Academic Links

Division of Pediatric Emergency Medicine

Research

The Loma Linda University School of Medicine Division of Pediatric Emergency Medicine (PEM) actively supports the research interests of its faculty and fellows. With more than 25,000 visits per year to the pediatric emergency division, our patient population is a rich source of the diverse challenges facing PEM physicians today. The Loma Linda University Medical Center and Children's Hospital Institutional Review Board works closely with physician investigators to encourage effective study designs that demonstrate the highest standards for ethics in human subject research. The Department of Emergency Medicine provides research staff dedicated to supporting the academic endeavors of its physicians. Coupled with access to powerful data retrieval capabilities and the most advanced data analysis tools, the Loma Linda University Medical Center and Children's Hospital mission to "achieve a leading position in health care, education, and research" is realized in the PEM division. A selection of recent peer-reviewed publications by Loma Linda University pediatric emergency medicine physicians is as follows:

B Barcega (Acknowledgement as a participating investigator).  JM Mansbach, S Clark, NC Christopher, et al. Prospective Multicenter Study of Bronchiolitis:  Predicting Safe Discharges From the Emergency Department.  Pediatrics April 2008 121; 680-688

Barcega BB,  Minasyan L.  Chapter 20;  Lower Extremity Trauma.  In Baren J, Brennan J, Brown L, Rothrock SG (eds).  Pediatric Emergency Medicine. Philadelphia, Elsevier, 2007. pp 182-187.

Brown L, Christian-Kopp S, Sherwin TS, Khan A, Barcega B, Denmark TK, Moynihan JA, Kim GJ, Stewart G, Green SM. Adjunctive atropine is unnecessary during ketamine sedation in children.  Acad Emerg Med. 2008 Apr;15(4):314-8.

Brown L, Minasyan L. Nonpharmacological Interventions: Psycho logic Techniques.  In Mace SE, Duchame J, Murphy MF, editors. Pain Management and Sedation: Emergency Department Management. New York: McGraw-Hill; 2006. pp 398-403.

Mace SE, Brown LA, et al.  Clinical Policy: Critical Issues in the Sedation of Pediatric Patients in the Emergency Department.  Annals of Emergency Medicine April 2008; 51(4): 378-399

Babl FE, Lewena S, Brown L. Vaccination-related adverse events. Pediatr Emerg Care 2006; 22(7): 514-519

Brown L: Pediatric out-of-hospital cardiopulmonary arrest and public access defibrillation programs for children. Pediatr Emerg Med Practice 2005; 2: 1-20.

Brown L, Shaw T, Wittlake WA:  Does leukocytosis identify bacterial infections in
febrile neonates presenting to the emergency department? Emerg Med J 2005; 22: 256-259

Brown L, Christian-Kopp S, Sherwin T, Khan A, Barcega B, Denmark TK, Moynihan J, Green SM.  Adjunctive atropine is unnecessary during ketamine sedation in children.  Acad Emerg Med 2008 15:314-318

Checchia PA, Moynihan JA, Brown, L.  Cardiac troponim I as a predictor of mortality for pediatric submersion injuries requiring out-of-hospital cardiopulmonary resuscitation.  Pediatr Emerg Care 2006: Apr 22 (4):222-5

Denmark TK, Crane HA, Brown L: Ketamine to avoid mechanical ventilation in severe pediatric asthma. J Emerg Med 2006; 30: 163-166.

Gill M, Walker S, Khan A, Green S, et.: Exhaled nitric oxide levels during acute asthma exacerbation.  Academy Emergency Medicine 2005; 12(7): 579-586

Green SM, Roback MG, Krauss B, Brown L, McGlone RG, Agrawal D. McKee M, Weiss M, Pitetti RD, Hostetler MA, Wathen JE, Treston, G, Garcia Pena BM, Gerber AC, Losek JD, for the Emergency Department Ketamine Meta-Analysis Study Group.  Predictors of Emesis and Recovery Agitation with Ketamine Sedation in the Emergency Department: An Individual-Patient Data Meta-analysis of 8,282 Children.  Ann Emerg Med 2009 Aug; 54(2): 171-180.el-4. Epub 2009 Jun 6

Green SM, Roback MG, Krauss B, Brown L, McGlone RG, Agrawal D. McKee M, Weiss M, Pitetti RD, Hostetler MA, Wathen JE, Treston, G, Garcia Pena BM, Gerber AC, Losek JD, for the Emergency Department Ketamine Meta-Analysis Study Group.  Predictors of Airway and Respirator Adverse Events with Ketamine Sedation in the Emergency Department: An Individual-Patient Data Meta-analysis of 8,282 Children.  Ann Emerg Med 2009 Aug; 54(2): 158-68.el-4. Epub 2009 Feb 7. Feb 5.

