Full Text Journal Articles by
Author Marc Auerbach

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Study protocol for the ACT response pilot intervention: development, implementation and evaluation of a systems-based Agitation Code Team (ACT) in the emergency department.

Ambrose H Wong, Jessica M Ray, Marc A Auerbach, Arjun K Venkatesh, Caitlin McVaney, Danielle Burness, Christopher Chmura, Thomas Saxa, Mark Sevilla, Colin T Flood, Amitkumar Patel, Travis Whitfill, James D Dziura, Kimberly A Yonkers, Andrew Ulrich, Steven L Bernstein,

INTRODUCTION:Emergency department (ED) visits for behavioural conditions are rising, with 1.7 million associated episodes of patient agitation occurring annually in acute care settings. When de-escalation techniques fail during agitation management, patients are subject to use of physical restraints and sedatives, which are associated with up to 37% risk of hypotension, apnoea ... Read more >>

BMJ Open (BMJ open)
[2020, 10(6):e036982]

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Using Simulation to Measure and Improve Pediatric Primary Care Offices Emergency Readiness.

Amanda L Garrow, Pavan Zaveri, Matthew Yuknis, Kamal Abulebda, Marc Auerbach, Eileen M Thomas,

INTRODUCTION:Emergencies in the pediatric primary care office are high-risk, low-frequency events that offices may be ill-prepared to manage. We developed an intervention to improve pediatric primary care office emergency preparedness involving a baseline measurement, a customized report out with action plans for improvement (based on baseline measures), and a plan ... Read more >>

Simul Healthc (Simulation in healthcare : journal of the Society for Simulation in Healthcare)
[2020, 15(3):172-192]

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Exposure and Confidence With Critical Nonairway Procedures: A Global Survey of Pediatric Emergency Medicine Physicians.

Simon S Craig, Marc Auerbach, John A Cheek, Franz E Babl, Ed Oakley, Lucia Nguyen, Arjun Rao, Sarah Dalton, Mark D Lyttle, Santiago Mintegi, Joshua Nagler, Rakesh D Mistry, Andrew Dixon, Pedro Rino, Guillermo Kohn Loncarica, Stuart R Dalziel, ,

BACKGROUND:Children rarely experience critical illness, resulting in low exposure of emergency physicians (EPs) to critical procedures. Our primary objective was to describe senior EP confidence, most recent performance, and/or supervision of critical nonairway procedures. Secondary objectives were to compare responses between those who work exclusively in PEM and those who ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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Pediatric Readiness in the Emergency Department and Its Association With Patient Outcomes in Critical Care: A Prospective Cohort Study.

Reinis Balmaks, Travis M Whitfill, Baiba Ziemele, Madara Blumberga, Reinis Upenieks, Ivars Vegeris, Ilze Grope, Jana Pavare, Marc A Auerbach, Isabel T Gross,

OBJECTIVES:Pediatric mortality in Latvia remains one of the highest among Europe. The purpose of this study was to assess the quality of pediatric acute care and pediatric readiness and determine their association with patient outcomes using a patient registry. DESIGN:This was a prospective cohort study. Pediatric readiness was measured using ... Read more >>

Pediatr Crit Care Med (Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies)
[2020, 21(5):e213-e220]

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Improving Capnography Use for Critically Ill Emergency Patients: An Implementation Study.

Rahul Shah, Douglas A Streat, Marc Auerbach, Veronika Shabanova, Melissa L Langhan,

OBJECTIVES:Capnography has established benefit during intubation and cardiopulmonary resuscitation (CPR). Implementation within emergency departments (EDs) has lagged. We sought to address barriers to improve documented capnography use for patients requiring intubation or CPR. METHODS:A controlled before- and after-implementation study was performed in 2 urban EDs. The control site had an ... Read more >>

J Patient Saf (Journal of patient safety)
[2020, :]

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Stress as tool or toxin: physiologic markers and subjective report in neonatal simulation.

Brooke Redmond, Melissa Joseph, Jessica Ray, Veronika Shabanova, Isabel T Gross, Christie Bruno, Jacob McPadden, Marc Auerbach, Lindsay Johnston,

BACKGROUND:Cognitive appraisal of stress can influence performance. Increased awareness could facilitate titration to optimal stress levels. This study's primary aim was to investigate whether physiologic variables change with increasingly stressful simulations. Secondary aims include effect of stress on procedural competency and whether individuals recognize their experienced stress. METHODS:This was a ... Read more >>

Pediatr. Res. (Pediatric research)
[2020, :]

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Parents' Perspective on Trainees Performing Invasive Procedures: A Qualitative Evaluation.

