Scholars@Duke
Corrie Chumpitazi

Corrie Chumpitazi

Instructor Temporary In the Department of Pediatrics
Pediatrics, Emergency Medicine
corrie.chumpitazi@duke.edu
2301 Erwin Rd, Durham, NC 27710
2301 Erwin Rd, Durham, NC 27710

Selected Publications

Perspectives of Caregivers on Children Boarding With Mental Health Conditions.

Journal Article Pediatr Emerg Care · November 1, 2024 OBJECTIVE: Addressing the acute mental healthcare needs of children is a national crisis. Despite the ongoing crisis, there are limited prior studies that capture caregiver perspectives on acute pediatric mental healthcare, notably in a general emergency d ... Full text Link to item Cite

Ketamine for Pain in Sickle Cell Disease Reduces Opioid Usage.

Journal Article J Pain Symptom Manage · March 2024 CONTEXT: Pain attributable to sickle cell disease (SCD) is often unpredictable, recurrent, and requires complex treatments. Subanesthetic ketamine infusion has been studied in other diseases and disorders, but there is still limited data on its efficacy in ... Full text Link to item Cite

Impact of the COVID-19 pandemic on pediatric faculty: a report from nine academic institutions.

Journal Article Pediatr Res · February 2024 BACKGROUND: The COVID-19 pandemic affected home and work routines, which may exacerbate existing academic professional disparities. Objectives were to describe the impact of the pandemic on pediatric faculty's work productivity, identify groups at risk for ... Full text Link to item Cite

Research Priorities for Pediatric Emergency Care to Address Disparities by Race, Ethnicity, and Language.

Journal Article JAMA Netw Open · November 1, 2023 IMPORTANCE: Health care disparities are well-documented among children based on race, ethnicity, and language for care. An agenda that outlines research priorities for disparities in pediatric emergency care (PEC) is lacking. OBJECTIVE: To investigate rese ... Full text Link to item Cite

The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies

Journal Article Annals of Emergency Medicine · September 1, 2023 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. Ina ... Full text Cite

The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies.

Journal Article Pediatrics · September 1, 2023 Mental and behavioral health (MBH) visits of children and youth to emergency departments are increasing in the United States. Reasons for these visits range from suicidal ideation, self-harm, and eating and substance use disorders to behavioral outbursts, ... Full text Link to item Cite

Sickle Cell Disease Treatment with Arginine Therapy (STArT): study protocol for a phase 3 randomized controlled trial.

Journal Article Trials · August 17, 2023 BACKGROUND: Despite substantial illness burden and healthcare utilization conferred by pain from vaso-occlusive episodes (VOE) in children with sickle cell disease (SCD), disease-modifying therapies to effectively treat SCD-VOE are lacking. The aim of the ... Full text Open Access Link to item Cite

Intranasal fentanyl and discharge from the emergency department among children with sickle cell disease and vaso-occlusive pain: A multicenter pediatric emergency medicine perspective.

Journal Article Am J Hematol · April 2023 Children with sickle cell disease (SCD) commonly experience vaso-occlusive pain episodes (VOE) due to sickling of erythrocytes, which often requires care in the emergency department. Our objective was to assess the use and impact of intranasal fentanyl for ... Full text Link to item Cite

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

Journal Article Pediatrics · March 1, 2023 Children with chronic medical conditions rely on complex management plans for problems that cause them to be at increased risk for suboptimal outcomes in emergency situations. The emergency information form (EIF) is a medical summary that provides rapid ac ... Full text Link to item Cite

Career Development in Pediatric Emergency Medicine: What Do We Need?

Journal Article Pediatr Emerg Care · September 1, 2022 OBJECTIVES: The Women in Pediatric Emergency Medicine (PEM) subcommittee of the American Academy of Pediatrics Section on Emergency Medicine identified 2 top priorities for 2021: career development and mentorship/sponsorship. The objective of this study wa ... Full text Link to item Cite

Vision 2020: How Caregiving and Work Productivity Outlook Shifted for Academic Pediatric Faculty.

Journal Article J Womens Health (Larchmt) · May 2022 Background: The coronavirus disease 2019 (COVID-19) pandemic has affected both home and work routines and may have exacerbated existing inequities. The objectives of this study were to describe pediatric faculty work productivity and caregiving responsibil ... Full text Link to item Cite

Pediatric Emergency Medicine Fellowship Procedural Sedation Training: Consensus Educational Guidelines.

Journal Article Pediatr Emerg Care · April 1, 2022 OBJECTIVES: Pediatric procedural sedation (PPS) is a core clinical competency of pediatric emergency medicine (PEM) fellowship training mandated by both the Accreditation Council for Graduate Medical Education and the American Board of Pediatrics. Neither ... Full text Link to item Cite

Managing acute pain in children presenting to the emergency department without opioids.

