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Patients and Family Resources

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Resources in Evidence Repository and Individual Compendia

Key Resources

Bottom Line Recommendations: Suicidal Risk Screening and Assessment  (2021)

Bottom Line Recommendations: Suicidal Risk Screening and Assessment

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Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network

Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...

Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0

Bottom Line Recommendations for screening and assessment of suicide risk. September 2021, Version 1.0

Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)  (2017)

Bottom Line: The Sport Concussion Assessment Tool 5th Edition (SCAT5)

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Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdissi M, Sullivan SJ, Broglio SP, Raftery M, Schneider K, Kissick J, McCrea M, Dvora...

Echemendia RJ, Meeuwisse W, McCrory P, Davis GA, Putukian M, Leddy J, Makdiss...

The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.

The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The SCAT5 is to be used for evaluating athletes aged 13 years and older. For children aged 12 years or younger, please use the Child SCAT5.

Bottom Line: Assessment in the emergency department for patients with head injury  (2014)

Bottom Line: Assessment in the emergency department for patients with head injury

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National Institute for Health and Care Excellence (NICE), National Clincial Guideline Centre

National Institute for Health and Care Excellence (NICE), National Clincial G...

A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.

A NICE pathway brings together all NICE guidance, quality standards and materials to support implementation on a specific topic area. The pathways are interactive and designed to be used online.

Paediatric Burn Assessment  (2018)

Paediatric Burn Assessment

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Victorial Adult Burns Service at the Alfred

Victorial Adult Burns Service at the Alfred

Burns management guidelines for pediatric burn assessment.

Burns management guidelines for pediatric burn assessment.

Suicide Prevention, Risk Assessment & Management, AMH  (2019)

Suicide Prevention, Risk Assessment & Management, AMH

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Alberta Health Services

Alberta Health Services

Suicide Prevention, Risk Assessment & Management (SPRAM) is a web-based, interactive e-Learning series designed to respond to the foundational learning needs of health practitioners working in Addiction and Mental Health (AMH).

Suicide Prevention, Risk Assessment & Management (SPRAM) is a web-based, interactive e-Learning series designed to respond to the foundational learning needs of health practitioners working in Addiction and Mental Health (AMH).

Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)  (2017)

Bottom Line: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5)

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Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenbogen RG, Echemendia RJ, Makdissi M, Sills A, Iverson GL, Dvorak J, McCrory P, Meeuw...

Davis GA, Purcell L, Schneider KJ, Yeates KO, Gioia GA, Anderson V, Ellenboge...

The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.

The Child SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals. The Child SCAT5 is to be used for evaluating Children aged 5 to 12 years. For athletes aged 13 years and older, please use the SCAT5.

Ask Suicide Screening Questions Toolkit  (2017)

Ask Suicide Screening Questions Toolkit

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National Mental Health Institute

National Mental Health Institute

The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics.

The ASQ toolkit is organized by the medical setting in which it will be used: emergency department, inpatient medical/surgical unit, and outpatient primary care and specialty clinics.

Recommandations de Base: Risque suicidaire: Dépistage & évaluation  (2022)

Recommandations de Base: Risque suicidaire: Dépistage & évaluation

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Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurence Katz & TREKK Network; and Dr. Susan Duffy, Dr. Vera Feuer & EIIC Network

Dr. Matthew Morrissette, Dr. Amanda Newton, Dr. Stephen Freedman, Dr. Laurenc...

Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0

Bottom line recommendations for screening and assessment of suicide risk. March 2022. Version 1.0

Clinical guidelines

Clinical Practice Guideline: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective  (2013)

Clinical Practice Guideline: The medical assessment of bruising in suspected child maltreatment cases: A clinical perspective

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Ward MG, Ornstein A, Niec A, Murray CL, Canadian Paediatric Society Child and Youth Maltreatment Section

Ward MG, Ornstein A, Niec A, Murray CL, Canadian Paediatric Society Child and...

This practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.

This practice point will help clinicians to distinguish between accidental and inflicted bruises, to evaluate and manage bruising in the context of suspected child maltreatment, and to evaluate for an underlying medical predisposition to bruising.

Clinical Practice Guideline: World Allergy Organization guidelines for the assessment and management of anaphylaxis  (2011)

Clinical Practice Guideline: World Allergy Organization guidelines for the assessment and management of anaphylaxis

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Simons FE, Ardusso LR, Bil MB, El-Gamal YM, Ledford DK, Ring J, Sanchez-Borges M, Senna GE, Sheikh A, Thong BY, World Allergy Organization

Simons FE, Ardusso LR, Bil MB, El-Gamal YM, Ledford DK, Ring J, Sanchez-Borge...

The illustrated World Allergy Organization (WAO) Anaphylaxis Guidelines were created in response to absence of global guidelines for anaphylaxis. They incorporate contributions from more than 100 allergy/immunology specialists on 6 continents. Recommendations are based on the best evidence available, supported by references published to the end of December 2010. The Guidelines review patient risk factors for severe or fatal anaphylaxis, co-factors that amplify anaphylaxis, and anaphylaxis in vulnerable patients, including pregnant women, infants, the elderly, and those with cardiovascular disease. They focus on the supreme importance of making a prompt clinical diagnosis and on the basic initial treatment that is urgently needed and should be possible even in a low resource environment.

The illustrated World Allergy Organization (WAO) Anaphylaxis Guidelines were created in response to absence of global guidelines for anaphylaxis. They incorporate contributions from more than 100 allergy/immunology specialists on 6 continents. Recommendations are based on the best evidence available, supported by references published to the end of December 2010. The Guidelines review patient risk factors for severe or fatal anaphylaxis, co-factors that amplify anaphylaxis, and anaphylaxis in vulnerable patients, including pregnant women, infants, the elderly, and those with cardiovascular disease. They focus on the supreme importance of making a prompt clinical diagnosis and on the basic initial treatment that is urgently needed and should be possible even in a low resource environment.

Clinical Practice Guideline: Head injury: assessment and early management  (2019)

Clinical Practice Guideline: Head injury: assessment and early management

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National Institute for Health and Care Excellence (NICE), National Clincial Guideline Centre

National Institute for Health and Care Excellence (NICE), National Clincial G...

This guideline covers the assessment and early management of head injury in children, young people and adults. It promotes effective clinical assessment so that people receive the right care for the severity of their head injury, including referral directly to specialist care if needed.

This guideline covers the assessment and early management of head injury in children, young people and adults. It promotes effective clinical assessment so that people receive the right care for the severity of their head injury, including referral directly to specialist care if needed.

The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America  (2006)

The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America

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Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, Krause PJ, Bakken JS, Strle F, Stanek G, Bockenstedt L, Fish D, Dumler JS, Nadelma...

Wormser GP, Dattwyler RJ, Shapiro ED, Halperin JJ, Steere AC, Klempner MS, Kr...

Evidence-based guidelines for the management of patients with Lyme disease, human granulocytic anaplasmosis (formerly known as human granulocytic ehrlichiosis), and babesiosis.

Evidence-based guidelines for the management of patients with Lyme disease, human granulocytic anaplasmosis (formerly known as human granulocytic ehrlichiosis), and babesiosis.

Clinical Practice Guideline: Italian guidelines on the assessment and management of pediatric head injury in the emergency department.  (2018)

Clinical Practice Guideline: Italian guidelines on the assessment and management of pediatric head injury in the emergency department.

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Da Dalt L, Parri N, Amigoni A, Nocerino A, Selmin F, Manara R, et al.

Da Dalt L, Parri N, Amigoni A, Nocerino A, Selmin F, Manara R, et al.

We aim to formulate evidence-based recommendations to assist physicians decision-making in the assessment and management of children younger than 16 years presenting to the emergency department (ED) following a blunt head trauma with no suspicion of non-accidental injury.

We aim to formulate evidence-based recommendations to assist physicians decision-making in the assessment and management of children younger than 16 years presenting to the emergency department (ED) following a blunt head trauma with no suspicion of non-accidental injury.

NICE guideline: feverish illness in children--assessment and initial management in children younger than 5 years.  (2013)

NICE guideline: feverish illness in children--assessment and initial management in children younger than 5 years.

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Davis T.

Davis T.

The National Institute for Health and Care Excellence (NICE) guideline for feverish illness in children (assessment and initial management in children younger than 5years) was partially updated in May 2013.1 Not all sections were reviewed, but the following were: the signs and symptoms of serious illness; the predictive value of tachycardia; the use of inflammatory markers; and the role of paracetamol and ibuprofen. The aim of the guideline is to optimise the management of young children with fever, and in particular to guide health professionals to recognise the signs of serious infection. The update made new recommendations based on current evidence. This guideline was developed by the National Collaborating Centre for Women's and Children's Health. They worked with the Guideline Development Group to review the evidence and write the recommendations.

The National Institute for Health and Care Excellence (NICE) guideline for feverish illness in children (assessment and initial management in children younger than 5years) was partially updated in May 2013.1 Not all sections were reviewed, but the following were: the signs and symptoms of serious illness; the predictive value of tachycardia; the use of inflammatory markers; and the role of paracetamol and ibuprofen. The aim of the guideline is to optimise the management of young children with fever, and in particular to guide health professionals to recognise the signs of serious infection. The update made new recommendations based on current evidence. This guideline was developed by the National Collaborating Centre for Women's and Children's Health. They worked with the Guideline Development Group to review the evidence and write the recommendations.