Madeline L McCarthy, Lindsey T Chaudoin, Mark R Mercurio, Elizabeth G J O'Brien, Sweta Bhargava, Sarah Y Cohen, Marc Auerbach, Gunjan Tiyyagura,

OBJECTIVES:When obtaining informed permission from parents for invasive procedures, trainees and supervisors often do not disclose information about the trainee's level of experience. The objectives of this study were 3-fold: (1) to assess parents' understanding of both academic medical training and the role of the trainee and the supervisor, (2) ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, 36(2):e66-e71]

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Stress: A Factor Explaining the Gap Between Simulated and Clinical Procedure Success.

Denis Oriot, Marine Trigolet, David O Kessler, Marc A Auerbach, Daniel Aiham Ghazali,

BACKGROUND:Stress may impair the success of procedures in emergency medicine. The aims were to assess residents' stress during simulated and clinical lumbar punctures (LPs) and to explore the correlation of stress and performance. METHODS:A prospective study (2013-2016) was carried out in a pediatric emergency department. A mastery training and subsequently ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, :]

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Implementing Faculty Development Programs: Moving From Theory to Practice.

Mary K Fey, Marc Auerbach, Demian Szyld,

Simul Healthc (Simulation in healthcare : journal of the Society for Simulation in Healthcare)
[2020, 15(1):5-6]

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Comparison of Two Telemedicine Delivery Modes for Neonatal Resuscitation Support: A Simulation-Based Randomized Trial.

Isabel T Gross, Travis Whitfill, Brooke Redmond, Katherine Couturier, Ambika Bhatnagar, Melissa Joseph, Daniel Joseph, Jessica Ray, Michael Wagner, Marc Auerbach,

INTRODUCTION:Previous research has described technical aspects of telemedicine and the clinical impact of provider-to-patient telemedicine; however, little is known about provider-to-provider telemedical interventions. OBJECTIVE:The primary aim of this study was to compare two telemedicine delivery modes on the quality of a simulated neonatal resuscitation. Our secondary aim was to evaluate ... Read more >>

Neonatology (Neonatology)
[2020, :1-8]

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Statewide Pediatric Facility Recognition Programs and Their Association with Pediatric Readiness in Emergency Departments in the United States.

Travis M Whitfill, Katherine E Remick, Lenora M Olson, Rachel Richards, Kathleen M Brown, Marc A Auerbach, Marianne Gausche-Hill,

OBJECTIVE:To describe the relationship between statewide pediatric facility recognition (PFR) programs and pediatric readiness in emergency departments (EDs) in the US. STUDY DESIGN:Data were extracted from the 2013 National Pediatric Readiness Project assessment (4083 EDs). Pediatric readiness was assessed using the weighted pediatric readiness score (WPRS) based on a 100-point ... Read more >>

J. Pediatr. (The Journal of pediatrics)
[2020, 218:210-216.e2]

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Prevalence of Errors in Anaphylaxis in Kids (PEAK): A Multicenter Simulation-Based Study.

Tensing Maa, Daniel J Scherzer, Ilana Harwayne-Gidansky, Tali Capua, David O Kessler, Jennifer L Trainor, Priti Jani, Becky Damazo, Kamal Abulebda, Maria Carmen G Diaz, Rana Sharara-Chami, Sushant Srinivasan, Adrian D Zurca, Ellen S Deutsch, Elizabeth A Hunt, Marc Auerbach, ,

BACKGROUND:Multi-institutional, international practice variation of pediatric anaphylaxis management by health care providers has not been reported. OBJECTIVE:To characterize variability in epinephrine administration for pediatric anaphylaxis across institutions, including frequency and types of medication errors. METHODS:A prospective, observational, study using a standardized in situ simulated anaphylaxis scenario was performed across 28 ... Read more >>

J Allergy Clin Immunol Pract (The journal of allergy and clinical immunology. In practice)
[2020, 8(4):1239-1246.e3]

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Community-based in situ simulation: bringing simulation to the masses.

