Garth Meckler

MD, MSHS

Investigator, BC Children's Hospital
Division Head, Division of Pediatric Emergency Medicine, BC Children's Hospital

Dr. Meckler has a strong interest in the prehospital emergency care of children and has chaired the Oregon EMS for Children Committee on Prehospital Education and developed a simulation-based education program for rural providers throughout the state. His research interests range from bedside clinical questions such as the management of pediatric headache, to medical education and patient safety, and he is currently involved in a large NIH grant to describe the epidemiology of prehospital safety events in the EMS care of children. Dr. Meckler has recently joined the Pediatric Emergency Research Canada network since arriving in Vancouver.

Academic Affiliations

  • Associate Professor, , Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation
  • Research Group(s): Vaccines, Infections, and Host Defenses

Contact Information

Location

4500 Oak St, Vancouver, BC, Canada, V6H 3N1

Developing the Standardized Workload Assessment Metric for Pediatric Emergency Departments

PEDIATRIC EMERGENCY CARE

DOI: 10.1097/PEC.0000000000003353

Redirecting patients from the pediatric emergency department to community locations for care: A qualitative study of healthcare professional and leader perspectives

PLOS ONE

DOI: 10.1371/JOURNAL.PONE.0338725

Epidemiology and Outcomes of Paediatric Cardiac Arrest in Canada Before and During the Covid-19 Pandemic - a Review of the Canroc Database

Ssrn

Piscopo, M.S.-P. and Alnaji, F. and Davis, P. and De Caen, A. and Guerguerian, A.-M. and Leduc, S. and Meckler, G. and Miller, M.R. and Vaillancourt, C. and Zotzman, J. and Tijssen, J.A. and Truong, C.

DOI: 10.2139/ssrn.5226903

A randomised controlled trial comparing epinephrine and dexamethasone to placebo in the treatment of infants with bronchiolitis (BIPED study): a statistical analysis plan

TRIALS

DOI: 10.1186/S13063-025-09125-W

Virtual Neonatal Resuscitation Curriculum for Emergency Medical Services (EMS) to Improve Out-of-Hospital Newborn Care

PREHOSPITAL EMERGENCY CARE

DOI: 10.1080/10903127.2025.2450074

Understanding Strategies to Reduce the Impact of Non-urgent Visits to the Pediatric Emergency Department

PEDIATRIC EMERGENCY CARE

DOI: 10.1097/PEC.0000000000003306

RESCUER mobile app to support pediatric resuscitation: Study protocol for a randomized controlled trial

CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS

DOI: 10.1016/J.CONCTC.2025.101558

EMS Agency Characteristics and Adverse Events in Pediatric Out-of-Hospital Cardiac Arrest Among 49 US EMS Agencies

PREHOSPITAL EMERGENCY CARE

DOI: 10.1080/10903127.2025.2461284

Operational Impact of Redirection From the Pediatric Emergency Department: A Matched Cross-Sectional Study

ACADEMIC EMERGENCY MEDICINE

DOI: 10.1111/ACEM.70151

Emergency department management of primary headache disorders in pediatric patients

Pediatric Emergency Medicine Practice

Abul, L.F. and McParland, A. and Meckler, G.D.

Combined oropharyngeal nasal (ON) swabs for the molecular detection of respiratory pathogens including M. pneumoniae in symptomatic children

MICROBIOLOGY SPECTRUM

DOI: 10.1128/SPECTRUM.02181-25

Relief and Prevention of Post-traumatic Headache Using Intranasal Delivery of Lidocaine for Youth (RAPPIDLY)

JOURNAL OF HEAD TRAUMA REHABILITATION

Part 6: Pediatric Basic Life Support: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

CIRCULATION

DOI: 10.1161/CIR.0000000000001370

Molecular Point-of-Care Testing in the Emergency Department for Group A Streptococcus Pharyngitis A Randomized Trial

PEDIATRIC EMERGENCY CARE

DOI: 10.1097/PEC.0000000000003154

Adverse Safety Events in Emergency Medical Services Care of Children With Out-of-Hospital Cardiac Arrest

JAMA NETWORK OPEN

DOI: 10.1001/JAMANETWORKOPEN.2023.51535

National Survey on the Emergency Department Management of Febrile Infants 29 to 60 Days Old With an Abnormal Urinalysis