Journal Article J Am Coll Emerg Physicians Open · April 2022 Pediatric pain is challenging to assess and manage. Frequently underestimated in children, untreated pain may have consequences including increased fear, anxiety, and psychological issues. With the current opioid crisis, emergency physicians must be knowle ... Full text Link to item Cite

Emergency department strategies to combat the opioid crisis in children and adolescents.

Journal Article J Am Coll Emerg Physicians Open · August 2021 The opioid crisis has greatly affected not only adults but also children as well. As clinicians develop effective approaches to minimize pain and distress in children, the risks and benefits of opioids must be carefully considered. Children of parents with ... Full text Link to item Cite

Unusual Facial Swelling in an 8-month-old

Journal Article Journal of Education and Teaching in Emergency Medicine · July 25, 2021 Full text Cite

Use of antitussive medications in acute cough in young children.

Journal Article J Am Coll Emerg Physicians Open · June 2021 Acute cough, a common complaint in young children, is often the result of a viral upper respiratory infection. Cough and cold remedies generate billions of dollars in annual sales in the United States, despite a lack of evidence of their efficacy and multi ... Full text Link to item Cite

Pediatric Emergency Departments and Urgent Care Visits in Houston after Hurricane Harvey.

Journal Article West J Emerg Med · May 26, 2021 INTRODUCTION: Natural disasters are increasingly common and devastating. It is essential to understand children's health needs during disasters as they are a particularly vulnerable population. The objective of this study was to evaluate pediatric disease ... Full text Link to item Cite

Access to Optimal Emergency Care for Children.

Journal Article Pediatrics · May 2021 Every year, millions of pediatric patients seek emergency care. Significant barriers limit access to optimal emergency services for large numbers of children. The American Academy of Pediatrics, American College of Emergency Physicians, and Emergency Nurse ... Full text Link to item Cite

Chloral Hydrate Sedation in a Dexmedetomidine Era.

Journal Article Hosp Pharm · August 2020 Brief Overview: The use of chloral hydrate as the primary sedation agent has declined across the nation after commercial production of the liquid formulation ceased. Although alternative sedatives have gained popularity, some pharmacies have continued to p ... Full text Link to item Cite

Focused Research Infrastructure for Postgraduate Pediatric Emergency Medicine Fellows Increases Dissemination of Scholarly Work.

Journal Article AEM Educ Train · July 2020 BACKGROUND: Many fellows in clinically driven subspecialties may have difficulty completing and publishing their scholarly projects due to lack of prior experience in research, selection of projects that are difficult to complete during fellowship, or ment ... Full text Link to item Cite

Infant with swollen penis and apparent dysuria

Journal Article Clinical and Experimental Emergency Medicine · June 1, 2020 Circumcision is a common elective surgical procedure performed worldwide. The Plastibell ring is a plastic device placed between the penis and the foreskin to circumcise a newborn male. This device is used routinely in neonatal circumcision, but complicati ... Full text Cite

Trends in Outpatient Procedural Sedation: 2007-2018.

Journal Article Pediatrics · May 2020 BACKGROUND: Pediatric subspecialists routinely provide procedural sedation outside the operating room. No large study has reported trends in outpatient pediatric procedural sedation. Our purpose in this study was to identify significant trends in outpatien ... Full text Link to item Cite

Intranasal Fentanyl Use in Neonates.

Journal Article Hosp Pharm · April 2020 Background: The recent addition of intranasal medication options for procedural sedation and analgesia has decreased the need for additional painful procedures such as intravenous lines for medication administration. Intranasal fentanyl (INF) has been used ... Full text Link to item Cite

Evaluation of Hydrocodone/Acetaminophen for Pediatric Laceration Repair: A Randomized Trial.

Journal Article Plast Reconstr Surg · January 2020 BACKGROUND: Laceration repair is a common procedure, and causes pain and distress in children. The purpose of this study was to measure the effect of hydrocodone/acetaminophen elixir in reducing both pain and anxiety in children undergoing sutured lacerati ... Full text Link to item Cite

Normal saline bolus use in pediatric emergency departments is associated with poorer pain control in children with sickle cell anemia and vaso-occlusive pain.

Journal Article Am J Hematol · June 2019 Vaso-occlusive pain events (VOE) are the leading cause of emergency department (ED) visits in sickle cell anemia (SCA). This study assessed the variability in use of intravenous fluids (IVFs), and the association of normal saline bolus (NSB), on pain and o ... Full text Link to item Cite

Unscheduled Procedural Sedation: A Multidisciplinary Consensus Practice Guideline.

Journal Article Ann Emerg Med · May 2019 The American College of Emergency Physicians (ACEP) organized a multidisciplinary effort to create a clinical practice guideline specific to unscheduled, time-sensitive procedural sedation, which differs in important ways from scheduled, elective procedura ... Full text Link to item Cite

Race and ethnicity: Not factors in the prescribing of hydrocodone and codeine-containing products in two pediatric emergency departments.