Barbara M Walsh, Marc A Auerbach, Marcie N Gawel, Linda L Brown, Bobbi J Byrne, Aaron Calhoun, ,

Simulation-based methods are regularly used to train inter-professional groups of healthcare providers at academic medical centers (AMC). These techniques are used less frequently in community hospitals. Bringing in-situ simulation (ISS) from AMCs to community sites is an approach that holds promise for addressing this disparity. This type of programming allows ... Read more >>

Adv Simul (Lond) (Advances in simulation (London, England))
[2019, 4:30]

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Debriefing Techniques Utilized in Medical Simulation

Kamal Abulebda, Marc Auerbach, Faten Limaiem,

Simulation-based education (SBE), when used under the right conditions, correlates with significant effects on knowledge, skills and behaviors and moderate effects for patient-related outcomes. Post simulation debriefing is one of the most effective components of SBE and the cornerstone of the learning experience in the medical simulation setting.[1][2] Debriefing is ... Read more >>

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Eye-tracking during simulation-based neonatal airway management.

Michael Wagner, Peter Gröpel, Katharina Bibl, Monika Olischar, Marc A Auerbach, Isabel T Gross,

BACKGROUND:Eye-tracking devices help to understand provider behavior during medical tasks. The aim of this study was to assess participants' gaze behavior and usability of eye-tracking glasses during airway management in a simulated neonatal resuscitation. METHODS:This study was an observational simulation-based study. The team member assigned to airway management wore head-mounted ... Read more >>

Pediatr. Res. (Pediatric research)
[2020, 87(3):518-522]

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Impact of Project ECHO on Community ED Providers' Perceptions of Child Abuse Knowledge and Access to Subspecialists for Child Abuse and Neglect.

Gunjan Tiyyagura, Andrea G Asnes, John M Leventhal, Amy Shah, Trisha Calabrese, Linda Radecki, Gloria Jeter, Marc Auerbach,

Acad Pediatr (Academic pediatrics)
[2019, 19(8):985-987]

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EAST multicenter trial of simulation-based team training for pediatric trauma: Resuscitation task completion is highly variable during simulated traumatic brain injury resuscitation.

Aaron R Jensen, Francesca Bullaro, Richard A Falcone, Margot Daugherty, L Caulette Young, Cory McLaughlin, Caron Park, Christianne Lane, Jose M Prince, Daniel J Scherzer, Tensing Maa, Julie Dunn, Laura Wining, Joseph Hess, Mary C Santos, James O'Neill, Eric Katz, Karen O'Bosky, Timothy Young, Emily Christison-Lagay, Omar Ahmed, Randall S Burd, Marc Auerbach,

BACKGROUND:Best practices for benchmarking the efficacy of simulation-based training programs are not well defined. This study sought to assess feasibility of standardized data collection with multicenter implementation of simulation-based training, and to characterize variability in pediatric trauma resuscitation task completion associated with program characteristics. METHODS:A prospective multicenter observational cohort of ... Read more >>

Am. J. Surg. (American journal of surgery)
[2020, 219(6):1057-1064]

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Multidisciplinary Simulation-Based Team Training for Trauma Resuscitation: A Scoping Review.

Cory McLaughlin, Wesley Barry, Erica Barin, Lynn Kysh, Marc A Auerbach, Jeffrey S Upperman, Randall S Burd, Aaron R Jensen,

OBJECTIVE:Simulation-based training as an educational intervention for healthcare providers has increased in use over the past 2 decades. The simulation community has called for standardized reporting of methodologies and outcomes. The purpose of this review was to (1) summarize existing data on the use of simulation-based team training for acute ... Read more >>

J Surg Educ (Journal of surgical education)
[2019, 76(6):1669-1680]

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Improving Simulated Pediatric Airway Management in Community Emergency Departments Using a Collaborative Program With a Pediatric Academic Medical Center.

Samer Abu-Sultaneh, Travis Whitfill, Courtney M Rowan, Matthew L Friedman, Kellie J Pearson, Zachary J Berrens, Riad Lutfi, Marc A Auerbach, Kamal Abulebda,

BACKGROUND:Pediatric airway management is a challenging process at community emergency departments (CEDs) due to lower pediatric volume, a lack of pediatric expertise among staff, and a lack of pediatric-specific equipment and resources. This has contributed to increased mortality in pediatric patients presenting to CEDs in comparison to pediatric academic medical ... Read more >>

Respir Care (Respiratory care)
[2019, 64(9):1073-1081]

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Improving Pediatric Diabetic Ketoacidosis Management in Community Emergency Departments Using a Simulation-Based Collaborative Improvement Program.

