Pediatric emergency care最新文献

{"title":"The Influence of Social Media on Pediatric Emergency Medicine Fellowship Applicant Recruitment.","authors":"Amelia Bray-Aschenbrenner, Susan May Wiltrakis","doi":"10.1097/PEC.0000000000003422","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003422","url":null,"abstract":"<p><strong>Background: </strong>The shift from in-person to virtual interviews for medical trainees since the COVID-19 pandemic has resulted in an increase in residency and fellowship program social media (SoMe) accounts. The views of PEM applicants and PEM fellowship program directors (PDs) toward program SoMe are unknown.</p><p><strong>Methods: </strong>Surveys evaluating PEM fellowship applicants and PEM fellowship PD attitudes and perceptions of program SoMe accounts were reviewed and approved by the AAP Section of Emergency Medicine (SOEM) Subcommittee of Fellowship Director's Survey Committee. The survey link was distributed to 90 PEM fellowship PDs via the AAP SOEM Subcommittee of Fellowship Directors listserv, who distributed the survey to matched fellows from the 2024 NRMP fellowship match cycle. Data from the 2 surveys were analyzed via simple proportions and descriptive statistics.</p><p><strong>Results: </strong>Twenty-eight percent of applicants (56/200) and 34% of PEM Fellowship PDs (31/90) responded. Most applicants used SoMe (98%), with the majority using Instagram (83%). Seventy-nine percent of applicants reported visiting the SoMe accounts of some or all programs they applied to. Applicants reported minimal influence of SoMe on their decision to apply (73% responding negatively) or rank programs (77% responding negatively). Most programs have a fellowship or division SoMe presence (71%), predominantly on Instagram (91%). Of fellowship-specific SoMe, 76% were created in the past 3 years, with the primary purpose of fellowship recruitment (70%). Almost half of the PD respondents felt that SoMe had little to no influence on applicants' decision to apply or rank a program, with 46% and 49% respectively responding negatively.</p><p><strong>Conclusions: </strong>This study demonstrates that SoMe is a popular way for PEM fellowship applicants to engage with programs before applying, though it may be less impactful in applicants' decisions to apply to or match rank a program. Fellowship PDs can use these data to tailor content toward more meaningful recruitment efforts.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Pancreatitis in Children With Blunt Abdominal Trauma.","authors":"Matthew S Marks, Anna Liveris, Stephen M Blumberg, Srinivas H Reddy, James A Meltzer","doi":"10.1097/PEC.0000000000003421","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003421","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the characteristics of children presenting with blunt abdominal trauma who have pancreatitis, and to describe the performance of the Pediatric Emergency Care Applied Research Network (PECARN) prediction rule in identifying pancreatitis.</p><p><strong>Methods: </strong>This was a secondary analysis of data collected by the PECARN Intra-abdominal Injury Study Group. The data set included 12,044 patients <18 years who presented to the Emergency Department with blunt abdominal trauma. Risk factors were evaluated for association with pancreatic injury using bivariate analysis.</p><p><strong>Results: </strong>Of the children with blunt abdominal trauma, 7384 (61%) were males, and the median age was 11 years (interquartile range, 5 to 15 years); 761 (6%) had an intra-abdominal injury and 105 (1%) had pancreatitis. Children with pancreatitis were more likely to be hospitalized [85 (81%) vs. 5906 (49%), P <0.001], require surgery [21 (20%) vs. 111 (1%), P<0.001], or die within 30 days [4 (4%) vs. 96 (1%), P=0.01], than those without. Pancreatic enzyme testing was ordered inconsistently in the Emergency Department [5889 (49%)]. Computed tomography was performed in 37 (35%) patients with pancreatitis, but was positive in only 29 (78%). The PECARN prediction rule, when applied to pancreatitis, demonstrated a sensitivity of 99% (95% CI, 95%-100%) and a specificity of 42% (95% CI, 41%-43%).</p><p><strong>Conclusions: </strong>Traumatic pancreatitis is uncommon but associated with significant morbidity and mortality. Pancreatic enzyme testing is not ordered consistently. Computed tomography misses about a quarter of cases of pancreatitis. Utilizing the PECARN prediction rule can help identify children at risk for pancreatic injuries, potentially leading to improved management and outcomes.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Medical Services Clinician Accuracy Using the Pediatric Observation Priority Score.","authors":"Caleb E Ward, Trang Ha, Graeme Morland-Tellez, Haroon Shaukat, Damian Roland, James M Chamberlain","doi":"10.1097/PEC.0000000000003425","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003425","url":null,"abstract":"<p><strong>Objectives: </strong>One barrier to including low-acuity children in alternative EMS disposition programs is a lack of triage tools to identify children at low risk of deterioration. The Pediatric Observation Priority Score (POPS) is a triage tool developed in the United Kingdom, incorporating vital signs, clinical observations, and medical history. Our objectives were to determine (1) whether US EMS clinicians can accurately assign a POPS in a controlled setting and (2) whether there is a difference in accuracy between paramedics and emergency medical technicians (EMTs).