Stuart Bradin - Academia.edu (original) (raw)

Papers by Stuart Bradin

Pediatrics in review, Mar 1, 2024

Air Medical Journal, Jun 1, 2003

Pediatric Infectious Disease Journal, Jul 7, 2022

Despite clear testing recommendations for herpes simplex virus (HSV) infection in infants, few da... more Despite clear testing recommendations for herpes simplex virus (HSV) infection in infants, few data exist on the comprehensiveness of HSV testing in practice. In a 23-center study of 112 infants with confirmed HSV disease, less than one-fifth had all recommended testing performed, highlighting the need for increased awareness of and adherence to testing recommendations for this vulnerable population.

Pediatric emergency care, Nov 1, 2021

Supplemental digital content is available in the text. Abstract A growing number of adolescents a... more Supplemental digital content is available in the text. Abstract A growing number of adolescents are being diagnosed with acute myocarditis following mRNA COVID-19 vaccinations. This case describes an adolescent who presented to the emergency department with chest pain and tachycardia following the Pfizer-BioNTech COVID-19 vaccination. Point-of-care ultrasound was performed prior to the return of laboratory studies and revealed depressed left ventricular systolic function. Point-of-care ultrasound may be a tool used to rapidly diagnose or risk stratify patients with potential post–COVID-19 vaccine myocarditis.

Pediatric emergency care, Sep 1, 2011

Children with altered mental status who present to the emergency department have a broad differen... more Children with altered mental status who present to the emergency department have a broad differential diagnosis. We report a case of a 19-month-old girl who presented in coma and who was later found to have a fentanyl patch adhered to her back. She was found to have changes on brain magnetic resonance imaging consistent with a toxic spongiform leukoencephalopathy but had a good neurologic outcome. This case report illustrates the importance of a thorough physical examination in children in coma and a rarely reported magnetic resonance imaging finding that has been seen in opioid intoxication and is usually associated with severe morbidity and mortality.

Pediatrics, Mar 1, 2021

Background: 14 million children attend summer camps yearly. While the American Academy of Pediatr... more Background: 14 million children attend summer camps yearly. While the American Academy of Pediatrics (AAP) recommends all campers and staff receive vaccinations, camp leaderships’ immunization practices and perspectives have not been well characterized. Our study objective was to assess the current state of summer camps’ immunization requirements, policies, and practices by surveying a national cohort of camp leadership. Methods: We partnered with CampDoc.com, an online camp electronic health record system and the Association of Camp Nursing to conduct a 20-question online survey of camp leadership regarding current immunization requirements, policies and …

The patient had an episode of mild nausea, emesis, and diarrhea 6 days earlier that had resolved.... more The patient had an episode of mild nausea, emesis, and diarrhea 6 days earlier that had resolved. Her mother reported that since then, the child had been lethargic, sleepy, and generally "not herself." The child's appetite had markedly decreased and her skin was cold and pale.

Parainfluenza virus is the most common cause of croup, while bronchiolitis is usually caused by r... more Parainfluenza virus is the most common cause of croup, while bronchiolitis is usually caused by respiratory syncytial virus. Read about diagnosis and treatment of these conditions.

Air Medical Journal, Sep 1, 2005

Deep Blue (University of Michigan), Sep 1, 2005

We describe the occurrence of postdural puncture headache (PPDH) in an adolescent with idiopathic... more We describe the occurrence of postdural puncture headache (PPDH) in an adolescent with idiopathic intracranial hypertension (IIH) and its successful management with an epidural blood patch. PPDH is a very rare occurrence in patients with intracranial hypertension and is described as a paradoxical situation in the literature. There are only two previous case reports (in adults) of the possible association. A 15-year-old obese patient with a diagnosis of IIH had an uneventful diagnostic spinal tap using a 22G Quincke needle in the pediatric emergency department but returned 24 h later with PPDH. After a failed trial of conservative management, she had an uneventful but curative epidural blood patch with 15 ml of autologous venous blood and was able to return to school the day after the blood patch. Followup review by her neuro-ophthalmologist shows resolution of her headaches, considerable improvement in her visual field defect and resolution of papilledema. This is the first report of PPDH and its successful management with an epidural blood patch in a pediatric patient with IIH.

American journal of disaster medicine, Jul 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Journal of Emergency Nursing, Mar 1, 2010

We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermomete... more We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermometer. Methods: Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included. Analysis: Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature. Results: A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r 2) value between was only 0.48 (P < 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients (P < .01). Ambient temperature and child age did not affect the accuracy of the device. Conclusion: In this study, non-contact infrared thermometry did not sufficiently agree with rectal thermometer to indicate its routine use.

American journal of disaster medicine, Apr 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Air Medical Journal, May 1, 2003

Young female athletes are vulnerable to concussions and other sports-related head and neck injuri... more Young female athletes are vulnerable to concussions and other sports-related head and neck injuries. Repeated insult may lead to permanent neurologic deficit.

JAMA Pediatrics, Apr 1, 2021

Author Contributions: Ms Terry-McElrath had full access to all of the data in the study and takes... more Author Contributions: Ms Terry-McElrath had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

American journal of disaster medicine, Jul 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Disaster Medicine and Public Health Preparedness, 2023

Prehospital and Disaster Medicine, May 1, 2019

Pediatrics in review, Mar 1, 2024

Air Medical Journal, Jun 1, 2003

Pediatric Infectious Disease Journal, Jul 7, 2022

Despite clear testing recommendations for herpes simplex virus (HSV) infection in infants, few da... more Despite clear testing recommendations for herpes simplex virus (HSV) infection in infants, few data exist on the comprehensiveness of HSV testing in practice. In a 23-center study of 112 infants with confirmed HSV disease, less than one-fifth had all recommended testing performed, highlighting the need for increased awareness of and adherence to testing recommendations for this vulnerable population.