PEDIATRIC EMERGENCY CARE

DOI: 10.1097/PEC.0000000000003069

Clinical paper The association of intravenous vs. humeral-intraosseous vascular access with patient outcomes in adult out-of-hospital cardiac arrests

RESUSCITATION

DOI: 10.1016/J.RESUSCITATION.2024.110360

Mental Health Hospitalizations in Canadian Children, Adolescents, and Young Adults Over the COVID-19 Pandemic

JAMA Network Open

Roumeliotis, N. and Carwana, M. and Trudeau, O. and Charland, K. and Zinszer, K. and Benigeri, M. and Diop, M. and Papenburg, J. and Ali, S. and Yaskina, M. and Wahi, G. and Forgeot d?Arc, B. and C{\^o}t{\'e}, S. and Sadarangani, M. and Basta, N.E. and Fontela, P.S. and Gantt, S. and Klassen, T.P. and Quach, C. and Doan, Q. and Ahira, S. and Allen, U. and Baerg, K. and Bale-Nick, M. and Banerjee, A. and Barton, M. and Beer, D. and Berthelot, S. and Bettinger, J. and Bhatt, M. and Buba, M. and Buchanan, F. and Bullard, J. and Burstein, B. and Burton, C. and Chanchlani, R. and Chass{\'e}, M. and Choong, K. and Constantin, E. and Constantinescu, C. and Costello, C. and Dewan, T. and Di Genova, T. and Drouin, O. and Dryden-Palmer, K. and Du Pont-Thibodeau, G. and Dugas, M.-A. and Dumont-Maurice, R. and Emeriaud, G. and Emsley, J. and Ferro, M. and Forbes, K. and Fortier, I. and Foster, J. and Foulds, J. and Freedman, S. and Freire, G. and Galanis, E. and Gill, P. and Gravel, J. and Gruenwoldt, E. and Guerra, G. and Guttman, A. and Hancock, B.J. and Harrison, R. and Holland, J. and Joffe, A. and Kakkar, F. and Kam, A. and Kellner, J.D. and Knisley, L. and Lacaze-Masmonteil, T. and Lalgudi Ganesan, S. and Langlois, M.-A. and Le Saux, N. and Lee, L. and Leifso, K. and Li, P. and Linares, A. and Mahant, S. and Marc, I. and Mater, A. and McNally, J. and Meckler, G. and Morris, S. and Mtaweh, H. and Murthy, S. and Muttalib, F. and Newhook, L.-A. and Nicoll, J. and Orr-Gaucher, N. and Pagano, J. and Pangilinan, A. and Pernica, J. and Poonai, N. and Portales-Casamar, E. and Porter, R. and Purewal, R. and Robeson, P. and Robinson, J. and Salvadori, M. and Samuel, S. and Scott, S. and Sehgal, A. and Shah, A. and Sotindjo, T. and Southward, C. and Stoesz, T. and Strang, R. and Suleman, S. and Szatmari, P. and Taheri, S. and Tam, J. and Thibeault, R. and Top, K. and Toulouse, K. and Tse, S.-M. and Wadhwa, A. and Wong, S. and Wright, B. and Yeung, R.

DOI: 10.1001/jamanetworkopen.2024.22833

Evaluation of Out-of-Hospital Cardiac Arrests in Births and Neonates: Opportunities to Improve Care

OBSTETRICS AND GYNECOLOGY

Evaluating the psychosocial status of BC children and youth during the COVID-19 pandemic: A MyHEARTSMAP cross-sectional study

PLOS ONE

DOI: 10.1371/JOURNAL.PONE.0281083

Severe Adverse Safety Events in Pediatric Out-of-Hospital Cardiac Arrest Resuscitation

CIRCULATION

DOI: 10.1161/CIRC.148.SUPPL_1.330

Measuring cognitively demanding activities in pediatric out-of-hospital cardiac arrest

ADVANCES IN SIMULATION

DOI: 10.1186/S41077-023-00253-4

Identifying high cognitive load activities during simulated pediatric cardiac arrest using functional near-infrared spectroscopy

RESUSCITATION PLUS

DOI: 10.1016/J.RESPLU.2023.100409

Equity, diversity, and inclusion in the emergency medicine workforce: benefits, barriers, and strategies

