Abstracts

Encouraging Shorter Course Antibiotic Prescribing Take Home Point: In this quality improvement project, both education with performance feedback in combination with clinical decision support (CDS) were effective in modifying clinician behavior surrounding antibiotic prescribing. Citation: Vernacchio L, Hatoun J, Patane L, et al. Improving Short Course Treatment of Pediatric Infections: A Randomized Quality Improvement Trial. Pediatrics.2024;153(2): e2023063691 Relevance: There is increasing evidence that shorter courses of antibiotics for the treatment of pediatric pneumonias (CAP) and skin and soft tissue infections (SSTI) are equally effective to longer courses with fewer side …
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Rehabilitation in Post-Acute Anterior Shoulder Dislocation Take Home Point: This study suggests that routinely referring patients to a program of physical therapy is not superior to a single session of advice, supporting materials, and option to self-refer to physical therapy. Citation: Kearney R, Ellard D, Parsons H, et. al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial. BMJ. 2024 Jan 17:384: e076925. doi: 10.1136/bmj-2023-076925. Relevance: Shoulder dislocations commonly present to urgent care (UC). There is, however, scarce data regarding amount or timing of rehabilitation post …
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Omicron versus Flu & RSV – Which is Most Dangerous for Children? Take Home Point: In this study, hospitalization rates were highest for patients with RSV than Omicron (COVID-19) in all age groups of children. Citation: Hedberg P, Abdel-Halem L, Valik J, et. al. Outcomes of Pediatric SARS-CoV-2 Omicron Infection vs Influenza and Respiratory Syncytial Virus Infections. JAMA Pediatr. 2023 Dec 26: e235734. doi: 10.1001/jamapediatrics.2023.5734 Relevance: With increasing availability for respiratory pathogen testing, it is more common to be able to diagnose specific respiratory viruses from urgent care (UC). Better …
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Predicting Which Patients Need an X-Ray Before Attempting Shoulder Reduction Take Home Point: In this study, the Fresno-Québec Rule showed excellent sensitivity in identifying concomitant clinically significant fractures in patients with anterior shoulder dislocations. Citation: Benhamed A, Bonnet M, Miossec A, et. al. Performance of the Fresno-Quebec Rule in identifying patients with concomitant fractures not requiring a radiograph before shoulder dislocation reduction: a multicenter retrospective cohort study. Eur J Emerg Med. 2023 Dec 1;30(6):438-444. doi: 10.1097/MEJ.0000000000001067 Relevance: Up to 20% of anterior shoulder dislocations have a concomitant fracture, however, most …
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Can Artificial Intelligence Be Used as a Behavioral Health Tool for Adolescents? Take Home Point: Conversational Artificial Intelligence (CAI) may have potential as a tool to help address the unmet needs of adolescent behavioral health treatment. Citation: Opel D, Kious B, Cohen I. AI as a Mental Health Therapist for Adolescents. JAMA Pediatr. doi:10.1001/jamapediatrics.2023.4215 Relevance: Mental health issues among adolescents have been rapidly increasing in prevalence. The increasing need for adolescent mental healthcare has led to the exploration of CAI as a possible adjunctive treatment via the use of various …
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