Predictor of Early Administration of Antibiotics and a Volume Resuscitation for Young Infants with Septic Shock

Nomura, Osamu; Ihara, Takateru; Morikawa, Yoshihiko; Sakakibara, Hiroshi; Horikoshi, Yuho; Inoue, Nobuaki

doi:10.3390/antibiotics10111414

Cited by 2 publications

(2 citation statements)

References 20 publications

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“…We set the simulation scenario as an infant case of septic shock because pediatric septic shock management, including the recognition of sepsis, fluid resuscitation, and early administration of antibiotics, is an essential skill in pediatrics and emergency medicine at our university [19]. This "students stay-at-home" telesimulation focused on promoting students' clinical reasoning skills in pediatric emergency medicine rather than technical skills such as physical examinations, cardiopulmonary resuscitation, and airway management.…”

Section: Methodsmentioning

confidence: 99%

Evaluating Emotional Outcomes of Medical Students in Pediatric Emergency Medicine Telesimulation

et al. 2023

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The coronavirus disease 2019 (COVID-19) pandemic has challenged the feasibility of traditional in-person simulation-based clinical training due to the public health recommendation on social distancing. During the pandemic, telesimulation training was implemented to avoid multiple students and faculties gathering in confined spaces. While medical trainees’ perceived emotions have been acknowledged as a critical outcome of the in-person simulation-based training, the impact of telesimulation on trainees’ emotions has been unexamined. We conducted an educational team-based simulation study with a pediatric case of septic shock. Seventeen and twenty-four medical students participated in the telesimulation training and in-person simulation training, respectively. The institutional pandemic social restrictions at the time of each training session determined the participant assignment to either the telesimulation training or in-person simulation training. All participants responded to the Japanese version of the Medical Emotion Scale, which includes 20 items rated on a five-point Likert-type scale before, during, and after the simulation sessions. The measured emotions were categized into four emotion groups according to two dimensions: positive or negative and activating or deactivating emotions. The one-way analysis of variance between the telesimulation and in-person simulation training revealed no significant differences in the emotions perceived by the participants before, during, and after the simulation training sessions. The perceived emotions of medical students were comparable between the telesimulation and in-person simulation training. Further longitudinal studies with larger samples and multiple variables are needed to generalize the effectiveness of telesimulation.

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Section: Methodsmentioning

confidence: 99%

Evaluating Emotional Outcomes of Medical Students in Pediatric Emergency Medicine Telesimulation

et al. 2023

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“…The study was conducted at TMCMC, a tertiary pediatric hospital located in suburban Tokyo with an annual emergency department intake of about 35,000 patients 8 . Board‐certificated emergency physicians supervise clinical fellows in pediatric emergency medicine and residents in pediatrics or emergency medicine 9 …”

Section: Methodsmentioning

confidence: 99%

Risk factors of pediatric ocular trauma related to ophthalmic complications

Mori

Kinoshita

Nomura

et al. 2023

Pediatrics International

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BackgroundOcular injury is a leading cause of monocular blindness in children. However, data on the association of injury type with ophthalmological complications are lacking. This study aimed to investigate the risk factors of pediatric ocular injuries related to ophthalmological complications.MethodsThis retrospective, observational study was conducted in a pediatric emergency department (ED) in Japan from March 2010 to March 2021. Patients aged less than 16 years presenting with ocular trauma, diagnosed on the basis of the International Classification of Diseases 10: S05, 0–9, were enrolled. Emergency department follow‐up visits for the same complaint were excluded. The patients' sex, age, arrival time, injury mechanism, symptoms, examinations, diagnosis, history of urgent ophthalmological consultation, outcomes, and ophthalmological complications were investigated. The primary endpoints were the odds ratio (OR) and 95% confidence interval (CI) of the incidence of ophthalmological complications, defined as any new acute complaint or worsening/persistence of an initial complaint following or resulting from ocular trauma.ResultsIn total, 469 patients were analyzed. The median age was 7.3 years; the interquartile range (IQR) was 3.1–11.5 years. The most common diagnosis was contusion (79.3%), followed by lamellar laceration (11.7%). Seven patients (1.5%) had ophthalmological complications during follow up. Bivariate analysis demonstrated that daytime ED visit, impact with a sharp object, animal‐related injury, visual impairment, decreased visual acuity, and open globe injury were factors significantly associated with ophthalmological complications.ConclusionDaytime ED visit, impact with a sharp object, animal‐related injury, visual impairment, decreased visual acuity, and open globe injury were independent factors of ophthalmological complications.

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Predictor of Early Administration of Antibiotics and a Volume Resuscitation for Young Infants with Septic Shock

Cited by 2 publications

References 20 publications

Evaluating Emotional Outcomes of Medical Students in Pediatric Emergency Medicine Telesimulation

Evaluating Emotional Outcomes of Medical Students in Pediatric Emergency Medicine Telesimulation

Risk factors of pediatric ocular trauma related to ophthalmic complications

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