</p><p><strong>Methods: </strong>We conducted an observational study with EMS clinicians. Participants were provided with an overview of the POPS and then reviewed 10 patient videos. Participants calculated a POPS for each case. Physicians with expertise in pediatric EMS and medical education independently assigned the reference POPS. We calculated the proportion of assigned POPS within 2 points of the reference score and compared the accuracy of paramedics and EMTs.</p><p><strong>Results: </strong>We recruited 50 participants (32% paramedics, 68% EMTs). The proportion of assigned POPS within 2 points of the reference was 0.99 (95% CI: 0.97-0.99), and for individual scenarios ranged from 0.94 (0.84-0.98) to 1.0 (0.93-1.0). The component with the greatest deviation from the reference score was Gestalt clinician concern. There was no significant difference in accuracy between paramedics and EMTs.</p><p><strong>Conclusions: </strong>Both paramedics and EMTs accurately assigned POPS in this controlled setting. Further research is needed to determine whether EMS clinicians can accurately assign the POPS to actual patients and identify POPS thresholds to guide patient disposition.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology, Intent, and Severity of Nonpowder Firearm Injuries in Patients Presenting to Pediatric Emergency Departments.","authors":"Lauren M Ameden, Elizabeth R Alpern, Monika K Goyal, Lawrence J Cook, Katie A Donnelly","doi":"10.1097/PEC.0000000000003426","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003426","url":null,"abstract":"<p><strong>Objective: </strong>To describe the epidemiology, intent, and severity of nonpowder firearm injuries in pediatric emergency department (ED) visits.</p><p><strong>Methods: </strong>This was a review of visits by patients 0 to 17 years old who presented to EDs within the Pediatric Emergency Care Applied Research Network (PECARN) Registry with a potential nonpowder firearm injury between 2012 and 2019. Visits were identified by International Classification of Diseases (ICD) codes, with review of discrete and narrative data, including demographics, affected body region, intent of injury, age of the person inflicting the injury, interventions in the ED, and disposition.</p><p><strong>Results: </strong>Eight hundred three potential ED visits for nonpowder firearm injuries were identified, with 774 meeting inclusion criteria. The average age of the patient injured was 11.7 years, and most were male (86.7%). Common body parts injured were the eye (34.0%), upper extremity (19.9%), and face (14.7%). In total, 14.6% of injuries were reported as assaultive, and 60.6% were reported as accidental. The shooter was identified as a child or adolescent in 66.5% and an adult in 2.8% of narratives. In the ED, 74.2% of patients had imaging studies obtained, 73.0% had sub-specialists consulted, and 23.9% had procedures performed. 1 in 5 injuries resulted in either admission (11.7%), emergent operative treatment (6.9%), or death (0.1%).</p><p><strong>Conclusions: </strong>Nonpowder firearms remain a source of preventable injuries in children and involve substantial health care resources. Most commonly, these injuries are inflicted by children and are accidental, though assaults also account for at least 1 in 7 injuries. These data emphasize the need for further injury prevention efforts directed at nonpowder firearms.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the Management of Complex Febrile Seizures Across Children's Hospitals.","authors":"James F Buscher, Chelsey R McConnell, Laura A Ortmann, Courtney McLean, Ellen Kerns, Ricky Flores, Elizabeth Lyden, Jihyun Ma, Jina Yi, Nathaniel P Goodrich, Kari Simonsen, Ashley Deschamp, Sookyong Koh, Aleisha M Nabower","doi":"10.1097/PEC.0000000000003413","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003413","url":null,"abstract":"<p><strong>Background and objectives: </strong>Resource use for managing simple febrile seizures decreased after the publication of guidelines. Less is known about resource use for complex febrile seizures (CFS), for which no guidelines exist. The objective of this study was to evaluate trends in management of CFS.</p><p><strong>Methods: </strong>Using the Pediatric Health Information System (PHIS) Database, we retrospectively reviewed encounters of children 6 months to 6 years old presenting to the emergency department for a first encounter for CFS between January 1, 2009 and December 31, 2021. Data were compared between 3 distinct periods as follows: (1) before release of the simple febrile seizures guidelines-January 1, 2009 to January 31, 2011, and 2 subsequent 5-year time periods postguideline release; (2) February 1, 2011 to January 31, 2016; and (3) February 1, 2016 to December 31, 2021. The primary outcome was use of medical resources. Demographic and outcomes data were collected, including ultimate diagnosis with serious condition, including central nervous system infection, trauma, intracranial mass, or stroke.