Pediatric emergency care, Nov 1, 2021

Supplemental digital content is available in the text. Abstract A growing number of adolescents a... more Supplemental digital content is available in the text. Abstract A growing number of adolescents are being diagnosed with acute myocarditis following mRNA COVID-19 vaccinations. This case describes an adolescent who presented to the emergency department with chest pain and tachycardia following the Pfizer-BioNTech COVID-19 vaccination. Point-of-care ultrasound was performed prior to the return of laboratory studies and revealed depressed left ventricular systolic function. Point-of-care ultrasound may be a tool used to rapidly diagnose or risk stratify patients with potential post–COVID-19 vaccine myocarditis.

Pediatric emergency care, Sep 1, 2011

Children with altered mental status who present to the emergency department have a broad differen... more Children with altered mental status who present to the emergency department have a broad differential diagnosis. We report a case of a 19-month-old girl who presented in coma and who was later found to have a fentanyl patch adhered to her back. She was found to have changes on brain magnetic resonance imaging consistent with a toxic spongiform leukoencephalopathy but had a good neurologic outcome. This case report illustrates the importance of a thorough physical examination in children in coma and a rarely reported magnetic resonance imaging finding that has been seen in opioid intoxication and is usually associated with severe morbidity and mortality.

Pediatrics, Mar 1, 2021

Background: 14 million children attend summer camps yearly. While the American Academy of Pediatr... more Background: 14 million children attend summer camps yearly. While the American Academy of Pediatrics (AAP) recommends all campers and staff receive vaccinations, camp leaderships’ immunization practices and perspectives have not been well characterized. Our study objective was to assess the current state of summer camps’ immunization requirements, policies, and practices by surveying a national cohort of camp leadership. Methods: We partnered with CampDoc.com, an online camp electronic health record system and the Association of Camp Nursing to conduct a 20-question online survey of camp leadership regarding current immunization requirements, policies and …

The patient had an episode of mild nausea, emesis, and diarrhea 6 days earlier that had resolved.... more The patient had an episode of mild nausea, emesis, and diarrhea 6 days earlier that had resolved. Her mother reported that since then, the child had been lethargic, sleepy, and generally "not herself." The child's appetite had markedly decreased and her skin was cold and pale.

Parainfluenza virus is the most common cause of croup, while bronchiolitis is usually caused by r... more Parainfluenza virus is the most common cause of croup, while bronchiolitis is usually caused by respiratory syncytial virus. Read about diagnosis and treatment of these conditions.

Air Medical Journal, Sep 1, 2005

Deep Blue (University of Michigan), Sep 1, 2005

We describe the occurrence of postdural puncture headache (PPDH) in an adolescent with idiopathic... more We describe the occurrence of postdural puncture headache (PPDH) in an adolescent with idiopathic intracranial hypertension (IIH) and its successful management with an epidural blood patch. PPDH is a very rare occurrence in patients with intracranial hypertension and is described as a paradoxical situation in the literature. There are only two previous case reports (in adults) of the possible association. A 15-year-old obese patient with a diagnosis of IIH had an uneventful diagnostic spinal tap using a 22G Quincke needle in the pediatric emergency department but returned 24 h later with PPDH. After a failed trial of conservative management, she had an uneventful but curative epidural blood patch with 15 ml of autologous venous blood and was able to return to school the day after the blood patch. Followup review by her neuro-ophthalmologist shows resolution of her headaches, considerable improvement in her visual field defect and resolution of papilledema. This is the first report of PPDH and its successful management with an epidural blood patch in a pediatric patient with IIH.

American journal of disaster medicine, Jul 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Journal of Emergency Nursing, Mar 1, 2010

We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermomete... more We evaluated the accuracy of a non-contact infrared thermometer compared with a rectal thermometer. Methods: Two hundred patients, ages 1 month to 4 years, were included in the study. Each child underwent contemporaneous standard rectal thermometry and mid forehead non-contact infrared thermometry. Clinical features, including chief complaint, recently administered antipyretic agents, and ambient temperature at the time of measurement, were included. Analysis: Linear models were used to compare agreement between the 2 techniques, as well as to determine bias of infrared thermometry at different rectal temperatures. Multivariate linear models were used to evaluate the impact of clinical variables and ambient temperature. Results: A linear relationship between rectal and infrared temperature measurements was observed; however, the coefficient of determination (r 2) value between was only 0.48 (P < 0.01). Infrared thermometry tended to overestimate the temperature of afebrile children and underestimate the temperature of febrile patients (P < .01). Ambient temperature and child age did not affect the accuracy of the device. Conclusion: In this study, non-contact infrared thermometry did not sufficiently agree with rectal thermometer to indicate its routine use.

American journal of disaster medicine, Apr 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Air Medical Journal, May 1, 2003

Young female athletes are vulnerable to concussions and other sports-related head and neck injuri... more Young female athletes are vulnerable to concussions and other sports-related head and neck injuries. Repeated insult may lead to permanent neurologic deficit.

JAMA Pediatrics, Apr 1, 2021

Author Contributions: Ms Terry-McElrath had full access to all of the data in the study and takes... more Author Contributions: Ms Terry-McElrath had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

American journal of disaster medicine, Jul 1, 2018

Although disasters can affect anyone in a given community or region, those with access and functi... more Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

Disaster Medicine and Public Health Preparedness, 2023

Prehospital and Disaster Medicine, May 1, 2019