CANADIAN JOURNAL OF EMERGENCY MEDICINE

DOI: 10.1007/S43678-023-00451-Z

Epinephrine metered-dose inhaler for pediatric croup

ACADEMIC EMERGENCY MEDICINE

DOI: 10.1111/ACEM.14616

Comparison of Resuscitation Quality in Simulated Pediatric and Adult Out-of-Hospital Cardiac Arrest

JAMA NETWORK OPEN

DOI: 10.1001/JAMANETWORKOPEN.2023.13969

61 Analgesia and sedation for pediatric ileocolic intussusception: a global, multicenter, cross-sectional study (PAINT)

Paediatrics & Child Health

Naveen Poonai and Daniel M Cohen and Doug MacDowell and Rakesh Mistry and Simon Craig and Samina Ali and Graham Thompson and Damian Roland and Jocelyn Gravel and Vikram Sabhaney and Garth Meckler and Rini Jain and Michael Miller and Adrienne Davis and Itai Shavit and Sa Mintegi

DOI: 10.1093/pch/pxac100.060

10 / 2022

Hematochezia in children with acute diarrhea seeking emergency department care " a prospective cohort study

Academic Emergency Medicine

Madeleine Bhrer and Eleanor Fitzpatrick and Katrina Hurley and Jianling Xie and Bonita E. Lee and Xiao-Li Pang and Ran Zhuo and Brendon D. Parsons and Byron Berenger and Linda Chui and Phillip I. Tarr and Samina Ali and Otto Vanderkooi and Stephen Freedman and Roger Zemek and Mandi Newton and Garth Meckler and Naveen Poonai and Maala Bhatt and Kate Maki and Candice McGahern and Rebecca Emerton and The Alberta Provincial Pediatric EnTeric Infection TEam (APPETITE), Pediatric Emergency Research Canada (PERC)

DOI: 10.1111/acem.14434

04 / 2022

International variation in evidence-based emergency department management of bronchiolitis: a retrospective cohort study

BMJ Open

Lirette, M.-P. and Kuppermann, N. and Finkelstein, Y. and Zemek, R. and Plint, A.C. and Florin, T.A. and Babl, F.E. and Dalziel, S. and Freedman, S. and Roland, D. and Lyttle, M.D. and Schnadower, D. and Steele, D. and Fernandes, R.M. and Stephens, D. and Kharbanda, A. and Johnson, D.W. and Macias, C. and Benito, J. and Schuh, S. and Adekunle-Ojo, A.O. and Bajaj, L. and Cohen, D. and Louie, M. and Powell, E. and Ruddy, R. and Shenoy, A. and Fitzpatrick, E. and Gouin, S. and Klassen, T.P. and Meckler, G. and Misir, A. and Sweeney, J. and Blackburn, C. and Boudalaki, E. and Copley, S. and Ferris, K. and Hartshorn, S. and Hine, C. and Maney, J.-A. and McErlean, F. and Mullen, N. and de la Morandiere, K.P. and Mullen, S. and Oakley, J. and Oliver, N. and Powell, C. and Rajagopal, V. and Ramlakhan, S. and Rayner, J. and Raywood, S. and Skirka, S. and Stone, J. and Craig, S. and Kochar, A. and Krieser, D. and Lacey, C. and Neutze, J. and Velusamy, K. and Fernandes, A.S. and Gil, J. and Paniagua, N.M. and Teruel, G.C. and Waisman, Y. and Rino, P.B. and Ali, S. and Arshad, F. and Borland, M. and Dalziel, S.R. and Chamberlain, J. and Mintegi, S. and Mistry, R. and Nigrovic, L. and Roland, D. and Van de Voorde, P.

DOI: 10.1136/bmjopen-2021-059784

Guidance for Cardiopulmonary Resuscitation of Children With Suspected or Confirmed COVID-19

PEDIATRICS

DOI: 10.1542/PEDS.2021-056043

A randomized controlled pilot study of intranasal lidocaine in acute management of paediatric migraine and migraine-like headache

PAEDIATRICS & CHILD HEALTH

DOI: 10.1093/PCH/PXAC054

All hands on deck: A multidisciplinary approach to SARS-CoV-2-associated MIS-C

PAEDIATRICS & CHILD HEALTH

DOI: 10.1093/PCH/PXAB110

Pediatric and adult Out-of-Hospital cardiac arrest incidence within and near public schools in British Columbia: Missed opportunities for Systematic AED deployment strategies