Clinical Practice Guideline: The recognition and assessment of acute pain in children  (2009)

Clinical Practice Guideline: The recognition and assessment of acute pain in children

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Royal College of Nursing

Royal College of Nursing

The guideline is aimed at a range of professional groups, patients and carers who may be involved in the assessment and management of childrens pain. The primary aims of this guideline are to: identify reliable and valid measures of pain intensity appropr

The guideline is aimed at a range of professional groups, patients and carers who may be involved in the assessment and management of childrens pain. The primary aims of this guideline are to: identify reliable and valid measures of pain intensity appropr

Clinical Practice Guideline: Management of the infant at increased risk for sepsis (2007)

Clinical Practice Guideline: Management of the infant at increased risk for sepsis (2007)

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Canadian Paediatric Society

Canadian Paediatric Society

Canadian Pediatric Society position statement on management of infants at risk for sepsis. Published: 2007.

Canadian Pediatric Society position statement on management of infants at risk for sepsis. Published: 2007.

Clinical Practice Guideline: Data Form: Appendix from article, "Risk of intussusception after monovalent rotavirus vaccination"  (2011)

Clinical Practice Guideline: Data Form: Appendix from article, "Risk of intussusception after monovalent rotavirus vaccination"

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Weihmiller SN, Buonomo C, Bachur R,

Weihmiller SN, Buonomo C, Bachur R,

This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.

This checklist assists in the detection of intussusception risk following monovalent rotavirus vaccination.

Summaries of systematic reviews

Evidence Summary: Clinically suspected intussusception in children: evidence based review and self-assessment module  (2005)

Evidence Summary: Clinically suspected intussusception in children: evidence based review and self-assessment module

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Applegate KE,

Applegate KE,

This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.

This summary uses case examples to review the current evidence for the management of children with clinically suspected intussusception.

Systematic reviews

Systematic Review: Suicide Risk Assessment and Risk Formulation Part II: Suicide Risk Formulation and the Determination of Levels of Risk  (2014)

Systematic Review: Suicide Risk Assessment and Risk Formulation Part II: Suicide Risk Formulation and the Determination of Levels of Risk

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Berman AL, Silverman MM

Berman AL, Silverman MM

Objective: to review the salient clinical issues that define an SRF, provide a historical perspective on how clinicians have been trained to make an SRF, and suggest modeling for an SRF that might guide clinical researchers toward refinement and validation as a trainable guide to clinical judgment.

Objective: to review the salient clinical issues that define an SRF, provide a historical perspective on how clinicians have been trained to make an SRF, and suggest modeling for an SRF that might guide clinical researchers toward refinement and validation as a trainable guide to clinical judgment.

Systematic Review: Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk  (2014)

Systematic Review: Suicide Risk Assessment and Risk Formulation Part I: A Focus on Suicide Ideation in Assessing Suicide Risk

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Silverman MM, Berman AL

Silverman MM, Berman AL

Objective: to identify risk and protective factors that then provide the data for the formulation of suicide risk.

Objective: to identify risk and protective factors that then provide the data for the formulation of suicide risk.

Systematic Review: The Assessment of Suicidal Behavior in Adolescents  (1991)

Systematic Review: The Assessment of Suicidal Behavior in Adolescents

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Garrison CZ, Lewinsohn PM, Marsteller F, Langhinrichsen J, Lann I

Garrison CZ, Lewinsohn PM, Marsteller F, Langhinrichsen J, Lann I

Objective: to review 29 suicideal risk assessmet instruments.

Objective: to review 29 suicideal risk assessmet instruments.

Systematic Review: Predicting Suicidal Behaviours Using Clinical Instruments: Systematic Review and Meta-Analysis of Positive Predictive Values for Risk Scales  (2017)

Systematic Review: Predicting Suicidal Behaviours Using Clinical Instruments: Systematic Review and Meta-Analysis of Positive Predictive Values for Risk Scales

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Carter G, Milner A, McGill K, Pirkis J, Kapur N, Spittal MJ.

Carter G, Milner A, McGill K, Pirkis J, Kapur N, Spittal MJ.

Objective: To identify studies of predictive instruments and to calculate PPV estimates for suicidal behaviours.

Objective: To identify studies of predictive instruments and to calculate PPV estimates for suicidal behaviours.

Systematic Review: Assessing Suicidal Youth With Antisocial, Borderline, or Narcissistic Personality Disorder  (2003)

Systematic Review: Assessing Suicidal Youth With Antisocial, Borderline, or Narcissistic Personality Disorder

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Links PS, Gould B, Ratnayake R

Links PS, Gould B, Ratnayake R

Objective: First, we review the epidemiologic evidence for the association between suicidal behaviour and suicide in individuals diagnosed with antisocial, borderline, or narcissistic personality disorder. Second, we examine whether any potentially modifiable risk factors are associated with these diagnoses, based on existing empirical evidence. Last, we discuss clinical approaches to assessing youth with antisocial, borderline, or narcissistic personality disorder presenting at risk for suicide.

Objective: First, we review the epidemiologic evidence for the association between suicidal behaviour and suicide in individuals diagnosed with antisocial, borderline, or narcissistic personality disorder. Second, we examine whether any potentially modifiable risk factors are associated with these diagnoses, based on existing empirical evidence. Last, we discuss clinical approaches to assessing youth with antisocial, borderline, or narcissistic personality disorder presenting at risk for suicide.

Systematic Review: Suicide in the pediatric population: screening, risk assessment and treatment  (2020)

Systematic Review: Suicide in the pediatric population: screening, risk assessment and treatment

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Cwik MF, O'Keefe VM, Haroz EE

Cwik MF, O'Keefe VM, Haroz EE

Objective: to synthesise the literature on paediatric suicide screening, risk assessment and treatment to inform clinical practice and suicide prevention efforts.

Objective: to synthesise the literature on paediatric suicide screening, risk assessment and treatment to inform clinical practice and suicide prevention efforts.

Systematic Review: Instruments for the Assessment of Suicide Risk: A Systematic Review Evaluating the Certainty of the Evidence  (2017)

Systematic Review: Instruments for the Assessment of Suicide Risk: A Systematic Review Evaluating the Certainty of the Evidence

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Runeson B, Odeberg J, Pettersson A, Edbom T, Jildevik Adamsson I, Waern M

Runeson B, Odeberg J, Pettersson A, Edbom T, Jildevik Adamsson I, Waern M

Objective: to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.

Objective: to evaluate the evidence for these instruments including assessment of risk of bias and diagnostic accuracy for suicide and suicide attempt.

Systematic Review: Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review  (2012)

Systematic Review: Literature-based Recommendations for Suicide Assessment in the Emergency Department: A Review

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Ronquillo L, Minassian A, Vilke GM, Wilson MP

Ronquillo L, Minassian A, Vilke GM, Wilson MP

Objective: Given the emphasis on screening for suicidal ideation in the general hospital and ED, it is important for Emergency Physicians to be able to understand and perform suicide risk assessment.

Objective: Given the emphasis on screening for suicidal ideation in the general hospital and ED, it is important for Emergency Physicians to be able to understand and perform suicide risk assessment.

Fever in under 5s: assessment and initial management.  (2019)

Fever in under 5s: assessment and initial management.

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National Institute for Health and Care Excellence (NICE)

National Institute for Health and Care Excellence (NICE)

This guideline covers the assessment and early management of fever with no obvious cause in children aged under 5. It aims to improve clinical assessment and help healthcare professionals diagnose serious illness among young children who present with fever in primary and secondary care. This guideline should be read in conjunction with the NICE guidelines on sepsis, neonatal infection, meningitis (bacterial) and meningococcal septicaemia in under 16s, urinary tract infection in under 16s, diarrhoea and vomiting caused by gastroenteritis in under 5s and antimicrobial prescribing for common infections.

This guideline covers the assessment and early management of fever with no obvious cause in children aged under 5. It aims to improve clinical assessment and help healthcare professionals diagnose serious illness among young children who present with fever in primary and secondary care. This guideline should be read in conjunction with the NICE guidelines on sepsis, neonatal infection, meningitis (bacterial) and meningococcal septicaemia in under 16s, urinary tract infection in under 16s, diarrhoea and vomiting caused by gastroenteritis in under 5s and antimicrobial prescribing for common infections.

Cochrane Systematic Review: Monoclonal antibody for reducing the risk of respiratory syncytial virus infection in children

Cochrane Systematic Review: Monoclonal antibody for reducing the risk of respiratory syncytial virus infection in children

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Andabaka T, Nickerson JW, Rojas-Reyes MX, Rueda JD, Bacic Vrca V, Barsic B.

Andabaka T, Nickerson JW, Rojas-Reyes MX, Rueda JD, Bacic Vrca V, Barsic B.