</p><p><strong>Results: </strong>A total of 17,865 encounters from 36 children's hospitals were included for analysis. The mean age of participants was 1.89 years, 0.3% were coded as having status epilepticus, and 4.7% were admitted to the pediatric intensive care unit. The percentages of children admitted and receiving neuroimaging, labs, lumbar puncture, or EEG decreased over time, while drug screens and HSV testing increased. Fewer children received antiseizure medications, antibiotics, or acyclovir across the time periods. Median length of stay decreased in period 3 relative to period 1 (1.33 vs. 1.55 days). New serious diagnosis after presentation remained low at 0.2%. There was significant variation in resource use across hospitals.</p><p><strong>Conclusion: </strong>Resource use for CFS decreased across most domains since 2009 without an increase in serious medical diagnoses. These findings highlight a potential opportunity to standardize resource use when managing CFS.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic and Therapeutic Applications of Laryngeal Point-of-care Ultrasound in Paradoxical Vocal Cord Movement.","authors":"Anelah McGinness, Allison Tobey, Devora Bita Azhdam","doi":"10.1097/PEC.0000000000003370","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003370","url":null,"abstract":"<p><p>Paradoxical vocal cord motion (PVCM) in pediatric patients is a cause of stridor and respiratory distress wherein vocal cords adduct (close) with inhalation and, at times, adduct with exhalation, causing pronounced stridor and respiratory distress. Symptoms respond to specialized breathing exercises guided by a speech therapist with expertise in paradoxical vocal cord motion. Frequently, because of poor response to pharmaceutical therapies, children often experience overtreatment in attempts to curtail respiratory symptoms. PVCM can be difficult to distinguish from other etiologies (eg, asthma or croup) without flexible laryngoscopy or pulmonary function tests. However, laryngoscopy is invasive, and both require equipment and specialists not readily available in many pediatric emergency departments. Because of the episodic nature of PVCM, outpatient diagnostic testing can be inconclusive if an exacerbation has resolved by the time of testing. Visualization of the vocal cords at the time of presentation is key to the diagnosis and timely treatment of PVCM. Although there is pediatric literature reporting the utility of laryngeal Point-of-care Ultrasound (POCUS) to noninvasively visualize vocal cord paralysis, there is scant literature examining the utility of POCUS in the diagnosis and monitoring of PVCM. Here, we present 3 cases where we used laryngeal POCUS in the pediatric emergency department to capture PVCM with a video laryngoscopy correlation. Case Presentation.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Setting Up for Success: Caregiver Perspectives on Emergency Care Plans for Children With Medical Complexity.","authors":"Abbey Dallas, Faith Williams, Eva Gómez, Divya Lakhaney, Suzanne Friedman, Peter S Dayan, Christian D Pulcini","doi":"10.1097/PEC.0000000000003371","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003371","url":null,"abstract":"<p><strong>Objectives: </strong>Providing high-quality emergency care to children with medical complexity (CMC) is a known challenge. Although academic societies have endorsed emergency care plans (ECPs) to mitigate this challenge, they have not been widely adopted and implemented. Our primary aim was to characterize the perspectives of caregivers of CMC on ECPs, including preferred content, format, and implementation.</p><p><strong>Methods: </strong>We conducted an electronic survey of English and Spanish-speaking caregivers of CMC at an urban academic medical center. The survey was designed by an expert panel with feedback from the institution's family advisory council. The survey included 4 Likert Scales, 22 multiple-choice, and 4 open-ended questions. Quantitative data were analyzed with descriptive statistics and a univariate analysis was performed based on whether the respondents had ECPs. We reviewed open-ended responses to identify common themes.</p><p><strong>Results: </strong>Ninety-eight (21.6%) of 454 eligible caregivers responded to the survey. A majority of respondents cared for children with technology dependence (72.3%) and were English-speaking (80%). Most (73.2%) respondents felt ECPs would be helpful. Detailed health information (ie, list of medical problems, medication list) was rated as the most useful content. The preferred format was in the electronic health record or an online application. There was no significant difference in responses if caregivers had existing ECPs or not.</p><p><strong>Conclusions: </strong>ECPs are widely supported by caregivers of CMC. Caregivers thought detailed health information was the most useful content, and that plans should be accessed digitally. These findings can inform the adoption and implementation of ECPs for CMC.