RESUSCITATION

DOI: 10.1016/J.RESUSCITATION.2022.09.020

2022 Interim Guidance to Health Care Providers for Basic and Advanced Cardiac Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19: From the Emergency Cardiovascular Care Committee and Get With The Guidelines-Resuscitation Adult and Pediatric Task Forces of the American Heart Association in Collaboration With the American Academy of Pediatrics, American Association f

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES

DOI: 10.1161/CIRCOUTCOMES.122.008900

Analysis of an Intervention for Emergency Medical Services Personnel to Reduce Epinephrine Dosing Errors in Infants

JAMA NETWORK OPEN

DOI: 10.1001/JAMANETWORKOPEN.2022.7645

A chart review tool to systematically assess the safety of prehospital care for children with out-of-hospital cardiac arrest

JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OPEN

DOI: 10.1002/EMP2.12726

All hands on deck: A multidisciplinary approach to SARS-CoV-2-associated MIS-C,Tout le monde sur le pont: une approche multidisciplinaire du SRAS-CoV-2 associe au SIME

Paediatrics and Child Health Canada

Lopez, A.A. and Patel, M. and Rayment, J.H. and Tam, H. and Roberts, A. and Laskin, S. and Ahmed, M.A. and Barakauskas, V. and Galanis, E. and Goldfarb, D. and Halparin, J. and Harris, K.C. and Kissoon, N. and Lawrence, S. and Mcguffin, D. and Meckler, G. and Noel, K. and Schrader, D. and Sherwood, M. and Singh, A. and Vercauteren, S. and Tucker, L. and Biggs, C.M.

DOI: 10.1093/pch/pxac018

Twitter as a Knowledge Translation Tool to Increase Awareness of the OpenHEARTSMAP Psychosocial Assessment and Management Tool in the Field of Pediatric Emergency Mental Health

CUREUS JOURNAL OF MEDICAL SCIENCE

DOI: 10.7759/CUREUS.27597

Association Between Intravenous Magnesium Therapy in the Emergency Department and Subsequent Hospitalization Among Pediatric Patients With Refractory Acute Asthma

JAMA Network Open

Suzanne Schuh and Stephen B. Freedman and Roger Zemek and Amy C. Plint and David W. Johnson and Francine Ducharme and Jocelyn Gravel and Graham Thompson and Sarah Curtis and Derek Stephens and Allan L. Coates and Karen J. Black and Darcy Beer and Judy Sweeney and Maggie Rumantir and Yaron Finkelstein and Stephen B. Freedman and Roger Zemek and Samina Ali and Maala Bhatt and Amanda (Mandi) Newton and Garth Meckler and Naveen Poonai and Candice McGahern and Kate Maki and Rebecca Emerton and Pediatric Emergency Research Canada

DOI: 10.1001/jamanetworkopen.2021.17542

07 / 2021

2021 Interim Guidance to Health Care Providers for Basic and Advanced Cardiac Life Support in Adults, Children, and Neonates With Suspected or Confirmed COVID-19

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES

DOI: 10.1161/CIRCOUTCOMES.121.008396

Predicting Adverse Outcomes for Shiga Toxin-Producing Escherichia coli Infections in Emergency Departments

JOURNAL OF PEDIATRICS

DOI: 10.1016/J.JPEDS.2020.12.077

Evaluating pediatric advanced life support in emergency medical services with a performance and safety scoring tool

AMERICAN JOURNAL OF EMERGENCY MEDICINE

DOI: 10.1016/J.AJEM.2021.06.061

Systematic Deployment of AEDs in BC Schools: A Utility and Cost-Effectiveness Study of In-School and Nearby OHCAs

CIRCULATION

DOI: 10.1161/CIRC.144.SUPPL_2.11560

An observational cohort study comparing ibuprofen and oxycodone in children with fractures

PLoS ONE

Ali, S. and Manaloor, R. and Johnson, D.W. and Rosychuk, R.J. and LeMay, S. and Carleton, B. and McGrath, P.J. and Drendel, A.L. and Freedman, S.B. and Zemek, R. and Newton, A.S. and Meckler, G. and Bhatt, M. and Le, C.-K. and McGahern, C. and Emerton, B.