Objectives: To assess the effectiveness and safety of palivizumab prophylaxis compared with placebo, or another type of prophylaxis, in reducing the risk of complications (hospitalisation due to RSV infection) in high-risk infants and children. To assess the cost-effectiveness (or cost-utility) of palivizumab prophylaxis compared with no prophylaxis in infants and children in different risk groups.

Objectives: To assess the effectiveness and safety of palivizumab prophylaxis compared with placebo, or another type of prophylaxis, in reducing the risk of complications (hospitalisation due to RSV infection) in high-risk infants and children. To assess the cost-effectiveness (or cost-utility) of palivizumab prophylaxis compared with no prophylaxis in infants and children in different risk groups.

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance

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Boyd M, Lasserson TJ, McKean MC, Gibson PG, Ducharme FM, Haby M.

Boyd M, Lasserson TJ, McKean MC, Gibson PG, Ducharme FM, Haby M.

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance (2009)

Cochrane Systematic Review: Interventions for educating children who are at risk of asthma-related emergency department attendance (2009)

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Boyd, M, Lasserson, TJ, McKean, MC, Gibson, PG, Ducharme, FM, Haby, M,

Boyd, M, Lasserson, TJ, McKean, MC, Gibson, PG, Ducharme, FM, Haby, M,

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Objectives: To conduct a systematic review of the literature and update the previous review as to whether asthma education leads to improved health outcomes in children who have attended the emergency room for asthma.

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis  (2013)

Systematic Review: Risk of bacterial meningitis in young children with a first seizure in the context of fever: a systematic review and meta-analysis

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Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

Najaf-Zadeh A, Dubos F, Hue V, Pruvost I, Bennour A, Martinot A

This systematic review assesses the risk of bacterial meningitis among various subgroups of young children with a first seizure in the context of fever, and the utility of routine lumbar puncture in children with an apparent first febrile seizure.

This systematic review assesses the risk of bacterial meningitis among various subgroups of young children with a first seizure in the context of fever, and the utility of routine lumbar puncture in children with an apparent first febrile seizure.

Review: Risk multipliers for severe food anaphylaxis  (2015)

Review: Risk multipliers for severe food anaphylaxis

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Smith PK, Hourihane JO, Lieberman P

Smith PK, Hourihane JO, Lieberman P

This paper reviews the factors that contribute to the risk of severe anaphylactic events and provides a framework for the ongoing management of patients at risk of severe food allergy.

This paper reviews the factors that contribute to the risk of severe anaphylactic events and provides a framework for the ongoing management of patients at risk of severe food allergy.

Systematic Review: Risk of intussusception following rotavirus vaccination: An evidence based meta-analysis of cohort and case-control studies  (2017)

Systematic Review: Risk of intussusception following rotavirus vaccination: An evidence based meta-analysis of cohort and case-control studies

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Kassim P, Eslick GD

Kassim P, Eslick GD

A meta-analysis was performed to summarise available evidence and to give an overall risk of developing intussusception from case-control and cohort studies for all rotavirus vaccines that have been manufactured up to date.

A meta-analysis was performed to summarise available evidence and to give an overall risk of developing intussusception from case-control and cohort studies for all rotavirus vaccines that have been manufactured up to date.

Systematic Review: Risk of Intussusception After Rotavirus Vaccination  (2017)

Systematic Review: Risk of Intussusception After Rotavirus Vaccination

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Koch J, Harder T, von Kries R, Wichmann O

Koch J, Harder T, von Kries R, Wichmann O

This study reviewed the literature for self-controlled case series studies on the risk of intussusception after RV vaccination.

This study reviewed the literature for self-controlled case series studies on the risk of intussusception after RV vaccination.

Systematic Review: Meta-analysis to Determine Risk for Serious Bacterial Infection in Febrile Outpatient Neonates With RSV Infection  (2016)

Systematic Review: Meta-analysis to Determine Risk for Serious Bacterial Infection in Febrile Outpatient Neonates With RSV Infection

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Bonadio W, Huang F, Nateson S, Okpalaji C, Kodsi A, Sokolovsky S, Homel P

Bonadio W, Huang F, Nateson S, Okpalaji C, Kodsi A, Sokolovsky S, Homel P

This study aimed to analyze a large group of febrile neonates 28 days or younger who received outpatient sepsis evaluation and nasopharyngeal aspirate antigen testing (NPAT) for respiratory syncytial viral (RSV) infection to determine whether there is a clinically significant association between viral study results and risk for serious bacterial infection (SBI: bacterial meningitis, bacteremia, urinary tract infection, bacterial enteritis).

This study aimed to analyze a large group of febrile neonates 28 days or younger who received outpatient sepsis evaluation and nasopharyngeal aspirate antigen testing (NPAT) for respiratory syncytial viral (RSV) infection to determine whether there is a clinically significant association between viral study results and risk for serious bacterial infection (SBI: bacterial meningitis, bacteremia, urinary tract infection, bacterial enteritis).

Systematic Review: Suicide Risk Screening in the Hospital Setting: A Review of Brief Validated Tools  (2020)

Systematic Review: Suicide Risk Screening in the Hospital Setting: A Review of Brief Validated Tools

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Thom R, Hogan C, Hazen E

Thom R, Hogan C, Hazen E

Objective: review and summarize the properties of brief suicide risk-screening tools described in the literature and discuss the benefits of using these tools for universal screening in the general hospital setting, as well as the significant limitations in their use in the general hospital setting.

Objective: review and summarize the properties of brief suicide risk-screening tools described in the literature and discuss the benefits of using these tools for universal screening in the general hospital setting, as well as the significant limitations in their use in the general hospital setting.

Systematic Review: On the Iatrogenic Risk of Assessing Suicidality: A Meta-Analysis  (2018)

Systematic Review: On the Iatrogenic Risk of Assessing Suicidality: A Meta-Analysis

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DeCou CR, Schumann ME

DeCou CR, Schumann ME

Objective: quantitatively synthesized research concerning the iatrogenic risks of assessing suicidality

Objective: quantitatively synthesized research concerning the iatrogenic risks of assessing suicidality

Systematic Review: Screening for Suicide Risk in the Pediatric Emergency and Acute Care Setting  (2007)

Systematic Review: Screening for Suicide Risk in the Pediatric Emergency and Acute Care Setting

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Wintersteen MB, Diamond GS, Fein JA

Wintersteen MB, Diamond GS, Fein JA

Objective: reviews epidemiology, psychiatric comorbidities, risk factors, warning signs, screening measures, and issues related to screening for suicide risk in the pediatric emergency department and acute care settings.

Objective: reviews epidemiology, psychiatric comorbidities, risk factors, warning signs, screening measures, and issues related to screening for suicide risk in the pediatric emergency department and acute care settings.

Review: Factors increasing the risk for a severe reaction in anaphylaxis: An analysis of data from The European Anaphylaxis Registry.  (2018)

Review: Factors increasing the risk for a severe reaction in anaphylaxis: An analysis of data from The European Anaphylaxis Registry.

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Worm M, Francuzik W, Renaudin JM, et al.

Worm M, Francuzik W, Renaudin JM, et al.

To identify and prioritize factors associated with an increased risk of developing severe anaphylaxis.

To identify and prioritize factors associated with an increased risk of developing severe anaphylaxis.

Systematic review: Sleep disturbances after pediatric traumatic brain injury: a systematic review of prevalence, risk factors, and association with recovery  (2020)

Systematic review: Sleep disturbances after pediatric traumatic brain injury: a systematic review of prevalence, risk factors, and association with recovery

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Luther M, Poppert Cordts KM, Williams CN

Luther M, Poppert Cordts KM, Williams CN

Objectives: Sleep is vital for brain development and healing after injury, placing children with sleep-wake disturbances (SWD) after traumatic brain injury (TBI) at risk for worse outcomes. We conducted a systematic review to quantify SWD after pediatric TBI including prevalence, phenotypes, and risk factors. We also evaluated interventions for SWD and the association between SWD and other posttraumatic outcomes.

Objectives: Sleep is vital for brain development and healing after injury, placing children with sleep-wake disturbances (SWD) after traumatic brain injury (TBI) at risk for worse outcomes. We conducted a systematic review to quantify SWD after pediatric TBI including prevalence, phenotypes, and risk factors. We also evaluated interventions for SWD and the association between SWD and other posttraumatic outcomes.

Risk stratification and management of the febrile young child.  (2013)

Risk stratification and management of the febrile young child.

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Ishimine P.

Ishimine P.

Febrile young children present frequently to the emergency department. While most febrile children recover uneventfully, certain subgroups are at higher risk of serious infection. Febrile neonates require extensive diagnostic testing, antibiotic therapy, and hospital admission. Diagnostic testing can be utilized in older patients to identify children at low risk and high risk for serious infection. This information may assist in determining the treatment and disposition of these febrile children.

Febrile young children present frequently to the emergency department. While most febrile children recover uneventfully, certain subgroups are at higher risk of serious infection. Febrile neonates require extensive diagnostic testing, antibiotic therapy, and hospital admission. Diagnostic testing can be utilized in older patients to identify children at low risk and high risk for serious infection. This information may assist in determining the treatment and disposition of these febrile children.