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Retrospective Observational Study of Vibrating Mesh Nebulizers in the Pediatric Emergency Department.","authors":"Caitlin E Crumm, Robert M DiBlasi, Dwight Barry, Brian Burns, Lori E Rutman, Chih-Hui Tracy Chen, Stephen R Reeves, Joan S Roberts, Russell Migita","doi":"10.1097/PEC.0000000000003372","DOIUrl":"https://doi.org/10.1097/PEC.0000000000003372","url":null,"abstract":"<p><strong>Objective: </strong>To determine outcomes of bronchodilator delivery with a vibrating mesh nebulizer (VMN) in a pediatric emergency department (ED).</p><p><strong>Methods: </strong>We performed an in vitro analysis of the VMN and a retrospective observational study of patients receiving nebulized albuterol for a respiratory indication before (April 24, 2022-August 11, 2022) and after (April 24, 2023-July 29, 2023) introduction of the VMN in the ED.</p><p><strong>Results: </strong>Six hundred five children ages 1 to 17 years were included (302 preintervention, 303 postintervention). The adjusted total albuterol dose per patient was less in the postintervention group (-15.8 mg; 95% CI: -17.5 mg, -14.2 mg). The adjusted time to disposition was less post-intervention (-36 min; 95% CI: -51, -20). The adjusted odds of admission to the hospital or if admitted to the intensive care unit (ICU) were not statistically different [admission adjusted odds ratio (aOR): 1.1; 95% CI: 0.7, 1.7; ICU admission if admitted aOR: 1.7; 95% CI: 0.7, 4.3]. Adjusted mean change in respiratory score with first nebulizer was similar (-0.2; 95% CI: -0.6, 0.3). Within 72 hours of disposition, odds of unplanned transfer to the ICU after admission were similar (aOR: 0.4; 95% CI: 0.1, 1.6), as was unplanned ED return after discharge (aOR: 0.7; 95% CI: 0.3, 1.9).</p><p><strong>Conclusions: </strong>VMN use in the pediatric ED was associated with a lower total albuterol dose per patient as well as a shorter time to disposition. It did not change the odds of admission, admission to the ICU, unplanned transfers to the ICU after admission, or returns to the ER within 72 hours of discharge.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Rohl S, Meredith M, Anderson T, et al. Comparing the Use of Crotaline-Polyvalent Immune Fab (Ovine) Versus Observation in Children.","authors":"Caitlin Bonney, Spencer Greene","doi":"10.1097/PEC.0000000000003373","DOIUrl":"10.1097/PEC.0000000000003373","url":null,"abstract":"","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":"e32"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Practice Variation in Urine Collection Among Emergency Department Providers in Pre-toilet-trained Children With Suspected Urinary Tract Infection.","authors":"Lucy M Wilson, Terry P Klassen, Tighe Crombie, Apoorva Gangwani, Veronica Ka Wai Lai, Karen Gripp, Elisabete Doyle, Darcy Beer, Kaitlin Hogue, Oana Florescu, Lisa Knisley, Alex Aregbesola","doi":"10.1097/PEC.0000000000003337","DOIUrl":"10.1097/PEC.0000000000003337","url":null,"abstract":"<p><strong>Background: </strong>Urinary tract infections are a common cause of acute illness among children presenting to the emergency department (ED). Many techniques exist to collect urine specimens in pre-toilet-trained children. There is wide practice variation regarding the most appropriate collection method. This variation also appears to exist across national health organizations and societies. To date, little is known about the extent of practice variation in urine collection methods or the influence of patient and health care provider characteristics on the choice of collection method.</p><p><strong>Materials and methods: </strong>A cross-sectional survey was designed and comprised of 3 sections: pediatric emergency medicine physician demographics, pediatric ED demographics, and case scenarios designed to assess the context surrounding urine collection method choice. The survey was disseminated to pediatric emergency medicine physicians across Canada from February 2023 to April 2023. A descriptive analysis of the characteristics of pediatric emergency medicine physicians and the EDs in which they worked was performed. Multivariate logistic regression models were used to examine pediatric emergency medicine physicians and ED factors that influence urine collection methods.</p><p><strong>Results: </strong>Of 235 surveys, 96 were returned (41% participation rate). Most respondents were aged 40 to 49 (n=31, 35.6%), female (60.5%), completed residency in Ontario (18.4%) and Quebec (17.2%), and worked at the Children's Hospital of Eastern Ontario (16%). There was variation in urine collection methods among pediatric emergency medicine physicians with a preference for transurethral catheterization and bladder stimulation versus other methods. Factors such as the length of wait time of patients to be seen in the ED (odds ratio=3.03, 95% CI=1.14-8.09) and year postmedical school (odds ratio=1.67, 95% CI=1.07-2.60) were associated with increased choice of urinary catheterization when selecting a urine collection method.</p><p><strong>Conclusions: </strong>The data suggests there is practice variation in urine collection methods among Canadian pediatric emergency medicine physicians. This practice variation is influenced by both individual providers and the demographics of EDs.</p>","PeriodicalId":19996,"journal":{"name":"Pediatric emergency care","volume":" ","pages":"475-480"},"PeriodicalIF":1.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12118615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}