DOI: 10.1371/journal.pone.0257021

Prevalence of Bacterial Meningitis Among Febrile Infants Aged 29-60 Days With Positive Urinalysis Results A Systematic Review and Meta-analysis

JAMA NETWORK OPEN

DOI: 10.1001/JAMANETWORKOPEN.2021.4544

Reducing length of stay and return visits for emergency department pediatric mental health presentations

CANADIAN JOURNAL OF EMERGENCY MEDICINE

DOI: 10.1007/S43678-020-00005-7

Pediatric life support 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations

Pediatrics

Maconochie, I.K. and Aickin, R. and Hazinski, M.F. and Atkins, D.L. and Bingham, R. and Couto, T.B. and Guerguerian, A.-M. and Nadkarni, V.M. and Ng, K.-C. and Nuthall, G.A. and Ong, G.Y.K. and Reis, A.G. and Schexnayder, S.M. and Scholefield, B.R. and Tijssen, J.A. and Nolan, J.P. and Morley, P.T. and van de Voorde, P. and Zaritsky, A.L. and de Caen, A.R. and Moylan, A. and Topjian, A. and Nation, K. and Ohshimo, S. and Bronicki, R.A. and Kadlec, K.D. and Knight, L.J. and McCormick, T.N. and Morgan, R.W. and Roberts, J.S. and Tabbutt, S. and Thiagarajan, R. and Walsh, B. and Raymond, T. and Chan, M. and Duff, J.P. and Joyner, B.L. and Lasa, J.J. and Levy, A. and Roberts, K.E. and Sutton, R.M. and de Lucas, N. and Hoffmann, F. and Turner, N. and Biarent, D. and Lauritsen, T. and Brissaud, O. and Johannesdottir, G. and Djakow, J. and Mejias, A.M. and Meckler, G. and Buchanan, M. and Morrison, L.J.

DOI: 10.1542/PEDS.2020-038505B

Clinical paper The association of intraosseous vascular access and survival among pediatric patients with out-of-hospital cardiac arrest

RESUSCITATION

DOI: 10.1016/J.RESUSCITATION.2021.08.005

Predicting severe pneumonia in the emergency department: a global study of the Pediatric Emergency Research Networks (PERN)"study protocol

BMJ Open

Todd Florin and Daniel Tancredi and Lilliam Ambroggio and Franz Babl and Stuart R Dalziel and Michelle Eckerle and Santiago Mintegi and Mark Neuman and Amy C Plint and Nathan Kuppermann

DOI: 10.1136/bmjopen-2020-041093

12 / 2020

Retrospective chart review and survey to identify adverse safety events in the emergency medical services care of children with out-of-hospital cardiac arrest in the USA: a study protocol

BMJ Open

Carl Eriksson and Amanda Schoonover and Tabria Harrod and Garth Meckler and Matt Hansen and David Yanez and Mo Daya and Jonathan Jui and Jeanne-Marie Guise

DOI: 10.1136/bmjopen-2020-039215

10 / 2020

Interim Guidance for Basic and Advanced Life Support in Children and Neonates With Suspected or Confirmed COVID-19

Pediatrics

Alexis Topjian and Khalid Aziz and Beena D. Kamath-Rayne and Dianne L. Atkins and Lance Becker and Robert A. Berg and Steven M. Bradley and Farhan Bhanji and Steven Brooks and Melissa Chan and Paul Chan and Adam Cheng and Allan de Caen and Jonathan P. Duff and Marilyn Escobedo and Gustavo E. Flores and Susan Fuchs and Saket Girotra and Antony Hsu and Benny L. Joyner and Monica Kleinman and Javier J. Lasa and Henry C. Lee and Rebecca E. Lehotzky and Arielle Levy and Mary E. Mancini and Mary E. McBride and Garth Meckler and Raina M. Merchant and Ryan W. Morgan and Vinay Nadkarni and Ashish R. Panchal and Mary Ann Peberdy and Tia Raymond and Kathryn Roberts and Comilla Sasson and Stephen M. Schexnayder and Robert M. Sutton and Mark Terry and Brian Walsh and David S. Wang and Carolyn M. Zelop and Dana P. Edelson

DOI: 10.1542/peds.2020-1405

05 / 2020

Effectiveness of Emergency Department Treatment of Pediatric Headache and Relation to Rebound Headache

