.14.10.ecas3-1210</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pediatric end-of-life decisions when abuse is suspected
Publisher
An entity responsible for making the resource available
The Virtual Mentor: Vm
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
Subject
The topic of the resource
Female; Humans; infant; United States; Terminal Care; Parental Consent; referral and consultation; Medical Futility; Withholding Treatment; Life Support Care; Emergency Medical Services; Brain Injuries; Child Abuse; Skull Fractures
Creator
An entity primarily responsible for making the resource
Arias JJ; Weise KL
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1001/virtualmentor.2012.14.10.ecas3-1210" target="_blank" rel="noreferrer">10.1001/virtualmentor.2012.14.10.ecas3-1210</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2012
Arias JJ
Backlog
Brain Injuries
Child Abuse
Emergency Medical Services
Female
Humans
Infant
Journal Article
Life Support Care
Medical Futility
Parental Consent
Referral And Consultation
Skull Fractures
Terminal Care
The Virtual Mentor: Vm
United States
Weise KL
Withholding Treatment
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
May 2016 List
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Short Break And Emergency Respite Care: What Options For Young People With Life-limiting Conditions?
Publisher
An entity responsible for making the resource available
International Journal Of Palliative Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Subject
The topic of the resource
Adolescent; Adult; Emergency Medical Services; Focus Groups; Humans; Interviews As Topic; Respite Care; Terminally Ill; Young Adult
Life-limiting Conditions; Palliative Care; Respite Care; Short Breaks; Transition; Young People
Creator
An entity primarily responsible for making the resource
Mitchell TK; Knighting K; O’Brien MR; Jack BA
Description
An account of the resource
BACKGROUND:
Service providers face difficult decisions about how best to develop services for the increasing numbers of young people with life-limiting conditions who require palliative care.
OBJECTIVE:
To explore alternative short break and emergency respite care options to children's hospice care.
METHODS:
A two-phase evaluation with young people, families and professionals. Phase 1: qualitative semi-structured interviews and focus groups (n=53). Phase 2: mixed-method survey (n=82), qualitative findings only.
RESULTS:
There were few, or no, appropriate short break and emergency respite care alternatives when children's hospice care was not available that can meet the need of young people with life-limiting conditions, creating anxiety for children's hospice users and those leaving the service as a result of reaching transition age or through no longer meeting the children's hospice eligibility criteria.
CONCLUSION:
Access to appropriate short break and emergency respite care is required to prevent lifelong negative consequences for young people with life-limiting conditions, their family and society. Research is undoubtedly required to explore the impact and outcomes of children's hospice discharge for young people and their family. Particular attention should be paid to the lack of services for an increasing population making the transition from children's hospices.
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2016
Adolescent
Adult
Emergency Medical Services
Focus Groups
Humans
International Journal of Palliative Nursing
Interviews As Topic
Jack BA
Knighting K
Life-limiting Conditions
May 2016 List
Mitchell TK
O’Brien MR
Palliative Care
Respite Care
Short Breaks
Terminally Ill
Transition
Young Adult
Young People