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Your search keyword '"Sulton, Carmen D."' showing total 5 results
Start Over Author "Sulton, Carmen D." Publication Type Magazines
5 results on '"Sulton, Carmen D."'

1. Access to Critical Health Information for Children During Emergencies: Emergency Information Forms and Beyond

Author

Callahan, James M., Baldwin, Steve, Bodnar, Chelsea, Fuchs, Susan, Krug, Steven, Lightfoot, Cynthiana, Raskas, Mordechai, Weinberg, Stuart, Dietrich, Ann M., Chairperson, Alade, Kiyetta H., Amato, Christopher S., Atanelov, Zaza, Auerbach, Marc, Barata, Isabel A., Benjamin, Lee S., Berg, Kathleen T., Brown, Kathleen, Chang, Cindy, Chow, Jessica, Chumpitazi, Corrie E., Claudius, Ilene A., Easter, Joshua, Foster, Ashley, Fox, Sean M., Gausche-Hill, Marianne, Gerardi, Michael J., Goodloe, Jeffrey M., Heniff, Melanie, Homme, James (Jim) L., Ishimine, Paul T., John, Susan D., Joseph, Madeline M., Lam, Samuel Hiu-Fung, Lawson, Simone L., Lee, Moon O., Li, Joyce, Lin, Sophia D., Martini, Dyllon Ivy, Mellick, Larry Bruce, Mendez, Donna, Petrack, Emory M., Rice, Lauren, Rose, Emily A., Ruttan, Timothy, Saidinejad, Mohsen, Santillanes, Genevieve, Simpson, Joelle N., Sivasankar, Shyam M., Slubowski, Daniel, Sorrentino, Annalise, Stoner, Michael J., Sulton, Carmen D., Valente, Jonathan H., Vora, Samreen, Wall, Jessica J., Wallin, Dina, Walls, Theresa A., Waseem, Muhammad, and Woolridge, Dale P.

Published
2023
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2. Clinical Outcomes Associated With Intranasal Dexmedetomidine Sedation in Children

Author

Tsze, Daniel S., Rogers, Amber P., Baier, Nicole M., Paquin, Joanna R., Majcina, Ryan, Phelps, Janey R., Hollenbeck, April, Sulton, Carmen D., and Cravero, Joseph P.

Abstract

We aimed to describe the quality of sedation and additional clinically-meaningful outcomes associated with different intranasal dexmedetomidine-based regimens in children undergoing nonpainful procedures.A multicenter prospective observational study of children aged 2 months to 17 years undergoing intranasal dexmedetomidine sedation for MRI, auditory brainstem response testing, echocardiogram, EEG, or computed tomography scan. Regimens varied by dose of dexmedetomidine and use of adjunct sedatives. Quality of sedation was assessed using the Pediatric Sedation State Scale and by determining proportion of children who achieved an acceptable sedation state. Procedure completion, time-based outcomes, and adverse events were assessed.We enrolled 578 children across 7 sites. Median age was 2.5 years (interquartile range 1.6–3) and 37.5% were female. The most common procedures were auditory brainstem response testing (54.3%) and MRI (22.8%). The most common dose was 3 to 3.9 mcg/kg (55%), with 25.1% and 14.2% of children receiving oral or intranasal midazolam, respectively. Acceptable sedation state and procedure completion was achieved in 81.1% and 91.3% of children, and mean time to onset of sedation and total sedation time were 32.3 and 114.8 minutes, respectively. Twelve interventions were performed in 10 patients in response to an event; no patients required a serious airway, breathing, or cardiovascular intervention.Intranasal dexmedetomidine-based regimens can achieve acceptable sedation states and high rates of procedure completion in children undergoing sedation for nonpainful procedures. Our findings delineate clinical outcomes associated with intranasal dexmedetomidine-based sedation that can be used to guide the implementation and optimization of such regimens.

Published
2023
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3. Access to Optimal Emergency Care for Children