PEDIATRIC EMERGENCY CARE

DOI: 10.1097/PEC.0000000000002027

Pediatric Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations

Resuscitation

Maconochie, I.K. and Aickin, R. and Hazinski, M.F. and Atkins, D.L. and Bingham, R. and Couto, T.B. and Guerguerian, A.-M. and Nadkarni, V.M. and Ng, K.-C. and Nuthall, G.A. and Ong, G.Y.K. and Reis, A.G. and Schexnayder, S.M. and Scholefield, B.R. and Tijssen, J.A. and Nolan, J.P. and Morley, P.T. and Van de Voorde, P. and Zaritsky, A.L. and de Caen, A.R. and Moylan, A. and Topjian, A. and Nation, K. and Ohshimo, S. and Bronicki, R.A. and Kadlec, K.D. and Knight, L.J. and McCormick, T.N. and Morgan, R.W. and Roberts, J.S. and Tabbutt, S. and Thiagarajan, R. and Walsh, B. and Raymond, T. and Chan, M. and Duff, J.P. and Joyner, B.L. and Lasa, J.J. and Levy, A. and Roberts, K.E. and Sutton, R.M. and de Lucas, N. and Hoffmann, F. and Turner, N. and Biarent, D. and Lauritsen, T. and Brissaud, O. and Johannesdottir, G. and Djakow, J. and Mejias, A.M. and Meckler, G.

DOI: 10.1016/j.resuscitation.2020.09.013

Non-steroidal or opioid analgesia use for children with musculoskeletal injuries (the No OUCH study): Statistical analysis plan

Trials

Heath, A. and Yaskina, M. and Hopkin, G. and Klassen, T.P. and McCabe, C. and Offringa, M. and Pechlivanoglou, P. and Rios, J.D. and Poonai, N. and Ali, S. and Cote, D. and Meckler, G. and Roback, M. and Kharbanda, A. and Cohen, E. and Nigrovic, L. and Jong, G.W. and Poonai, N. and Rajagopal, M. and Richer, L. and Thull-Freedman, J. and McGrath, P. and Graham, T.A.D. and Hartling, L. and Gouin, S. and Stang, A. and Sawyer, S. and Bhatt, M. and Auclair, M.C. and Kim, K. and Bourrier, L. and Dawson, L. and Dasilva, K.C. and McCabe, C. and Hopkin, G. and Round, J. and Willan, A. and Yaskina, M. and Rios, D. and Pechlivanoglou, P. and Pullenayegum, E. and Marples, P. and Watts, R. and Klassen, T. and Erickson, T. and Foot, B. and Hickes, S. and Schreiner, K. and Leung, J. and Drendel, A.

DOI: 10.1186/s13063-020-04503-y

Assessing appropriateness of pediatric emergency department visits: is it even possible?

CANADIAN JOURNAL OF EMERGENCY MEDICINE

DOI: 10.1017/CEM.2019.473

Outcome of pediatric emergency mental health visits: incidence and timing of suicide

CANADIAN JOURNAL OF EMERGENCY MEDICINE

DOI: 10.1017/CEM.2019.470

Predicting Hemolytic Uremic Syndrome and Renal Replacement Therapy in Shiga Toxin-producing Escherichia coli-infected Children

CLINICAL INFECTIOUS DISEASES

DOI: 10.1093/CID/CIZ432

Part 4: Pediatric Basic and Advanced Life Support 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

CIRCULATION

DOI: 10.1161/CIR.0000000000000901

Opioid Prescribing Practices for Pediatric Headache

The Journal of Pediatrics

Garth D. Meckler and David C. Sheridan and Christina J. Charlesworth and Nicoleta Lupulescu-Mann and Hyunjee Kim and Benjamin C. Sun

DOI: 10.1016/j.jpeds.2018.08.078

01 / 2019

The impact of pediatric emergency department crowding on patient and health care system outcomes: a multicentre cohort study

CANADIAN MEDICAL ASSOCIATION JOURNAL

DOI: 10.1503/CMAJ.181426

Management practice-related and modifiable factors associated with paediatric emergency return visits

PAEDIATRICS & CHILD HEALTH

DOI: 10.1093/PCH/PXY039

Use of a standardized asthma severity score to determine emergency department disposition for paediatric asthma: A cohort study

PAEDIATRICS & CHILD HEALTH

DOI: 10.1093/PCH/PXY125

Factors and outcomes associated with paediatric emergency department arrival patterns through the day

PAEDIATRICS & CHILD HEALTH

DOI: 10.1093/PCH/PXY173

Reliability and Usability of a 7-Minute Chart Review Tool to Identify Pediatric Prehospital Adverse Safety Events.

