Emergency Department Research

By its nature, emergency department (ED) research encompasses a diverse research agenda echoing the wide variety of clinical presentations that are treated in there. Some of the research at the CHEO ED includes whether or not a child requires a head CT following minor head injury; outcomes of treating infants with bronchiolitis with epinephrine and steroids; improved efficiencies of nurse-initiation of steroids for asthma; and how to better manage common pediatric presentations in the ED (pharyngitis, asthma, croup, migraine, behavioural problems, wounds, minor extremity injuries, and prehospital care) and how to better translate this knowledge.

Related News

Research Projects

  1. Symptom Burden, School Function, and Physical Activity One-Year Following Pediatric Concussion

    25/08/2020

    Most youth are symptom-free and fully recovered one year following concussion. Some children with repeat concussion have worse outcomes and have delays in returning to normal school routines and sport.

  2. Whole-body vibration in neonatal transport: a review of current knowledge and future research challenges

    01/07/2020

    This review intends to highlight what is known about vibration as a physical stressor in neonates and areas for further research; with the goal to making recommendations for minimizing these stressors during transport.

  3. Characteristics of Vomiting as a Predictor of Intracranial Injury in Pediatric Minor Head Injury

    09/06/2020

    Recurrent vomiting (≥ four episodes) was a significant risk factor for intracranial injury in children after minor head injury.

  4. Exploring Opportunities to improve patient safety in our Emergency Departments

    29/04/2020

    The study explored opportunities to improve patient safety by providing evidence of where to focus efforts in a resource-restricted environment.

  5. Adverse events in the paediatric emergency department: a prospective cohort study

    29/04/2020

    Conclusion One in 40 children suffered adverse events related to ED care. A high proportion of events were preventable. Management and diagnostic issues warrant further study.

  6. Predictors of future acute asthma visits among children receiving guideline recommended emergency department discharge management

    23/04/2020

    This retrospective cohort study that shows that even if children receive an asthma action plan or prescription for inhaled steroids after a tertiary care ED asthma visit, youth with a peanut allergy, with high severity symptoms at presentation, and a prior asthma diagnosis are most likely to return to the ED. 

  7. The Canadian anaphylaxis action plan for kids: development and validation

    02/01/2020

    The Kids’ CAP is a useful educational tool to improve patient’s comprehension of anaphylaxis management.

  8. Health outcomes associated with emergency department visits by adolescents for self-harm: a propensity-matched cohort study

    06/11/2019

    Adolescents with emergency department visits for self-harm have higher rates of mortality, suicide and recurrent self-harm, as well as higher health care costs, than matched controls.

  9. Paediatric acute lymphadenitis: Emergency department management and clinical course

    01/09/2019

    The vast majority of children with acute lymphadenitis were managed with outpatient oral antibiotics and did not require return emergency department visits or surgical drainage.

  10. Emergency department visit count: a practical tool to predict asthma hospitalization in children

    01/06/2019

    We identified 2669 patients with 3300 asthma ED visits. ED visit count was an independent predictor of future hospitalization risk (p < 0.001), demonstrating a dose-dependent response.

  11. Changing Rates of Self-Harm and Mental Disorders by Sex in Youths Presenting to Ontario Emergency Departments: Repeated Cross-Sectional Study

    01/06/2019

    Rates of adolescents with self-harm and mental health ED visits have increased since 2009, with greater increases among females. Research is required on the determinants of adolescents’ self-harm and mental health ED visits and how they can be addressed in that setting.

  12. Paediatric health care access in community health centres is associated with survival for critically ill children who undergo inter-facility transport: A province-wide observational study

    04/04/2019

    We found that in Ontario, children undergoing inter-facility transport to PICUs are increasing in number, consume significant acute care resources, and have a high PICU mortality.

  13. Target oxygen saturation and development of pulmonary hypertension and increased pulmonary vascular resistance in preterm infants

    01/01/2019

    Higher targeted oxygen saturation was associated with reduced risk of PH or elevated PVR in extremely preterm infants compared to lower oxygen saturation target.

  14. Self-Inflicted Injury-Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP-SI): a new surveillance tool for detecting self-inflicted injury events in emergency departments

    11/10/2018

    To assess the performance of the Canadian Hospitals Injury Reporting and Prevention Program’s newly developed self-harm surveillance tool (CHIRPP-SI) designed to improve emergency department (ED) hospital surveillance of youth self-inflicted injury (SI).

  15. Validation and refinement of a clinical decision rule for the use of computed tomography in children with minor head injury in the emergency department

    01/07/2018

    We sought to prospectively validate the accuracy and potential for refinement of a previously derived decision rule, Canadian Assessment of Tomography for Childhood Head injury (CATCH), to guide CT use in children with minor head injury.

  16. Education in the Waiting Room: Description of a Pediatric Emergency Department Educational Initiative

    01/10/2017

    This was a prospective observational study at a Canadian tertiary-care pediatric emergency department (ED) with an annual census of 68,000 visits.