Systematic Review: Prediction Models for Suicide Attempts and Deaths: A Systematic Review and Simulation  (2019)

Systematic Review: Prediction Models for Suicide Attempts and Deaths: A Systematic Review and Simulation

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Belsher, B. E., Smolenski, D. J., Pruitt, L. D., Bush, N. E., Beech, E. H., Workman, D. E., Morgan, R. L., Evatt, D. P., Tucker, J., Skopp, N. A.

Belsher, B. E., Smolenski, D. J., Pruitt, L. D., Bush, N. E., Beech, E. H., W...

Objective: To evaluate the diagnostic accuracy of suicide prediction models in predicting suicide and suicide attempts and to simulate the effects of implementing suicide prediction models using population-level estimates of suicide rates.

Objective: To evaluate the diagnostic accuracy of suicide prediction models in predicting suicide and suicide attempts and to simulate the effects of implementing suicide prediction models using population-level estimates of suicide rates.

Systematic Review: Suicide Evaluation in the Pediatric Emergency Setting  (2018)

Systematic Review: Suicide Evaluation in the Pediatric Emergency Setting

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Ambrose AJH, Prager LM

Ambrose AJH, Prager LM

Objective: to review current peds education screening tools

Objective: to review current peds education screening tools

Systematic Review: A Systematic Review of Instruments to Identify Mental Health and Substance Use Problems Among Children in the Emergency Department  (2017)

Systematic Review: A Systematic Review of Instruments to Identify Mental Health and Substance Use Problems Among Children in the Emergency Department

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Newton AS, Soleimani A, Kirkland SW, Gokiert RJ.

Newton AS, Soleimani A, Kirkland SW, Gokiert RJ.

Objective: to investigate the psychometric properties, accuracy, and performance metrics of instruments used in the ED to identify pediatric mental health and substance use problems.

Objective: to investigate the psychometric properties, accuracy, and performance metrics of instruments used in the ED to identify pediatric mental health and substance use problems.

Key studies

Key study: Estimating Risk for Suicide Attempt: Are We Asking the Right Questions? Passive Suicidal Ideation as a Marker for Suicidal Behavior  (2011)

Key study: Estimating Risk for Suicide Attempt: Are We Asking the Right Questions? Passive Suicidal Ideation as a Marker for Suicidal Behavior

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Baca-Garcia, E., Perez-Rodriguez, M. M., Oquendo, M. A., Keyes, K. M., Hasin, D. S., Grant, B. F., & Blanco, C

Baca-Garcia, E., Perez-Rodriguez, M. M., Oquendo, M. A., Keyes, K. M., Hasin,...

Objective: to compare desire for death and suicidal ideation as clinical markers for suicide attempts.

Objective: to compare desire for death and suicidal ideation as clinical markers for suicide attempts.

Key study: Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide  (2017)

Key study: Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide

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Conway PM, Erlangsen A, Teasdale TW, Jakobsen IS, Larsen KJ

Conway PM, Erlangsen A, Teasdale TW, Jakobsen IS, Larsen KJ

Objective: examined the predictive and incremental predictive validity of past-month suicidal behavior and ideation for short-term suicidal behavior among adolescents at high risk of suicide

Objective: examined the predictive and incremental predictive validity of past-month suicidal behavior and ideation for short-term suicidal behavior among adolescents at high risk of suicide

Key Study: The Pediatric Respiratory Assessment Measure: a valid clinical score for assessing acute asthma severity from toddlers to teenagers (2008)

Key Study: The Pediatric Respiratory Assessment Measure: a valid clinical score for assessing acute asthma severity from toddlers to teenagers (2008)

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Ducharme, FM, Chalut, D, Plotnick, L, Savdie, C, Kudirka, D, Zhang, X, Meng, L, McGillivray, D,

Ducharme, FM, Chalut, D, Plotnick, L, Savdie, C, Kudirka, D, Zhang, X, Meng, ...

To determine the performance characteristics of the Preschool Respiratory Assessment Measure (PRAM) in preschool and school-aged children with acute asthma.

To determine the performance characteristics of the Preschool Respiratory Assessment Measure (PRAM) in preschool and school-aged children with acute asthma.

Key Study: The Preschool Respiratory Assessment Measure (PRAM): a responsive index of acute asthma severity (2000)

Key Study: The Preschool Respiratory Assessment Measure (PRAM): a responsive index of acute asthma severity (2000)

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Chalut DS, Ducharme FM, Davis GM

Chalut DS, Ducharme FM, Davis GM

To elaborate and validate a Preschool Respiratory Assessment Measure (PRAM) that would accurately reflect the severity of airway obstruction and the response to treatment in young patients with asthma.

To elaborate and validate a Preschool Respiratory Assessment Measure (PRAM) that would accurately reflect the severity of airway obstruction and the response to treatment in young patients with asthma.

Key Study: Introduction of a simple guideline to improve neurological assessment in paediatric patients presenting with upper limb fractures  (2016)

Key Study: Introduction of a simple guideline to improve neurological assessment in paediatric patients presenting with upper limb fractures

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Marsh AG, Robertson JS, Godman A, Boyle J, Huntley JS

Marsh AG, Robertson JS, Godman A, Boyle J, Huntley JS

This study aimed to assess the improvement in documented neurological examination for children presenting with upper limb fractures following introduction of a simple guideline.

This study aimed to assess the improvement in documented neurological examination for children presenting with upper limb fractures following introduction of a simple guideline.

Key study: Clinical presentation and virological assessment of hospitalized cases of coronavirus disease 2019 in a travel-associated transmission cluster.  (2020)

Key study: Clinical presentation and virological assessment of hospitalized cases of coronavirus disease 2019 in a travel-associated transmission cluster.

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Woelfel R, Corman VM, Guggemos W, et al.,

Woelfel R, Corman VM, Guggemos W, et al.,

Objective: To study the viral load courses by RT-PCR in oro- and nasopharyngeal swabs, sputum, stool, blood, and urine in nine hospitalized cases. Infectious virus was detected by cell culture.

Objective: To study the viral load courses by RT-PCR in oro- and nasopharyngeal swabs, sputum, stool, blood, and urine in nine hospitalized cases. Infectious virus was detected by cell culture.

Key study: A Psychosocial Assessment and Management Tool for Children and Youth in Crisis  (2019)

Key study: A Psychosocial Assessment and Management Tool for Children and Youth in Crisis

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Lee A, Deevska M, Stillwell K, et al. A psychosocial assessment and management tool for children and youth in crisis

Lee A, Deevska M, Stillwell K, et al. A psychosocial assessment and managemen...

Objective: To evaluate the psychometric properties of HEARTSMAP, an emergency psychosocial assessment and management tool, and its impact on patient care and flow measures.

Objective: To evaluate the psychometric properties of HEARTSMAP, an emergency psychosocial assessment and management tool, and its impact on patient care and flow measures.

Key study: Assessment of 135794 pediatric patients tested for severe scute respiratory syndrome coronavirus across the United States.  (2020)

Key study: Assessment of 135794 pediatric patients tested for severe scute respiratory syndrome coronavirus across the United States.

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Bailey LC, Razzaghi H, Burrows EK, et al.

Bailey LC, Razzaghi H, Burrows EK, et al.

Objective: To describe testing for SARS-CoV-2 and the epidemiology of infected patients.

Objective: To describe testing for SARS-CoV-2 and the epidemiology of infected patients.

Key study: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5): Background and rationale  (2017)

Key study: The Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5): Background and rationale

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Davis GA, Purcell L, Schneider KJ, et al.

Davis GA, Purcell L, Schneider KJ, et al.

This article presents the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). The Sport Concussion Assessment Tool was introduced in 2004, following the 2nd International Conference on Concussion in Sport in Prague, Czech Republic.

This article presents the Child Sport Concussion Assessment Tool 5th Edition (Child SCAT5). The Sport Concussion Assessment Tool was introduced in 2004, following the 2nd International Conference on Concussion in Sport in Prague, Czech Republic.

Key study: Use of the sport concussion assessment tools in the emergency department to predict persistent post-concussive symptoms in children  (2020)

Key study: Use of the sport concussion assessment tools in the emergency department to predict persistent post-concussive symptoms in children

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Bressan S, Clarke CJ, Anderson V, et al.

Bressan S, Clarke CJ, Anderson V, et al.

We aim to assess the predictive value of the main SCAT3/ChildSCAT3 components for PPCS when applied in the ED.

We aim to assess the predictive value of the main SCAT3/ChildSCAT3 components for PPCS when applied in the ED.

Key Study: Assessment of non-routine events and significant physiological disturbances during emergency department evaluation after pediatric head trauma.  (2021)

Key Study: Assessment of non-routine events and significant physiological disturbances during emergency department evaluation after pediatric head trauma.

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Alberto EC, Harvey AR, Amberson MJ, Zheng Y, Thenappan AA, Oluigbo C, et al

Alberto EC, Harvey AR, Amberson MJ, Zheng Y, Thenappan AA, Oluigbo C, et al

The purpose of this study was to determine the association of non-routine events (NREs) during the initial resuscitation phase with these physiological disturbances.

