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Pediatric Emergency Medicine

Research

Pediatric Emergency Medicine

NYU School of Medicine
Bellevue Hospital Center/Tisch Hospital
Active Research Projects, Fall 2005


Peds EM Attending Projects

Title: Rapid Intravenous Rehydration with Dextrose Containing Crystalloid in Mild-Moderately Dehydrated Children with Clinical Gastroenteritis
Description: Determine if Normal saline or Normal saline with dextrose is more effective in successfully rehydrating dehydrated children.
Principal Investigator: Michael Mojica, MD
Support: Peds EM internal resources


Title: Decision rule to identify children at risk for Traumatic Brain Injury after mild head trauma
Description: Collect history, physical exam findings, head CT results and outcome of children suffering mild head trauma. Develop a decision rule to predict which children are at low risk for + head CT or serious TBI.
Principal Investigator: Michael Tunik, MD
Co Investigator: James Tsung, MD
Support: PECARN research network


Title: Impact of steroids v placebo in infants with bronchiolitis
Description: Double blind placebo controlled RCT. Determine the impact of dexamethasone on respiratory score and admission of infants with moderately severe bronchiolitis.
Principal Investigator: Michael Tunik, MD
Co Investigator: James Tsung, MD
Support: PECARN research network


Title: The Broselow-Luten Medication System Impact on Staff Comfort and Its Utility in the Real-World Setting
Description: Pre post implementation survey of nurses, residents and attendings on items used and satisfaction with medication dosing aids used in an ED
Principal Investigator: Jessica Foltin, MD
Co Investigators: Michael Tunik, MD Dan Rauch, MD
Support: Peds EM internal resources


Title:Referral Patterns and Resource Utilization for Pediatric Emergency Department Patients Preventing with a Psychiatric or Mental Health Problem
Description: Determine the referral patterns, presenting complaints, accompanying adult, resource utilization and diagnoses, time in E ED and disposition of children presenting with psychiatric complaints to pediatric Eds in the PECARN research network. Retrospective chart based review.
Principal Investigator: George Foltin, MD
Co Investigator: Michael Tunik, MD
Support: PECARN research network


Title: Assessment of SARS infection control knowledge of house staff physicians in an urban medical center
Description: Determine the infection control knowledge and behavior (use of masks, gloves, eye protection and gowns) of house staff before and after an information and practical training session
Principal Investigator: Jessica C. Foltin, MD
Co Investigators: Michael Tunik, MD George Foltin, MD Abigail Freedman, MD Henry Pollack, MD William Borkowsky, MD
Support:Pediatric Dept, Peds EM internal funding


Title: Bio surveillance using the PECARN Network
Description: Create an automated data stream from PECARN hospitals to a data analysis center. Determine if this data can be used for bioterrorism surveillance. Can information routinely collected in the course of clinical care and hospital administration, can effectively be used to detect abnormal patterns of disease in a region.
Principal Investigator: Jim Tsung, MD
Co Investigator: Michael Tunik, MD
Support: PECARN research network


Title: PECARN Core Data Project (PCDP): Characterizing Patient Populations in the Pediatric Emergency Care Applied Research Network (PECARN)
Description: Retrospective collection of electronic and chart data including demographics, epidemiology, diagnoses, procedures and outcome.
Principal Investigator: Michael Tunik, MD
Co Investigator: George Foltin, MD
Support: PECARN research network


Title:Predicting Cervical Spine Injury (CSI) in Children: A Multi-Centered Case-Control Analysis
Description: Retrospective collection of chart data to perform a case control study of injured children to determine historical and physical exam predictors of c spine injury.
Principal Investigator: Michael Tunik, MD
Co Investigator: George Foltin, MD
Support: PECARN research network


Title:Pediatric PHASE project.
Description: Prospective observational cohort of all pediatric cardiac and respiratory arrests in NYC cared for by EMS in a one year period. Determine the demographics, epidemiology, interventions and outcome, as well as predictors of outcome.
Principal Investigators: George Foltin, MD Michael Tunik, MD
Support: MCHB Research grant



Peds EM Fellow* Research Projects

Title: One Year Retention of Pediatric Life Support Knowledge and Skills in Pediatric and Emergency Medicine House staff
Description: Pediatric and Emergency Medicine House staff evaluated on performance of written examination and clinical scenario after completing the PALS course as incoming house staff and at completion of their internship
Principal Investigator: Michael Mojica, MD
Co Investigators: Louis Spina*, MD, Dennis Heon, MD, Karen Franco, MD
Support: Pediatric Dept, Peds EM internal funding


Title: Use of Resuscitative Aids in Pediatric Emergency Scenarios by Pediatric and Emergency Medicine Residents
Description: Determine which resuscitative aid (determine drug dose, equipment size) is most useful and most liked by peds and em residents in a mock resuscitation setting.
Principal Investigator: Jessica Foltin MD
Co Investigators: Michael Tunik, MD Karen Franco*, MD
Support: Peds EM internal funding


Title: Efficacy and Tolerability of Intranasal Fentanyl for Pain Relief in the Pediatric Emergency Department
Description: Determine the efficacy of intranasal fentanyl in decreasing VAS pain scores of children with extremity injuries producing moderate pain. Prospective cohort with historical control.
Principal Investigator: Michael Tunik, MD
Co Investigators: George Foltin, MD, Jules Quintero*, MD
Support: Peds EM internal support



Resident** Research Projects (Pediatric and Emergency Medicine)

Title: The role of developmental screening in an urban pediatric emergency service
Description: Determine the rate of developmental delay in children screened using a validated developmental screening questionnaire in an inner city Peds ED.
Principal Investigator: George Foltin, MD
Co Investigators: Michael Tunik, MD, Alan Mendelson, MD Devon Grossman**, MD
Support: Pediatric Dept and Peds EM internal support


Title: Understanding of Fever in Parents Presenting to the Emergency Department
Description: Questionnaire to parents of children presenting to an ED and private pediatric practice addressing their understanding of the causes, complications and treatment of fever.
Principal Investigator: Michael Mojica, M.D.
Co Investigator: Marc Aurbach**, MD
Support: Pediatric Dept, Peds EM internal funding


Title: Surveillance for respiratory viruses in the Pediatric Emergency Department
Description: Determine the history and physical exam findings of children presenting to the Peds ED with a URI, and collect a sample of nasal secretions for analysis of a spectrum of respiratory viruses including SARS.
Principal Investigator: George Foltin, MD
Co Investigators: Michael Tunik, MD George Foltin, MD Abigail Freedman, MD Henry Pollack, MD William Borkowsky, MD, Eric Weinberg**, MD
Support: Pediatric ID, Peds EM internal funding



Cooperative Research Projects with other Divisions, Departments

Title: An assessment of documentation of child abuse and neglect cases in the Pediatric Emergency Department
Description: Determine the frequency of documentation of key history, physical exam, consults diagnostic tests, and therapy of children presenting with suspected child abuse or neglect to the pediatric ED. Retrospective chart based review.
Principal Investigator: Lori Legano, MD
Co Investigator: Michael Tunik, MD
Support: Peds EM and Peds Child Protection internal support