Conference J Opioid Manag · 2019 OBJECTIVE: To describe the prescription of hydrocodone-containing products (HCPs) and codeine-containing products (CCPs) by patient and provider race and ethnicity at two pediatric emergency departments (EDs) before and after the US Drug Enforcement Admini ... Full text Link to item Cite

Pediatric Emergency Care Research Networks: A Research Agenda.

Journal Article Acad Emerg Med · December 2018 BACKGROUND: Pediatric emergency care research networks have evolved substantially over the past two decades. Some networks are specialized in specific areas (e.g., sedation, simulation) while others study a variety of medical and traumatic conditions. Give ... Full text Link to item Cite

Major Adverse Events

Chapter · October 2018 AbstractThe incidence of sedation-related adverse events depends on medication characteristics, procedure conditions, and preexisting patient physiologic and psychological conditions. Major adverse sedation- ... Full text Cite

Minor Adverse Events

Chapter · October 2018 AbstractThe incidence of sedation-related adverse events depends on the medications administered, the characteristics of the procedure, and preexisting patient factors. Minor adverse sedation-related events ... Full text Cite

Moderate Adverse Events

Chapter · October 2018 AbstractThe incidence of sedation-related adverse events depends on (1) the medications used; (2) the type, duration, invasiveness, and location of the procedure; and (3) patient factors (e.g., age, medical ... Full text Cite

Methods of Rescue/Response

Chapter · October 2018 AbstractSedation in pediatric patients can lead to decreased muscle tone and subsequent tissue relaxation and airway narrowing. Thus, sedated children are at risk of respiratory depression, laryngospasm, air ... Full text Cite

Shortened preprocedural fasting in the pediatric emergency department.

Journal Article Am J Emerg Med · September 2018 BACKGROUND: There is no evidence of an association between fasting time and the incidence of adverse events during procedural sedation and analgesia. Pediatric and adult emergency medicine guidelines support avoiding delaying procedures based on fasting ti ... Full text Link to item Cite

Tu1995 SIMULATION-BASED TRAINING FOR COLONOSCOPY: A PEDIATRIC PERSPECTIVE

Journal Article Gastrointestinal Endoscopy · June 2018 Full text Cite

Acute Pediatric Pain Management in the Primary Care Office.

Journal Article Pediatr Ann · March 1, 2018 Pain is a chief complaint in children seeking medical care, yet it may also be experienced in evaluation and treatment during office visits. Inadequate relief of children's procedural pain and distress not only affects the experience of the children and th ... Full text Link to item Cite

Hyperactive Child With Chest Pain.

Journal Article Ann Emerg Med · February 2018 Full text Link to item Cite

Evaluation of opioid prescribing after rescheduling of hydrocodone-containing products.

Journal Article Am J Health Syst Pharm · December 15, 2017 PURPOSE: Institutional prescribing trends of hydrocodone-containing products (HCPs) before and after the Drug Enforcement Administration's rescheduling of HCPs were evaluated. METHODS: A retrospective evaluation was performed on 6 oral opioid analgesics on ... Full text Link to item Cite

Diagnostic approach to constipation impacts pediatric emergency department disposition.

Journal Article Am J Emerg Med · October 2017 OBJECTIVES: Constipation is a common cause of abdominal pain in children presenting to the emergency department (ED). The objectives of this study were to determine the diagnostic evaluation undertaken for constipation and to assess the association of the ... Full text Link to item Cite

Pediatric Procedural Sedation Using the Combination of Ketamine and Propofol Outside of the Emergency Department: A Report From the Pediatric Sedation Research Consortium.

Journal Article Pediatr Crit Care Med · August 2017 OBJECTIVES: Outcomes associated with a sedative regimen comprised ketamine + propofol for pediatric procedural sedation outside of both the pediatric emergency department and operating room are underreported. We used the Pediatric Sedation Research Consort ... Full text Link to item Cite

Determining the longitudinal validity and meaningful differences in HRQL of the PedsQL™ Sickle Cell Disease Module.

Journal Article Health Qual Life Outcomes · June 12, 2017 BACKGROUND: Detecting change in health status over time and ascertaining meaningful changes are critical elements when using health-related quality of life (HRQL) instruments to measure patient-centered outcomes. The PedsQL™ Sickle Cell Disease module, a d ... Full text Link to item Cite

Decreased Opioid Prescribing in a Pediatric Emergency Department After the Rescheduling of Hydrocodone.