The purpose of this study was to determine the association of non-routine events (NREs) during the initial resuscitation phase with these physiological disturbances.

Key Study: Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study (2013)

Key Study: Clinical prediction model to aid emergency doctors managing febrile children at risk of serious bacterial infections: diagnostic study (2013)

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Nijman RGV, Y.; Thompson, M.; Van Veen, M.; Van Meurs, A. H.; Van Der Lei, J.; Steyerberg, E. W.; Moll, H. A.; Oostenbrink, R.

Nijman RGV, Y.; Thompson, M.; Van Veen, M.; Van Meurs, A. H.; Van Der Lei, J....

Objective: To derive, cross validate, and externally validate a clinical prediction model that assesses the risks of different serious bacterial infections in children with fever at the emergency department. Published: 2013.

Objective: To derive, cross validate, and externally validate a clinical prediction model that assesses the risks of different serious bacterial infections in children with fever at the emergency department. Published: 2013.

Key Study: Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis  (2005)

Key Study: Population-based study of incidence and risk factors for cerebral edema in pediatric diabetic ketoacidosis

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Lawrence SE, Cummings EA, Gaboury I, and Daneman D

Lawrence SE, Cummings EA, Gaboury I, and Daneman D

Objectives: To determine incidence, outcomes, and risk factors for pediatric cerebral edema with diabetic ketoacidosis (CEDKA) in Canada.

Objectives: To determine incidence, outcomes, and risk factors for pediatric cerebral edema with diabetic ketoacidosis (CEDKA) in Canada.

Key Study: Effect of the low risk ankle rule on the frequency of radiography in children with ankle injuries  (2013)

Key Study: Effect of the low risk ankle rule on the frequency of radiography in children with ankle injuries

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Boutis, K, Grootendorst, P, Willan, A, Plint, AC, Babyn, P, Brison, RJ, Sayal, A, Parker, M, Mamen, N, Schuh, S, Grimshaw, J, Johnson, D & Narayanan, U

Boutis, K, Grootendorst, P, Willan, A, Plint, AC, Babyn, P, Brison, RJ, Sayal...

Objective: To evaluate the effectivness of the Low Risk Ankle Rule in reducing the frequency of radiography in children with ankle injuries.

Objective: To evaluate the effectivness of the Low Risk Ankle Rule in reducing the frequency of radiography in children with ankle injuries.

Key Study: Functional outcome after air-stirrup ankle brace or fiberglass backslab for pediatric low-risk ankle fractures: a randomized observer-blinded controlled trial  (2012)

Key Study: Functional outcome after air-stirrup ankle brace or fiberglass backslab for pediatric low-risk ankle fractures: a randomized observer-blinded controlled trial

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Barnett, PL, Lee, MH, Oh, L, Cull, G & Babl, F

Barnett, PL, Lee, MH, Oh, L, Cull, G & Babl, F

Objective: To determine if the below-knee fiberglass posterior splint was as effective as the Air-Stirrup ankle brace in returning children with a low risk ankle fracture to their normal level of activity.

Objective: To determine if the below-knee fiberglass posterior splint was as effective as the Air-Stirrup ankle brace in returning children with a low risk ankle fracture to their normal level of activity.

Key Study: A randomized, controlled trial of a removable brace versus casting in children with low-risk ankle fractures  (2007)

Key Study: A randomized, controlled trial of a removable brace versus casting in children with low-risk ankle fractures

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Boutis, K, Willan, AR, Babyn, P, Narayanan, UG, Alman, B & Schuh, S

Boutis, K, Willan, AR, Babyn, P, Narayanan, UG, Alman, B & Schuh, S

Objective: To determine whether children who have low-risk ankle fractures that are treated with a removable ankle brace have at least as effective a recovery of physical function as those that are treated with a cast.

Objective: To determine whether children who have low-risk ankle fractures that are treated with a removable ankle brace have at least as effective a recovery of physical function as those that are treated with a cast.

Key Study: Cost Consequence Analysis of Implementing the Low Risk Ankle Rule in Emergency Departments  (2015)

Key Study: Cost Consequence Analysis of Implementing the Low Risk Ankle Rule in Emergency Departments

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Boutis, K, von Keyserlingk, C, Willan, A, Narayanan, UG, Brison, R, Grootendorst, P, Plint AC, Parker, M & Goeree, R

Boutis, K, von Keyserlingk, C, Willan, A, Narayanan, UG, Brison, R, Grootendo...

Objective: To examine the costs and consequences of implementing the Low Risk Ankle Rule.

Objective: To examine the costs and consequences of implementing the Low Risk Ankle Rule.

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children  (2006)

Key Study: Risk of intracranial pathologic conditions requiring emergency intervention after a first complex febrile seizure episode among children

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Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Teng D, Dayan P, Tyler S, Hauser WA, Chan S, Leary L, Hesdorffer D

Objective: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure.

Objective: To determine the likelihood of intracranial pathologic conditions requiring emergency neurosurgical or medical intervention among children without meningitis who presented to the pediatric emergency department after a first complex febrile seizure.

Key Study: Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED  (2016)

Key Study: Clinical risk score for persistent postconcussion symptoms among children with acute concussion in the ED

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Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M, Sangha G, Boutis K, Beer D, Craig W, Burns E, Farion KJ, Mikrogianakis A, Barlo...

Zemek R, Barrowman N, Freedman SB, Gravel J, Gagnon I, McGahern C, Aglipay M,...

Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.

Objective: To derive and validate a clinical risk score for persistent postconcussion symptoms among children presenting to the emergency department.

Key Study: The Risk of Recurrent Anaphylaxis  (2017)

Key Study: The Risk of Recurrent Anaphylaxis

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O'Keefe A, Clarke A, St Pierre Y, Mill J, Asai Y, Eisman H, La Vieille S, Alizadehfar R, Joseph L, Morris J, Gravel J, Ben-Shoshan M

O'Keefe A, Clarke A, St Pierre Y, Mill J, Asai Y, Eisman H, La Vieille S, Ali...

factors contributing to errors when epinephrine was

factors contributing to errors when epinephrine was

Key Study: Early treatment of food-induced anaphylaxis with epinephrine is associated with a lower risk of hospitalization  (2015)

Key Study: Early treatment of food-induced anaphylaxis with epinephrine is associated with a lower risk of hospitalization

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Fleming JT, Clark S, Camargo CA Jr, Rudders SA

Fleming JT, Clark S, Camargo CA Jr, Rudders SA

The objective of this study was to identify factors associated with early epinephrine treatment for FIA and to specifically examine the association between early epinephrine treatment and hospitalization.

The objective of this study was to identify factors associated with early epinephrine treatment for FIA and to specifically examine the association between early epinephrine treatment and hospitalization.

Key Study: Obesity Increases Risk of Loss of Reduction after Casting for Diaphyseal Fractures of the Radius and Ulna in Children: An Observational Cohort Study  (2017)

Key Study: Obesity Increases Risk of Loss of Reduction after Casting for Diaphyseal Fractures of the Radius and Ulna in Children: An Observational Cohort Study

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DeFrancesco CJ, Rogers BH, Shah AS

DeFrancesco CJ, Rogers BH, Shah AS

The objective of this study was to determine if high body mass index increases the risk of loss of reduction following closed reduction and casting for displaced concomitant fractures of the radial and ulnar shafts in pediatric patients.

The objective of this study was to determine if high body mass index increases the risk of loss of reduction following closed reduction and casting for displaced concomitant fractures of the radial and ulnar shafts in pediatric patients.

Key Study: Childhood Obesity Increases the Risk of Failure in the Treatment of Distal Forearm Fractures  (2016)

Key Study: Childhood Obesity Increases the Risk of Failure in the Treatment of Distal Forearm Fractures

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Auer RT, Mazzone P, Robinson L, Nyland J, Chan G

Auer RT, Mazzone P, Robinson L, Nyland J, Chan G

A retrospective case-controlled study was conducted to determine whether obesity is an independent risk factor for the failure of closed reduction and casting.

A retrospective case-controlled study was conducted to determine whether obesity is an independent risk factor for the failure of closed reduction and casting.

Key Study: Assessing the risk of intussusception and rotavirus vaccine safety in Canada  (2017)

Key Study: Assessing the risk of intussusception and rotavirus vaccine safety in Canada

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Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcroft NS, Halperin SA, Desai S, Naus M, Sanford CJ, Mahmud SM, Deeks SL

Hawken S, Ducharme R, Rosella LC, Benchimol EI, Langley JM, Wilson K, Crowcro...

Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.

Objective: To determine the incidence of intussusception among infants in Canada both before and adter introduction of rotavirus immunization programs.

Key Study: Risk factors associated with intestinal necrosis in children with failed non-surgical reduction for intussusception  (2017)

Key Study: Risk factors associated with intestinal necrosis in children with failed non-surgical reduction for intussusception

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Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR

Huang HY, Huang XZ, Han YJ, Zhu LB, Huang KY, Lin J, Li ZR

Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.

Objective: This study aimed to investigate the risk factors associated with intestinal necrosis in pediatric patients with failed non-surgical reduction for intussusception.