Author

Brown, Kathleen M., Ackerman, Alice D., Ruttan, Timothy K., Snow, Sally K., Conners, Gregory P., Callahan, James, Gross, Toni, Joseph, Madeline, Lee, Lois, Mack, Elizabeth, Marin, Jennifer, Mazor, Suzan, Paul, Ronald, Timm, Nathan, Dietrich, Ann M., Alade, Kiyetta H., Amato, Christopher S., Atanelov, Zaza, Auerbach, Marc, Barata, Isabel A., Benjamin, Lee S., Berg, Kathleen T., Brown, Kathleen, Chang, Cindy, Chow, Jessica, Chumpitazi, Corrie E., Claudius, Ilene A., Easter, Joshua, Foster, Ashley, Fox, Sean M., Gausche-Hill, Marianne, Gerardi, Michael J., Goodloe, Jeffrey M., Heniff, Melanie, Homme, James (Jim) L., Ishimine, Paul T., John, Susan D., Joseph, Madeline M., Lam, Samuel Hiu-Fung, Lawson, Simone L., Lee, Moon O., Li, Joyce, Lin, Sophia D., Martini, Dyllon Ivy, Mellick, Larry Bruce, Mendez, Donna, Petrack, Emory M., Rice, Lauren, Rose, Emily A., Ruttan, Timothy, Saidinejad, Mohsen, Santillanes, Genevieve, Simpson, Joelle N., Sivasankar, Shyam M., Slubowski, Daniel, Sorrentino, Annalise, Stoner, Michael J., Sulton, Carmen D., Valente, Jonathan H., Vora, Samreen, Wall, Jessica J., Wallin, Dina, Walls, Theresa A., Waseem, Muhammad, Woolridge, Dale P., Brandt, Cam, Kult, Krisi M., Milici, Justin J., Nelson, Nicholas A., Redlo, Michele A., Curtis Cooper, Maureen R., Redlo, Michele, Kult, Krisi, Logee, Katherine, Bryant, Dixie Elizabeth, Cooper, Maureen Curtis, and Cline, Kristen

Published
2021
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4. The Management of Children and Youth with Pediatric Mental and Behavioral Health Emergencies

Author

Saidinejad, Mohsen, Duffy, Susan, Wallin, Dina, Hoffmann, Jennifer A., Joseph, Madeline, Uhlenbrock, Jennifer Schieferle, Brown, Kathleen, Waseem, Muhammad, Snow, Sally, Andrew, Madeline, Kuo, Alice A., Sulton, Carmen, Chun, Thomas, Lee, Lois K., Conners, Gregory P., Chairperson, Callahan, James, Gross, Toni, Joseph, Madeline, Lee, Lois, Mack, Elizabeth, Marin, Jennifer, Mazor, Suzan, Paul, Ronald, Timm, Nathan, Cicero, Mark, Dietrich, Ann, Eisenberg, Andrew, Fallat, Mary, Tellez, Sue, Dietrich, Ann M., Chairperson, Alade, Kiyetta H., Amato, Christopher S., Atanelov, Zaza, Auerbach, Marc, Barata, Isabel A., Benjamin, Lee S., Berg, Kathleen T., Brown, Kathleen, Chang, Cindy, Chow, Jessica, Chumpitazi, Corrie E., Claudius, Ilene A., Easter, Joshua, Foster, Ashley, Fox, Sean M., Gausche-Hill, Marianne, Gerardi, Michael J., Goodloe, Jeffrey M., Heniff, Melanie, Homme, James (Jim) L., Ishimine, Paul T., John, Susan D., Joseph, Madeline M., Hiu-Fung Lam, Samuel, Lawson, Simone L., Lee, Moon O., Li, Joyce, Lin, Sophia D., Martini, Dyllon Ivy, Mellick, Larry Bruce, Mendez, Donna, Petrack, Emory M., Rice, Lauren, Rose, Emily A., Ruttan, Timothy, Saidinejad, Mohsen, Santillanes, Genevieve, Simpson, Joelle N., Sivasankar, Shyam M., Slubowski, Daniel, Sorrentino, Annalise, Stoner, Michael J., Sulton, Carmen D., Valente, Jonathan H., Vora, Samreen, Wall, Jessica J., Wallin, Dina, Walls, Theresa A., Waseem, Muhammad, Woolridge, Dale P., Shahid, Sam, Brandt, Cam, Kult, Krisi M., Milici, Justin J., Nelson, Nicholas A., Redlo, Michele A., Curtis Cooper, Maureen R., Redlo, Michele, Kult, Krisi, Logee, Katherine, Bryant, Dixie Elizabeth, Cooper, Maureen Curtis, Cline, Kristen, Liaison, Board, and Olson, Catherine

Abstract

Mental and behavioral health (MBH) emergencies in children and youth continue to increasingly affect not only the emergency department (ED), but the entire spectrum of emergency medical services for children, from prehospital services to the community. Inadequate community and institutional infrastructure to care for children and youth with MBH conditions makes the ED an essential part of the health care safety net for these patients. As a result, an increasing number of children and youth are referred to the ED for evaluation of a broad spectrum of MBH emergencies, from depression and suicidality to disruptive and aggressive behavior. However, challenges in providing optimal care to these patients include lack of personnel, capacity, and infrastructure, challenges with timely access to a mental health professional, the nature of a busy ED environment, and paucity of outpatient post-ED discharge resources. These factors contribute to prolonged ED stays and boarding, which negatively affects patient care and ED operations. Strategies to improve care for MBH emergencies, including systems level coordination of care, is therefore essential. The goal of this policy statement and its companion technical report is to highlight strategies, resources, and recommendations for improving emergency care delivery for pediatric MBH.

Published
2023
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