Journal Article J Emerg Med · April 2017 BACKGROUND: The Drug Enforcement Administration (DEA) changed hydrocodone-containing products (HCPs) from Schedule III to II status on October 6, 2014, making codeine-containing products (CCPs) the only non-Schedule II oral opioid agents. OBJECTIVES: We so ... Full text Link to item Cite

A multicenter, randomized, open-label, active-comparator trial to determine the efficacy, safety, and pharmacokinetics of intravenous ibuprofen for treatment of fever in hospitalized pediatric patients.

Journal Article BMC Pediatr · February 1, 2017 BACKGROUND: Oral antipyretics are commonly used to treat pediatric patients who develop fevers. However, patients presenting to the emergency department or undergoing surgery are frequently unable to tolerate oral antipyretics. Rectal formulations are avai ... Full text Link to item Cite

Factors influencing drainage setting and cost for cutaneous abscesses among pediatric patients.

Journal Article Am J Emerg Med · February 2017 OBJECTIVE: To evaluate the clinical and microbiological factors associated with skin and soft tissue infections drained in the emergency department (ED) vs operative drainage (OD) in a tertiary care children's hospital. METHODS: This was a cross-sectional ... Full text Link to item Cite

Impact of emergency department care on outcomes of acute pain events in children with sickle cell disease.

Journal Article Am J Hematol · December 2016 The impact of emergency department (ED) treatment on outcomes of sickle cell disease (SCD) acute pain hospitalizations is not well described. We investigated whether length of stay (LOS) and change in health-related quality of life (HRQL) are affected by i ... Full text Link to item Cite

Procedural Sedation Outside of the Operating Room Using Ketamine in 22,645 Children: A Report From the Pediatric Sedation Research Consortium.

Journal Article Pediatr Crit Care Med · December 2016 OBJECTIVE: Most studies of ketamine administered to children for procedural sedation are limited to emergency department use. The objective of this study was to describe the practice of ketamine procedural sedation outside of the operating room and identif ... Full text Link to item Cite

A child with a painful swollen ear.

Journal Article Arch Dis Child · September 2016 Full text Link to item Cite

Bad News or Really Bad News?

Journal Article Acad Pediatr · July 2016 Full text Link to item Cite

Soap Suds Enemas Are Efficacious and Safe for Treating Fecal Impaction in Children With Abdominal Pain.

Journal Article J Pediatr Gastroenterol Nutr · July 2016 OBJECTIVES: Constipation is a common cause of pediatric abdominal pain and emergency department (ED) presentation. Despite the high prevalence, there is a dearth of clinical information and wide practice variation in childhood constipation management in th ... Full text Link to item Cite

Creation and Assessment of a Bad News Delivery Simulation Curriculum for Pediatric Emergency Medicine Fellows.

Journal Article Cureus · May 1, 2016 Background  Bad news in the context of health care has been broadly defined as significant information that negatively alters people's perceptions of the present or future. Effectively delivering bad news (DBN) in the setting of the emergency department re ... Full text Link to item Cite

A multicenter randomized controlled trial of intravenous magnesium for sickle cell pain crisis in children.

Journal Article Blood · October 1, 2015 Magnesium, a vasodilator, anti-inflammatory, and pain reliever, could alter the pathophysiology of sickle cell pain crises. We hypothesized that intravenous magnesium would shorten length of stay, decrease opioid use, and improve health-related quality of ... Full text Link to item Cite

Intravenous magnesium for pediatric sickle cell vaso-occlusive crisis: methodological issues of a randomized controlled trial.

Journal Article Pediatr Blood Cancer · June 2014 Multiple recent Sickle Cell Disease studies have been terminated due to poor enrollment. We developed methods to overcome past barriers and utilized these to study the efficacy and safety of intravenous magnesium for vaso-occlusive crisis (VOC). We describ ... Full text Link to item Cite

Polyuria

Chapter · March 29, 2012 Cite

Hematuria

Chapter · March 29, 2012 Cite

Sedation and anesthesia for CT: emerging issues for providing high-quality care.

Journal Article Pediatr Radiol · September 2011 During the past decades, the use of CT to diagnose conditions and monitor treatment in the pediatric setting has increased. Infants and children often require procedural sedation to maintain a motionless state to ensure high-quality imaging. Various medica ... Full text Link to item Cite

Diagnostic accuracy and therapeutic reliability in pediatric emergency medicine: The role of evidence-based guidelines

Journal Article Clinical Pediatric Emergency Medicine · June 1, 2011 Evidence-based guidelines are increasingly used within health care delivery systems to improve the quality of care delivered within local institutions. When created systematically through a transparent process by multidisciplinary teams, guidelines can ser ... Full text Cite

Normal and glucocorticoid-induced development of the human small intestinal xenograft.

Journal Article Am J Physiol Regul Integr Comp Physiol · July 2003 The aim of this study was to determine whether intestinal xenografts could recapitulate human in utero development by using disaccharidases as markers. Twenty-week-old fetal intestine was transplanted into immunocompromised mice and was followed. At 20-wk ... Full text Link to item Cite