Key Study: Risk of intussusception after monovalent rotavirus vaccination  (2014)

Key Study: Risk of intussusception after monovalent rotavirus vaccination

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Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, Glanz JM, Jacobsen SJ, Naleway A, Jackson LA, DeStefano F,

Weintraub ES, Baggs J, Duffy J, Vellozzi C, Belongia EA, Irving S, Klein NP, ...

This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.

This study examines the possiblilty of a small increase in risk of intussusception after monovalent rotavirus vaccination in a population in the United States.

Key Study: Risk stratification of children being evaluated for intussusception  (2011)

Key Study: Risk stratification of children being evaluated for intussusception

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Weihmiller SN, Buonomo C, Bachur R,

Weihmiller SN, Buonomo C, Bachur R,

Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.

Objectives: To determine predictive clinical criteria and develop a decision tree to risk-stratify children with possible intussusception.

Key Study: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study  (2009)

Key Study: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study

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Kuppermann N, Holmes JF, Dayan PS, Hoyle JD, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P...

Kuppermann N, Holmes JF, Dayan PS, Hoyle JD, Atabaki SM, Holubkov R, Nadel FM...

CT imaging ofhead-injured children has risks of radiation-induced malignancy. Our aim was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary.

CT imaging ofhead-injured children has risks of radiation-induced malignancy. Our aim was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary.

Key Study: The Yale Observation Scale Score and the Risk of Serious Bacterial Infections in Febrile Infants  (2017)

Key Study: The Yale Observation Scale Score and the Risk of Serious Bacterial Infections in Febrile Infants

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Nigrovic LE, Mahajan PV, Blumberg SM, Browne LR, Linakis JG, Ruddy RM, Bennett JE, Rogers AJ, Tzimenatos L, Powell EC, Alpern ER, Casper TC, Ramilo O, Kupper...

Nigrovic LE, Mahajan PV, Blumberg SM, Browne LR, Linakis JG, Ruddy RM, Bennet...

The objectives of this study were to assess the performance of the Yale Observation Scale score and unstructured clinician suspicion to identify febrile infants 60 days of age with and without serious bacterial infections.

The objectives of this study were to assess the performance of the Yale Observation Scale score and unstructured clinician suspicion to identify febrile infants 60 days of age with and without serious bacterial infections.

Key study: Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis  (2007)

Key study: Clinical prediction rule for identifying children with cerebrospinal fluid pleocytosis at very low risk of bacterial meningitis

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Nigrovic LE, Kuppermann N, Macias CG, Cannavino CR, Moro-Sutherland DM, Schemmer RD, Schwab SH, Agrawal D, Mansour KM, Bennett JE, Katsogridakis YL, Mohseni ...

Nigrovic LE, Kuppermann N, Macias CG, Cannavino CR, Moro-Sutherland DM, Schem...

Objective: To validate the Bacterial Meningitis Score in the era of widespread pneumococcal conjugate vaccination.

Objective: To validate the Bacterial Meningitis Score in the era of widespread pneumococcal conjugate vaccination.

Key study: Use of symptoms and risk factors to predict acute otitis media in infants  (2016)

Key study: Use of symptoms and risk factors to predict acute otitis media in infants

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McCormick DP, Jennings K, Ede LC, Alvarez-Fernandez P, Patel J, Chonmaitree T

McCormick DP, Jennings K, Ede LC, Alvarez-Fernandez P, Patel J, Chonmaitree T

Objective: The purpose of this study was to evaluate the usefulness of symptoms and other risk factors in predicting the presence of AOM in infants.

Objective: The purpose of this study was to evaluate the usefulness of symptoms and other risk factors in predicting the presence of AOM in infants.

Key Study: Does the Use of Ibuprofen in Children with Extremity Fractures Increase their Risk for Bone Healing Complications?  (2017)

Key Study: Does the Use of Ibuprofen in Children with Extremity Fractures Increase their Risk for Bone Healing Complications?

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DePeter, K C, Blumberg, S M, Dienstag Becker, S and Meltzer, J A

DePeter, K C, Blumberg, S M, Dienstag Becker, S and Meltzer, J A

OBJECTIVE: To determine if exposure to ibuprofen is associated with an increased risk of bone healing complications in children with fractures.

OBJECTIVE: To determine if exposure to ibuprofen is associated with an increased risk of bone healing complications in children with fractures.

Key study: Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency Department  (2020)

Key study: Screening for Suicide Risk Among Youths With a Psychotic Disorder in a Pediatric Emergency Department

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DeVylder, J. E., Ryan, T. C., Cwik, M., Jay, S. Y., Wilson, M. E., Goldstein, M., & Wilcox, H. C

DeVylder, J. E., Ryan, T. C., Cwik, M., Jay, S. Y., Wilson, M. E., Goldstein,...

Objective: youths in a pediatric emergency department with psychotic disorder diagnoses (N=87) were screened with the Ask Suicide-Screening Questions

Objective: youths in a pediatric emergency department with psychotic disorder diagnoses (N=87) were screened with the Ask Suicide-Screening Questions

Key study: The Importance of Screening Preteens for Suicide Risk in the Emergency Department  (2019)

Key study: The Importance of Screening Preteens for Suicide Risk in the Emergency Department

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Lanzillo EC, Horowitz LM, Wharff EA, Sheftall AH, Pao M, Bridge JA

Lanzillo EC, Horowitz LM, Wharff EA, Sheftall AH, Pao M, Bridge JA

Objective: To describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).

Objective: To describe the prevalence of screening positive for suicide risk in a sample of 10- to 12-year-olds presenting to the emergency department (ED).

Key study: Identifying the Risk of Suicide Among Adolescents Admitted to a Children's Hospital Using the Ask Suicide-Screening Questions  (2019)

Key study: Identifying the Risk of Suicide Among Adolescents Admitted to a Children's Hospital Using the Ask Suicide-Screening Questions

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Inman DD, Matthews J, Butcher L, Swartz C, Meadows AL

Inman DD, Matthews J, Butcher L, Swartz C, Meadows AL

Objective: to assess nurses comfort level with using the ASQ.

Objective: to assess nurses comfort level with using the ASQ.

Key study: Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis  (2019)

Key study: Suicide Risk Screening in Pediatric Hospitals: Clinical Pathways to Address a Global Health Crisis

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Brahmbhatt, K., Kurtz, B. P., Afzal, K. I., Giles, L. L., Kowal, E. D., Johnson, K. P., Lanzillo, E., Pao, M., Plioplys, S., Horowitz, L. M., & PaCC Work...

Brahmbhatt, K., Kurtz, B. P., Afzal, K. I., Giles, L. L., Kowal, E. D., Johns...

Objective: describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings.

Objective: describe the first attempt to generate clinical pathways for patients presenting to pediatric emergency departments (EDs) and inpatient medical settings.

Key study: Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department  (2017)

Key study: Identification of At-Risk Youth by Suicide Screening in a Pediatric Emergency Department

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Ballard, E. D., Cwik, M., Van Eck, K., Goldstein, M., Alfes, C., Wilson, M. E., Virden, J. M., Horowitz, L. M., & Wilcox, H. C

Ballard, E. D., Cwik, M., Van Eck, K., Goldstein, M., Alfes, C., Wilson, M. E...

Objective: retrospective review of the implementation of a brief suicide screen for pediatric psychiatric ED patients as standard of care

Objective: retrospective review of the implementation of a brief suicide screen for pediatric psychiatric ED patients as standard of care

Key study: Feasibility of Screening Patients With Nonpsychiatric Complaints for Suicide Risk in a Pediatric Emergency Department: A Good Time to Talk?  (2010)

Key study: Feasibility of Screening Patients With Nonpsychiatric Complaints for Suicide Risk in a Pediatric Emergency Department: A Good Time to Talk?

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Horowitz, L., Ballard, E., Teach, S. J., Bosk, A., Rosenstein, D. L., Joshi, P., Dalton, M. E., Pao, M

Horowitz, L., Ballard, E., Teach, S. J., Bosk, A., Rosenstein, D. L., Joshi, ...

Objective: As part of an instrument validation study, ED patients (10-21 years old) with both psychiatric and nonpsychiatric presenting complaints were recruited to take part in suicide screening.

Objective: As part of an instrument validation study, ED patients (10-21 years old) with both psychiatric and nonpsychiatric presenting complaints were recruited to take part in suicide screening.

Key Study: Risk of serious bacterial infection in young febrile infants with respiratory syncytial virus infections  (2004)

Key Study: Risk of serious bacterial infection in young febrile infants with respiratory syncytial virus infections

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Levine DA, Platt SL, Dayan PS, Macias CG, Zorc JJ, Krief W, Schor J, Bank D, Fefferman N, Shaw KN, Kuppermann N

Levine DA, Platt SL, Dayan PS, Macias CG, Zorc JJ, Krief W, Schor J, Bank D, ...

Objective: to determine the risk of SBI in young febrile infants who are infected with RSV compared with those without RSV infections.

Objective: to determine the risk of SBI in young febrile infants who are infected with RSV compared with those without RSV infections.