Green SM, Sherwin T: Incidence and severity of recovery agitation after ketamine sedation in young adults. American Journal of Emergency Medicine 2005; 23: 142-144

Hasty M, Klasner A, Kness S, Denmark TK, Ellis D, Herman M, Brown L: Cutaneous community-associated Methicillin-resistant Staphylococcus aureus among all skin and soft-tissue infections in two geographically distant pediatric emergency departments.  Academic Emergency Medicine 2007; 14: 35-40

Kim G, Wong Melanie: Ocular Trauma:  An evidence-based approach to evaluation and management in the ED.  Pediatr Emerg Med Practice 2006; 3(11)

Kim TY, Brown L, Stewart G: Test characteristics of parent’s visual analog scale score in predicting ventriculoperitoneal shunt malfunction in the pediatric emergency department. Pediatric Emergency Care 2007; 23(8): 549-552

Kim TY, Denmark TK.  Intraabdominal abscess masquerading as a properly placed gastrostomy tube.  Clinical Pediatrics 2005; 44(6):539-542

Kim TY, Minasyan L, Herman MI.  Limping: evaluation, diagnosis, and management in the pediatric ED.  Pediatric Emergency Medicine Practice August 2006; 3(8)

Kim TY, Stewart G, Moynihan J, Voth M, Brown L.  Signs and Symptoms of cerebrospinal fluid shunt malfunction in the pediatric emergency department.  Pediatric Emergency Care 2006; 22: 28-34

Kim TY, Thompson T.  Headaches.  In Baren J, Brennan J, Brown L, Rothrock S (eds).  Pediatric Emergency Medicine.  Philadelphia; Elsevier, 2006

Rivera ML, Kim TY, Stewart GM, Minasyan L, Brown L.  Albuterol nebulized in Heliox in the initial emergency department treatment of pediatric asthma: A blinded, randomized controlled trial.  Am J Emerg Med 2006; 24: 38-42

Rosenfeld RM, Brown L, Cannon CR, Dolor RJ, Ganiats TG, Hannley SM, Kokemueller P, Marcy SM, Roland PS, Shiffman RN, Stinnett SS, Witsell DL. Clinical     Practice Guideline: Acute Otitis Externa. Otolaryngol Head Neck Surg 2006; 134     (4 Suppl): S4-S23.

Stewart GM, Kim TY. Chapter 42; Conditions resulting in increased intracranial pressure. In Baren, Rothrock, Brennan, Brown eds. Pediatric Emergency Medicine. Saunders Elsevier, Philadelphia, PA. 2008

Stewart GM, Mody AP. Chapter 15; Trauma in Infants.  In Baren, Rothrock, Brennan, Brown eds. Pediatric Emergency Medicine. Saunders Elsevier, Philadelphia, PA. ,   2008

Stewart GM, Nguyen NB, Kim TY, Jauregui J, Hayes SR, Corbett S.  Inter-rater reliability for noninvasive measurement of cardiac function in children.  Pediatric Emergency Care July 2008; 24(7): 433-7

Stewart GM, Thorp A, Brown L.  Perichondritis a complication of high ear piercing. Peds Emerg Care December 2006; 22(12); 804-806

Steele R, Thorp A.  Chapter 180; Pericardiocentesis in Pediatric Emergency Medicine. Baren J, Brennan J, Brown L, Rothrock SG (eds).  Philadelphia, Elsevier 2007

Thorp A, Brown L.  Accessibility of Internet references in Annals of Emergency Medicine:  Is it time to require archiving?  Annals of Emergency Medicine 2007; 50(2): 188-192

Thorp A, Brown L, Green S. Ketamine-associated vomiting: Is it dose related? Pediatric Emergency Care  January 2009; 25(1); 15-18

Thorp A, Hurt T, Kim TY, Brown L. Tracheoinnominate artery fistula: A rare and often fatal complication of indwelling tracheostomy tubes. Pediatr Emerg Care 2005; 21: 763-766