Kamal Abulebda, Travis Whitfill, Erin E Montgomery, Michele L Kirby, Rami A Ahmed, Dylan D Cooper, Mara E Nitu, Marc A Auerbach, Riad Lutfi, Samer Abu-Sultaneh,

OBJECTIVES:The majority of pediatric patients with diabetic ketoacidosis (DKA) present to community emergency departments (CEDs) that are less prepared to care for acutely ill children owing to low pediatric volume and limited pediatric resources and guidelines. This has impacted the quality of care provided to pediatric patients in CEDs. We ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2019, :]

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Early Involvement of the Child Protection Team in the Care of Injured Infants in a Pediatric Emergency Department.

Emily Powers, Gunjan Tiyyagura, Andrea G Asnes, John M Leventhal, Rebecca Moles, Emily Christison-Lagay, Shaina Groisberg, Marc Auerbach,

BACKGROUND:Physical abuse is a significant cause of infant morbidity and mortality. Early detection in the emergency department (ED) is crucial. OBJECTIVE:We describe the impact of a clinical pathway focused on early involvement of the child protection team (CPT) and social work (SW) team for infants presenting to a pediatric emergency ... Read more >>

J Emerg Med (The Journal of emergency medicine)
[2019, 56(6):592-600]

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Oral injuries in children less than 24 months of age in a pediatric emergency department.

Seth M Woolf, John M Leventhal, Julie R Gaither, Priyanka Hardikar, Melissa L Langhan, Kirsten Bechtel, Marc A Auerbach, Gunjan Tiyyagura,

BACKGROUND:Oral injuries in young children may indicate physical abuse. The prevalence of oral injuries in young children presenting to the emergency department is unknown. These data would assist providers in making decisions about the need for further abuse evaluation. OBJECTIVE:To determine the prevalence of oral injuries, associated chief complaints and ... Read more >>

Child Abuse Negl (Child abuse & neglect)
[2019, 89:70-77]

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A tabletop school bus rollover: Connecticut-wide drills to build pediatric disaster preparedness and promote a novel hospital disaster readiness checklist.

Mark X Cicero, Klevi Golloshi, Marcie Gawel, James Parker, Marc Auerbach, Pina Violano,

OBJECTIVE:To assess emergency medical services (EMS) and hospital disaster plans and communication and promote an integrated pediatric disaster response in the state of Connecticut, using tabletop exercises to promote education, collaboration, and planning among healthcare entities. DESIGN:Using hospital-specific and national guidelines, a disaster preparedness plan consisting of pediatric guidelines and ... Read more >>

Am J Disaster Med (American journal of disaster medicine)
[2019, 14(2):75-87]

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The effect of an International competitive leaderboard on self-motivated simulation-based CPR practice among healthcare professionals: A randomized control trial.

Todd P Chang, Tia Raymond, Maya Dewan, Ralph MacKinnon, Travis Whitfill, Ilana Harwayne-Gidansky, Cara Doughty, Karin Frisell, David Kessler, Heather Wolfe, Marc Auerbach, Chrystal Rutledge, Diana Mitchell, Priti Jani, Catharine M Walsh, ,

BACKGROUND:Little is known about how best to motivate healthcare professionals to engage in frequent cardiopulmonary resuscitation (CPR) refresher skills practice. A competitive leaderboard for simulated CPR can encourage self-directed practice on a small scale. The study aimed to determine if a large-scale, multi-center leaderboard improved simulated CPR practice frequency and ... Read more >>

Resuscitation (Resuscitation)
[2019, 138:273-281]

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A Qualitative Study Examining Stakeholder Perspectives of a Local Child Abuse Program in Community Emergency Departments.

Gunjan Tiyyagura, Paula Schaeffer, Marcie Gawel, John M Leventhal, Marc Auerbach, Andrea G Asnes,

OBJECTIVE:Emergency department (ED) providers may fail to recognize or report child abuse and/or neglect (CAN). To improve recognition and reporting, we designed the Community ED CAN Program, in which teams of local clinicians (nurses, physicians, physician assistants) received training in CAN and 1) disseminated evidence-based education; 2) provided consultation, case ... Read more >>

Acad Pediatr (Academic Pediatrics)
[2019, 19(4):438-445]

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