Margaret Sande
University of Colorado Denver
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Resuscitation | 2015
Allen D. Stevens; Caleb Hernandez; Seth Jones; Maria E. Moreira; Jason R. Blumen; Emily Hopkins; Margaret Sande; Katherine Bakes; Jason S. Haukoos
BACKGROUND Medication dosing errors remain commonplace and may result in potentially life-threatening outcomes, particularly for pediatric patients where dosing often requires weight-based calculations. Novel medication delivery systems that may reduce dosing errors resonate with national healthcare priorities. Our goal was to evaluate novel, prefilled medication syringes labeled with color-coded volumes corresponding to the weight-based dosing of the Broselow Tape, compared to conventional medication administration, in simulated prehospital pediatric resuscitation scenarios. METHODS We performed a prospective, block-randomized, cross-over study, where 10 full-time paramedics each managed two simulated pediatric arrests in situ using either prefilled, color-coded syringes (intervention) or their own medication kits stocked with conventional ampoules (control). Each paramedic was paired with two emergency medical technicians to provide ventilations and compressions as directed. The ambulance patient compartment and the intravenous medication port were video recorded. Data were extracted from video review by blinded, independent reviewers. RESULTS Median time to delivery of all doses for the intervention and control groups was 34 (95% CI: 28-39) seconds and 42 (95% CI: 36-51) seconds, respectively (difference=9 [95% CI: 4-14] seconds). Using the conventional method, 62 doses were administered with 24 (39%) critical dosing errors; using the prefilled, color-coded syringe method, 59 doses were administered with 0 (0%) critical dosing errors (difference=39%, 95% CI: 13-61%). CONCLUSIONS A novel color-coded, prefilled syringe decreased time to medication administration and significantly reduced critical dosing errors by paramedics during simulated prehospital pediatric resuscitations.
Western Journal of Emergency Medicine | 2013
Margaret Sande; Kerry B. Broderick; Maria E. Moreira; Brooke Bender; Emily Hopkins; Jennie A. Buchanan
Introduction: There is currently no standard forensic medicine training program for emergency medicine residents. In the advent of sexual assault nurse examiner (SANE) programs aimed at improving the quality of care for sexual assault victims, it is also unclear how these programs impact emergency medicine (EM) resident forensic medicine training. The purpose of this study was to gather information on EM residency programs’ training in the care of sexual assault patients and determine what impact SANE programs may have on the experience of EM resident training from the perspective of residency program directors (PDs). Methods: This was a cross-sectional survey. The study cohort was all residency PDs from approved EM residency training programs who completed a closed-response self-administered survey electronically. Results: We sent surveys to 152 PDs, and 71 responded for an overall response rate of 47%. Twenty-two PDs (31%) reported that their residency does not require procedural competency for the sexual assault exam, and 29 (41%) reported their residents are required only to observe sexual assault exam completion to demonstrate competency. Residency PDs were asked how their programs established resident requirements for sexual assault exams. Thirty-seven PDs (52%) did not know how their sexual assault exam requirement was established. Conclusion: More than half of residency PDs did not know how their sexual assault guidelines were established, and few were based upon recommendations from the literature. There is no clear consensus as to how PDs view the effect of SANE programs on resident competency with the sexual assault exam. This study highlights both a need for increased awareness of EM resident sexual assault education nationally and also a possible need for a training curriculum defining guidelines for EM residents performing sexual assault exams.
American Journal of Roentgenology | 2015
Bethany L. Niell; Taj Kattapuram; Elkan F. Halpern; Gloria Salazar; Alexandra Penzias; Shawn S. Bonk; Joanne C. Forde; Emily M. Hayden; Margaret Sande; Rebecca D. Minehart; James Gordon
Journal of Emergency Medicine | 2016
Sabrina J. Poon; Lewis S. Nelson; Jason A. Hoppe; Jeanmarie Perrone; Margaret Sande; Donald M. Yealy; Michael S. Beeson; Knox H. Todd; Sergey Motov; Scott G. Weiner
Academic Emergency Medicine | 2018
Emily M. Hayden; Ambrose H. Wong; Jeremy Ackerman; Margaret Sande; Charles Lei; Leo Kobayashi; Dylan D. Cooper; Kimberly Perry; William Lewandowski; Mark W. Scerbo
Author | 2017
Emily M. Hayden; Ambrose H. Wong; Jeremy Ackerman; Margaret Sande; Charles Lei; Leo Kobayashi; Dylan D. Cooper; Kimberly Perry; William Lewandowski; Mark W. Scerbo
/data/revues/01960644/unassign/S0196064414016618/ | 2015
Maria E. Moreira; Caleb Hernandez; Allen D. Stevens; Seth Jones; Margaret Sande; Jason R. Blumen; Emily Hopkins; Katherine Bakes; Jason S. Haukoos
Circulation | 2012
Maria E. Moreira; Margaret Sande; Allen D. Stevens; Seth Jones; Jason R. Blumen; Katherine Bakes; Jason S. Haukoos; Caleb Hernandez
Journal of Emergency Medicine | 2009
Margaret Sande
Journal of Emergency Medicine | 2009
Margaret Sande