  17. A nurse-initiated jaundice management protocol improves quality of care in the paediatric emergency department

    01/08/2017

    Implementation of a PED neonatal jaundice management protocol was associated with improved timeliness and standardization of care for this common and important condition.

  18. A Randomized Controlled Trial Of Corticosteroids In Pediatric Septic Shock: A Pilot Feasibility Study

    01/06/2017

    This study suggests that a large RCT on early use of corticosteroids in pediatric septic shock is potentially feasible. However, the frequent use of empiric corticosteroids in otherwise eligible patients remains a significant challenge.

  19. Predictors of Repeated Visits to a Pediatric Emergency Department Crisis Intervention Program

    30/08/2016

    Repeat visits account for a large portion of all MH presentations to the PED. Furthermore, several patient characteristics are significant predictors of repeat PED use and of repeating use sooner and more frequently.

  20. A qualitative exploration of which resident skills parents in pediatric emergency departments can assess

    26/04/2016

    This study demystifies how parents can become involved in the assessment of residents’ NTS. The findings will inform the development of assessment strategies and could be used to develop assessment instruments that enable parents to become actively involved in the assessment of residents in pediatric EDs.

  21. Novel WDR45 Mutation and Pathognomonic BPAN Imaging in a Young Female With Mild Cognitive Delay

    04/09/2015

    Pregnancy and birth history were unremarkable. Gross and fine motor developmental milestones were achieved at appropriate times during childhood; however, her mother reported a long-standing history of expressive and receptive language difficulties requiring speech language therapy until grade 8.

  22. Epidemiology and clinical predictors of biphasic reactions in children with anaphylaxis

    17/06/2015

    Biphasic reactions seem to be associated with the severity of the initial anaphylactic reactions. We identified clinical predictors that could ultimately be used to identify patients who would benefit from prolonged ED monitoring and enable better utilization of ED resources.

  23. Lactation Support and Breastfeeding Duration in Jaundiced Infants: A Randomized Controlled Trial

    05/03/2015

    The decision to breastfeed is multifactorial and hospital-based lactation support may be only a small piece of the puzzle in hospitalized jaundiced infants. Further studies may be needed to fully elucidate the impact of an in-hospital lactation support program on successful breastfeeding for these infants.

  24. Validity, Reliability, and Responsiveness of a New Measure of Health-Related Quality of Life in Children with Immune Thrombocytopenic Purpura: The Kids’ ITP Tools

    01/05/2007

    The initial phase involved cognitive debriefing of 12 families, on the basis of which the measure was modified and then named Kids’ ITP Tools (KIT).

  25. Complex care for kids Ontario: protocol for a mixed-methods randomised controlled trial of a population-level care coordination initiative for children with medical complexity

    Our primary objective is to evaluate the CCKO intervention using a randomised waitlist control design. The waitlist approach involves rolling out an intervention over time, whereby all participants are randomised into two groups (A and B) to receive the intervention at different time points determined at random.

Researchers

  1. Fuad Alnaji

    Investigator, CHEO Research Institute

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  2. Waleed Alqurashi

    Investigator, CHEO Research Institute

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  3. Rebecca Balasa

    Investigator, CHEO Research Institute

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  4. Nadya Ben Fadel

    Investigator, CHEO Research Institute

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  5. Maala Bhatt

    Investigator, CHEO Research Institute

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  6. Paula Cloutier

    Investigator, CHEO Research Institute

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  7. William Gardner

    Senior Scientist, CHEO Research Institute

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  8. Sherri Katz

    Senior Scientist, CHEO Research Institute

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  9. Robert Klaassen

    Investigator, CHEO Research Institute

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  10. Andrée-Anne Ledoux

    Scientist CHEO Research Institute

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  11. Brigitte Lemyre

    Investigator, CHEO Research Institute

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  12. Michelle Long

    Investigator, CHEO Research Institute

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  13. Nathalie Major

    Investigator, CHEO Research Institute

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  14. Dayre McNally

    Scientist, CHEO Research Institute

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  15. Kusum Menon

    Senior Scientist, CHEO Research Institute

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  16. Martin Osmond

    Senior Scientist, CHEO Research Institute

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  17. Amy Plint

    Senior Scientist, CHEO Research Institute

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  18. Catherine Pound

    Investigator, CHEO Research Institute

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  19. Dhenuka Radhakrishnan

    Investigator, CHEO Research Institute

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  20. Stephanie Redpath

    Investigator, CHEO Research Institute

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  21. Bernard Thébaud

    Senior Scientist, CHEO Research Institute

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  22. Sandy Tse

    Investigator, CHEO Research Institute

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  23. Roger Zemek

    Senior Scientist, CHEO Research Institute

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Family Leaders

  1. Claire Dawe-McCord

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  2. Dasa Farthing

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