Key study: Identifying persistent postconcussion symptom risk in a pediatric sports medicine clinic  (2018)

Key study: Identifying persistent postconcussion symptom risk in a pediatric sports medicine clinic

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Howell DR, Zemek R, Brilliant AN, Mannix RC, Master CL, Meehan WP.

Howell DR, Zemek R, Brilliant AN, Mannix RC, Master CL, Meehan WP.

To determine if the Predicting Persistent Post-concussive Problems in Pediatrics (5P) clinical risk score, an emergency department (ED)derived and validated tool, is associated with developing PPCS when obtained in a primary care sports concussion setting.

To determine if the Predicting Persistent Post-concussive Problems in Pediatrics (5P) clinical risk score, an emergency department (ED)derived and validated tool, is associated with developing PPCS when obtained in a primary care sports concussion setting.

Key study: No association between metoclopramide treatment in ED and reduced risk of post-concussion headache  (2018)

Key study: No association between metoclopramide treatment in ED and reduced risk of post-concussion headache

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Bresee N, Aglipay M, Dubrovsky AS, et al.

Bresee N, Aglipay M, Dubrovsky AS, et al.

There is a lack of definitive pediatric literature on effective pharmacotherapy for persistent post-concussion headache symptoms. This study assessed whether acute metoclopramide treatment in the Emergency Department (ED) was associated with a reduction in persistent headache in children at 1- and 4-weeks post-concussion.

There is a lack of definitive pediatric literature on effective pharmacotherapy for persistent post-concussion headache symptoms. This study assessed whether acute metoclopramide treatment in the Emergency Department (ED) was associated with a reduction in persistent headache in children at 1- and 4-weeks post-concussion.

Key study: Risk factors for prolonged symptoms of mild traumatic brain injury: a pediatric sports concussion clinic cohort  (2019)

Key study: Risk factors for prolonged symptoms of mild traumatic brain injury: a pediatric sports concussion clinic cohort

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Fehr SD, Nelson LD, Scharer KR, et al.

Fehr SD, Nelson LD, Scharer KR, et al.

To examine predictors of prolonged symptom duration from mild traumatic brain injury (mTBI) in a pediatric sports medicine specialty clinic cohort as these predictors may be distinct in this population.

To examine predictors of prolonged symptom duration from mild traumatic brain injury (mTBI) in a pediatric sports medicine specialty clinic cohort as these predictors may be distinct in this population.

Key Study: Management of Intussusception in the Pediatric Emergency Department: Risk Factors for Recurrence.  (2020)

Key Study: Management of Intussusception in the Pediatric Emergency Department: Risk Factors for Recurrence.

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Vo A, Levin TL, Taragin B, Khine H.

Vo A, Levin TL, Taragin B, Khine H.

Our primary objective was to identify risk factors associated with early recurrence. Our secondary objectives included validating risk criteria from prior studies and identifying risk factors for ARE failures.

Our primary objective was to identify risk factors associated with early recurrence. Our secondary objectives included validating risk criteria from prior studies and identifying risk factors for ARE failures.

Prospective evaluation of the risk of serious bacterial infection in children who present to the emergency department with hyperpyrexia (temperature of 106 degrees F or higher).  (2006)

Prospective evaluation of the risk of serious bacterial infection in children who present to the emergency department with hyperpyrexia (temperature of 106 degrees F or higher).

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Trautner BW, Caviness AC, Gerlacher GR, Demmler G, Macias CG.

Trautner BW, Caviness AC, Gerlacher GR, Demmler G, Macias CG.

The purpose of this study was to determine (1) the risk of serious bacterial infection in children with hyperpyrexia and (2) whether clinical presentation can identify hyperpyrexic patients at risk for serious bacterial infection.

The purpose of this study was to determine (1) the risk of serious bacterial infection in children with hyperpyrexia and (2) whether clinical presentation can identify hyperpyrexic patients at risk for serious bacterial infection.

A Theoretical Paradigm for Evaluating Risk-Benefit of Status Epilepticus Treatment  (2020)

A Theoretical Paradigm for Evaluating Risk-Benefit of Status Epilepticus Treatment

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Amorim E, McGraw CM, Westover MB.

Amorim E, McGraw CM, Westover MB.

Aggressive treatment of status epilepticus with anesthetic drugs can provide rapid seizure control, but it might lead to serious medical complications and worse outcomes. Using a decision analysis approach, this concise review provides a framework for individualized decision making about aggressive and nonaggressive treatment in status epilepticus. The authors propose and review the most relevant parameters guiding the risk-benefit analysis of treatment aggressiveness in status epilepticus and present real-world-based case examples to illustrate how these tools could be used at the bedside and serve to guide future research in refractory status epilepticus treatment.

Aggressive treatment of status epilepticus with anesthetic drugs can provide rapid seizure control, but it might lead to serious medical complications and worse outcomes. Using a decision analysis approach, this concise review provides a framework for individualized decision making about aggressive and nonaggressive treatment in status epilepticus. The authors propose and review the most relevant parameters guiding the risk-benefit analysis of treatment aggressiveness in status epilepticus and present real-world-based case examples to illustrate how these tools could be used at the bedside and serve to guide future research in refractory status epilepticus treatment.

Key study: The HEADS-ED: Evaluating the Clinical Use of a Brief, Action-Oriented, Pediatric Mental Health Screening Tool  (2020)

Key study: The HEADS-ED: Evaluating the Clinical Use of a Brief, Action-Oriented, Pediatric Mental Health Screening Tool

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Cappelli, M., Zemek, R., Polihronis, C., Thibedeau, N. R., Kennedy, A., Gray, C., Jabbour, M., Reid, S., & Cloutier, P

Cappelli, M., Zemek, R., Polihronis, C., Thibedeau, N. R., Kennedy, A., Gray,...

Objective: to evaluate the clinical use of the HEADS-ED tool for patients presenting to a pediatric emergency department (PED) for mental health (MH) care

Objective: to evaluate the clinical use of the HEADS-ED tool for patients presenting to a pediatric emergency department (PED) for mental health (MH) care

Key study: Positive Predictive Values and Potential Success of Suicide Prediction Models  (2019)

Key study: Positive Predictive Values and Potential Success of Suicide Prediction Models

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Simon GE, Shortreed SM, Coley RY

Simon GE, Shortreed SM, Coley RY

Objective: to disagree with the pessimism of Belsher et al1 regarding the potential utility of models predicting suicidal behavior

Objective: to disagree with the pessimism of Belsher et al1 regarding the potential utility of models predicting suicidal behavior

Key study: Evaluating the HEADS-ED Screening Tool in a Hospital-Based Mental Health and Addictions Central Referral Intake System: A Prospective Cohort Study  (2019)

Key study: Evaluating the HEADS-ED Screening Tool in a Hospital-Based Mental Health and Addictions Central Referral Intake System: A Prospective Cohort Study

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Clark SE, Cloutier P, Polihronis C, Cappelli M

Clark SE, Cloutier P, Polihronis C, Cappelli M

Objective: evaluated the use of a mental health (MH) screening tool in a hospital-based centralized MH referral telephonic intake process.

Objective: evaluated the use of a mental health (MH) screening tool in a hospital-based centralized MH referral telephonic intake process.

Key study: Columbia-suicide Severity Rating Scale: Predictive Validity With Adolescent Psychiatric Emergency Patients  (2015)

Key study: Columbia-suicide Severity Rating Scale: Predictive Validity With Adolescent Psychiatric Emergency Patients

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Gipson PY, Agarwala P, Opperman KJ, Horwitz A, King CA

Gipson PY, Agarwala P, Opperman KJ, Horwitz A, King CA

Objective: examined the predictive validity of a highly promising instrument, the Columbia-Suicide Severity Rating Scale (C-SSRS).

Objective: examined the predictive validity of a highly promising instrument, the Columbia-Suicide Severity Rating Scale (C-SSRS).

Key study: The Current State of Mental Health Services in Canada's Paediatric Emergency Departments  (2013)

Key study: The Current State of Mental Health Services in Canada's Paediatric Emergency Departments

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Leon, S. L., Cappelli, M., Ali, S., Craig, W., Curran, J., Gokiert, R., Klassen, T., Osmond, M., Scott, S. D., Newton, A. S., for Pediatric Emergency Resear...

Leon, S. L., Cappelli, M., Ali, S., Craig, W., Curran, J., Gokiert, R., Klass...

Objective: To describe emergency mental health services in major paediatric centres across Canada.

Objective: To describe emergency mental health services in major paediatric centres across Canada.

Key study: The HEADS-ED: A Rapid Mental Health Screening Tool for Pediatric Patients in the Emergency Department  (2012)

Key study: The HEADS-ED: A Rapid Mental Health Screening Tool for Pediatric Patients in the Emergency Department

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Cappelli, M., Gray, C., Zemek, R., Cloutier, P., Kennedy, A., Glennie, E., Doucet, G., Lyons, J. S.

Cappelli, M., Gray, C., Zemek, R., Cloutier, P., Kennedy, A., Glennie, E., Do...

Objective: developed the rapid screening tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification of "HEADS," a mnemonic widely used to obtain a psychosocial history in adolescents.

