{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:08:35Z","timestamp":1747181315195,"version":"3.40.5"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>After the establishment of the virtual pediatric emergency medicine clinic at our institution, we noted that several physicians independently began to instruct caregivers virtually on reducing a radial head subluxation. We thus conducted a case series to investigate the number, success, and follow-ups for the virtual reduction of radial head subluxation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>The electronic medical records at our institution were searched from the inception of the virtual clinic in May 2020 until August 2022 (inclusive), for visits and discharge diagnosis containing the word \u201celbow\u201d or \u201carm.\u201d<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Fourteen charts were retrieved; however, 2 were excluded because they were not a suspected radial head subluxation. A virtual reduction was attempted for eight (66.7%) of the 12 patients. In 6 of 8 patients (75.0%), the reduction was deemed successful, and for 2 patients (25.0%), it was deemed unsuccessful. Of the latter, one was found to have a nondisplaced radial neck fracture. All 4 patients (33.3%) for whom a virtual reduction was not attempted were referred to the emergency department.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Virtual video coaching of pulled elbow reduction was completed at our institution with overall good success rate. All the physicians involved noted the essential need and benefits of video conferencing for successfully reducing radial head subluxation. We note that a pediatric population may be more amenable to video-based appointments than other populations due to their caregivers' familiarity with digital technology. Finally, as nonphysician models of healthcare delivery for virtual urgent care visits expand, we propose a checklist based on our experience to ensure patient safety.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000003052","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T20:00:07Z","timestamp":1693857607000},"page":"311-313","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Coaching and the Reduction of Radial Head Subluxation"],"prefix":"10.1097","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2568-7542","authenticated-orcid":false,"given":"Paul","family":"Istasy","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9670-1159","authenticated-orcid":false,"given":"Tim P.","family":"Lynch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8189-1831","authenticated-orcid":false,"given":"Kristine","family":"Van Aarsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krista E.","family":"Helleman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9260-8472","authenticated-orcid":false,"given":"Marcia L.","family":"Edmonds","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.3122\/jabfm.2021.S1.200631","article-title":"Primary care in the COVID-19 pandemic: essential, and inspiring","volume":"34","year":"2021","journal-title":"J Am Board Fam Med"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.ijmedinf.2018.07.007","article-title":"Videoconference compared to telephone in healthcare delivery: a systematic review","volume":"118","year":"2018","journal-title":"Int J Med Inform"},{"key":"bib4-20250504","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1007\/s43678-020-00048-w","article-title":"Virtual care in the pediatric emergency department: a new way of doing business?","volume":"23","year":"2021","journal-title":"CJEM"},{"key":"bib5-20250504","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.3122\/jabfm.2021.06.210186","article-title":"Telephone vs. video visits during COVID-19: safety-net provider perspectives","volume":"34","year":"2021","journal-title":"J Am Board Fam Med"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1370\/afm.2095","article-title":"Patient perceptions of telehealth primary care video visits","volume":"15","year":"2017","journal-title":"Ann Fam Med"},{"key":"bib7-20250504","doi-asserted-by":"crossref","first-page":"e351","DOI":"10.3399\/BJGP.2021.0658","article-title":"Why do GPs rarely do video consultations? Qualitative study in UK general practice","volume":"72","year":"2022","journal-title":"Br J Gen Pract"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s13721-021-00300-y","article-title":"Telehealth and the digital divide as a social determinant of health during the COVID-19 pandemic","volume":"10","year":"2021","journal-title":"Netw Model Anal Health Inform Bioinform"},{"key":"bib9-20250504","doi-asserted-by":"crossref","first-page":"e26960","DOI":"10.2196\/26960","article-title":"Rural telemedicine use before and during the COVID-19 pandemic: repeated cross-sectional study","volume":"23","year":"2021","journal-title":"J Med Internet Res"},{"key":"bib10-20250504","doi-asserted-by":"crossref","first-page":"E317","DOI":"10.1503\/cmaj.131101","article-title":"Reduction of radial-head subluxation in children by triage nurses in the emergency department: a cluster-randomized controlled trial","volume":"186","year":"2014","journal-title":"CMAJ"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:02:21Z","timestamp":1746381741000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003052"}},"subtitle":["A Case Series"],"short-title":[],"issued":{"date-parts":[[2023,9,5]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003052","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"type":"electronic","value":"1535-1815"},{"type":"print","value":"0749-5161"}],"subject":[],"published":{"date-parts":[[2023,9,5]]}}}