Objective: developed the rapid screening tool home, education, activities/peers, drugs/alcohol, suicidality, emotions/behavior, discharge resources (HEADS-ED), which is a modification of "HEADS," a mnemonic widely used to obtain a psychosocial history in adolescents.

Key study: Ask Suicide-Screening Questions (ASQ): A Brief Instrument for the Pediatric Emergency Department  (2012)

Key study: Ask Suicide-Screening Questions (ASQ): A Brief Instrument for the Pediatric Emergency Department

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Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenstein, D. L., Wharff, E. A., Ginnis, K., Cannon, E., Joshi, P., Pao, M

Horowitz, L. M., Bridge, J. A., Teach, S. J., Ballard, E., Klima, J., Rosenst...

Objective: To develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients.

Objective: To develop a brief screening instrument to assess the risk for suicide in pediatric emergency department patients.

Key study: Patients' Opinions About Suicide Screening in a Pediatric Emergency Department  (2012)

Key study: Patients' Opinions About Suicide Screening in a Pediatric Emergency Department

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Ballard, E. D., Bosk, A., Snyder, D., Pao, M., Bridge, J. A., Wharff, E. A., Teach, S. J., & Horowitz, L.

Ballard, E. D., Bosk, A., Snyder, D., Pao, M., Bridge, J. A., Wharff, E. A., ...

Objective: describes pediatric patients' opinions regarding suicide screening in that setting.

Objective: describes pediatric patients' opinions regarding suicide screening in that setting.

Other

Clincal Practice Guideline: Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors  (2003)

Clincal Practice Guideline: Practice Guideline for the Assessment and Treatment of Patients With Suicidal Behaviors

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American Psychology Association

American Psychology Association

Non peds specific practise guidline for assessment treatment suicidal behavors

Non peds specific practise guidline for assessment treatment suicidal behavors

Clincal Practice Guideline: Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. American Academy of Child and Adolescent Psychiatry  (2001)

Clincal Practice Guideline: Practice Parameter for the Assessment and Treatment of Children and Adolescents With Suicidal Behavior. American Academy of Child and Adolescent Psychiatry

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American Academy of Child and Adolescent Psychiatry

American Academy of Child and Adolescent Psychiatry

These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior.

These guidelines review what is known about the epidemiology, causes, management, and prevention of suicide and attempted suicide in young people. Detailed guidelines are provided concerning the assessment and emergency management of the children and adolescents who present with suicidal behavior.

Clincal Practice Guideline: Suicidal ideation and behaviour  (2015)

Clincal Practice Guideline: Suicidal ideation and behaviour

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Canadian Paediatric Society

Canadian Paediatric Society

The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours.

The present practice point provides paediatricians and child health professionals with a framework for assessing the adolescent with suicidal thoughts and/or behaviours.

Clinical Practice Guideline: Suicide Risk Assessment  (2018)

Clinical Practice Guideline: Suicide Risk Assessment

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Emergency Nursing Association

Emergency Nursing Association

Clinical Practice Guideline: Suicide Risk Assessment: Authored by the 2017 ENA Clinical Practice Guideline Committee

Clinical Practice Guideline: Suicide Risk Assessment: Authored by the 2017 ENA Clinical Practice Guideline Committee

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]  (2015)

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for iPhone]

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Ontario Lung Association

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).

This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]  (2015)

Multimedia: Pediatric Respiratory Assessment Measure (PRAM) App [for Android]

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Ontario Lung Association

Ontario Lung Association

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

The Pediatric Respiratory Assessment Measure (PRAM) is a 12-point scoring system to objectively assess asthma severity and response to treatment in an acute care setting. Valid for use in patients 1 – 17 years of age, the PRAM score is used by many clinical pathways that guide health professionals in the acute assessment and management of asthmatic exacerbations in children and youth. Asthma severity is categorized by the following PRAM scores: Mild (0-3), Moderate (4-7) or Severe (8-12).
This PRAM app quickly calculates a PRAM score based on 5 clinical findings (oxygen saturation, suprasternal retractions, scalene muscle use, air entry and wheezing). The corresponding asthma severity and specific management is then provided, based on the Ontario Lung Association’s Pediatric Emergency Department Asthma Clinical Pathway.

Practice parameter: diagnostic assessment of the child with status epilepticus (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society  (2006)

Practice parameter: diagnostic assessment of the child with status epilepticus (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society

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Riviello JJ Jr, Ashwal S, Hirtz D, Glauser T, Ballaban-Gil K, Kelley K, et al

Riviello JJ Jr, Ashwal S, Hirtz D, Glauser T, Ballaban-Gil K, Kelley K, et al

To review evidence on the assessment of the child with status epilepticus (SE).

To review evidence on the assessment of the child with status epilepticus (SE).

A research agenda for assessment and management of psychosis in emergency department patients  (2019)

A research agenda for assessment and management of psychosis in emergency department patients

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Peltzer-Jones, J., K. Nordstrom, G. Currier, J. S. Berlin, C. Singh and S. Schneider

Peltzer-Jones, J., K. Nordstrom, G. Currier, J. S. Berlin, C. Singh and S. Sc...

Long-term efficacy and tolerability of perospirone for young help-seeking people at clinical high risk: A preliminary open trial  (2013)

Long-term efficacy and tolerability of perospirone for young help-seeking people at clinical high risk: A preliminary open trial

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Tsujino, N., T. Nemoto, K. Morita, N. Katagiri, S. Ito and M. Mizuno

Tsujino, N., T. Nemoto, K. Morita, N. Katagiri, S. Ito and M. Mizuno

Clincal Practice Guideline: Suicide and Suicide Attempts in Adolescents  (2016)

Clincal Practice Guideline: Suicide and Suicide Attempts in Adolescents

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American Academy of Pediatrics

American Academy of Pediatrics

This report updates the previous statement of the American Academy of Pediatrics and is intended to assist pediatricians, in collaboration with other child and adolescent health care professionals, in the identification and management of the adolescent at risk for suicide

This report updates the previous statement of the American Academy of Pediatrics and is intended to assist pediatricians, in collaboration with other child and adolescent health care professionals, in the identification and management of the adolescent at risk for suicide

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TREKK.ca Past Events

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TREKKing Through Friendly Manitoba

May 23, 2014, 9:38 am to 9:38 am  | Blog  | Team: News and Events 


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TREKK update from Terry Klassen

Mar 21, 2013, 11:23 am to 12:30 pm  | Blog  | Team: News and Events 
Tags: Emergency Medicine, Evidence-Based Medicine, Pediatrics, Research


TREKK.ca Info Pages

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New Resource- Suicidal Risk Screening & Assessment

Posted: Oct 14, 2021  | Announcement  | Team: News and Events 
Tags: Suicidal Risk Assessment


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New study: Do IV Fluids affect risk of Cerebral Edema in DKA?

Posted: Jun 18, 2018  | Announcement  | Team: News and Events 


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New Bottom Line Recommendations: Urinary Tract Information

Posted: Aug 20, 2019  | Announcement  | Team: News and Events 


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Predicting the duration of post-concussion symptoms

Posted: Mar 10, 2016  | Announcement  | Team: News and Events 


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Needs Assessment Guidelines and Updates

Posted: Dec 21, 2011  | Project  | Team: Needs Assessment  


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TREKK Needs Assessment publication in CJEM

Posted: Jan 23, 2017  | Announcement  | Team: News and Events 


view 21 more matching info pages

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MyHEARTSMAP- Mental Health Self Assessment Tool

Posted: Jan 11, 2022  | Announcement  | Team: News and Events 
Tags: Mental Health, MyHEARTSMAP


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Pediatric Respiratory Assessment Measure (PRAM) App

Posted: Dec 08, 2015  | Announcement  | Team: News and Events 


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Blog Series

Posted: Mar 12, 2013  | Series  | Team: News and Events 


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A summer project to find online resources

Posted: Jun 24, 2013  | Blog  | Team: News and Events 


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New Bottom Line Recommendation: Anaphylaxis

Posted: Sep 10, 2018  | Announcement  | Team: News and Events 


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Podcast: Pediatric Procedural Sedation

Posted: Feb 09, 2016  | Announcement  | Team: News and Events 
Tags: Procedural Sedation, Procedural Pain


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New Resources for Multisystem Trauma

Posted: Jul 14, 2020  | Announcement  | Team: News and Events 


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Canadian Anaphylaxis Action Plan for Kids

Posted: Feb 25, 2019  | Announcement  | Team: News and Events 


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New PedsPac!

Posted: Jan 31, 2019  | Announcement  | Team: News and Events 


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Building a connection: TREKK and NENA

Posted: Jun 30, 2015  | Blog  | Team: News and Events 


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A qualitative ‘TREKK’ across Newfoundland

Posted: Oct 29, 2013  | Blog  | Team: News and Events 
Tags: Research


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New PedsPacs!

Posted: Dec 20, 2018  | Announcement  | Team: News and Events 


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Brain Awareness Week

Posted: Mar 15, 2021  | Announcement  | Team: News and Events 


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Webinar: Mobilizing knowledge to improve pediatric health care

Posted: Mar 29, 2016  | Announcement  | Team: News and Events 



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