Hospital pediatrics

Eriksson CO and Ovregaard N and Hansen M and Meckler G and Skarica B and Guise JM

DOI: 10.1542/hpeds.2017-0155 PubMed: 30061112

08 / 2018

System outcomes associated with a pediatric emergency department clinical decision unit.

CJEM

Karacabeyli D and Meckler GD and Park DK and Doan Q

DOI: 10.1017/cem.2018.57 PubMed: 29655399

04 / 2018

A psychosocial assessment and management tool for children and youth in crisis.

CJEM

Lee A and Deevska M and Stillwell K and Black T and Meckler G and Park D and Eslami A and Doan Q

DOI: 10.1017/cem.2018.1 PubMed: 29587889

03 / 2018

Low-Dose Propofol for Pediatric Migraine: A Prospective, Randomized Controlled Trial.

The Journal of emergency medicine

Sheridan DC and Hansen ML and Lin AL and Fu R and Meckler GD

DOI: 10.1016/j.jemermed.2018.01.003 PubMed: 29456086

02 / 2018

Treating and reducing anxiety and pain in the paediatric emergency department-TIME FOR ACTION-the TRAPPED quality improvement collaborative.

Paediatrics & child health

Trottier ED and Ali S and Thull-Freedman J and Meckler G and Stang A and Porter R and Blanchet M and Dubrovsky AS and Kam A and Jain R and Principi T and Joubert G and Le May S and Chan M and Pediatric Emergency Research Canada Pain Interest Group

DOI: 10.1093/pch/pxx186 PubMed: 30046273

02 / 2018

An environmental scan of academic pediatric emergency medicine at Canadian medical schools: Identifying variability across Canada

CJEM

Jennifer D. Artz and Garth Meckler and Niran Argintaru and Roderick Lim and Ian G. Stiell

DOI: 10.1017/cem.2017.437

01 / 2018

Safety Events in High Risk Prehospital Neonatal Calls

Prehospital Emergency Care

Duby, R. and Hansen, M. and Meckler, G. and Skarica, B. and Lambert, W. and Guise, J.-M.

DOI: 10.1080/10903127.2017.1347222

Safety events in pediatric out-of-hospital cardiac arrest

American Journal of Emergency Medicine

Hansen, M. and Eriksson, C. and Skarica, B. and Meckler, G. and Guise, J.-M.

DOI: 10.1016/j.ajem.2017.08.028

Relative Effectiveness of Dopamine Antagonists for Pediatric Migraine in the Emergency Department

Pediatric Emergency Care

Sheridan, D.C. and Laurie, A. and Pacheco, S. and Fu, R. and Hansen, M.L. and Ma, O.J. and Meckler, G.D.

DOI: 10.1097/PEC.0000000000000718

Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review

Prehospital Emergency Care

Garth Meckler and Matthew Hansen and William Lambert and Kerth O'Brien and Caitlin Dickinson and Kathryn Dickinson and Joshua Van Otterloo and Jeanne-Marie Guise

DOI: 10.1080/10903127.2017.1371261

10 / 2017

Paediatric emergency department overcrowding and adverse patient outcomes

Paediatrics & Child Health

Melissa Chan and Garth Meckler and Quynh Doan

DOI: 10.1093/pch/pxx111

09 / 2017

Topiramate for pediatric migraine prevention.

Canadian family physician Medecin de famille canadien

Sakulchit T and Meckler GD and Goldman RD

PubMed: 28701441

07 / 2017

2017 Trauma Association of Canada Annual Scientific Meeting Abstracts.

Canadian journal of surgery. Journal canadien de chirurgie

DOI: 10.1503/cjs.005617 PubMed: 28513422

06 / 2017

Return visits to the pediatric emergency department: A multicentre retrospective cohort study.

CJEM

Meyer-Macaulay CB and Truong M and Meckler GD and Doan QH

DOI: 10.1017/cem.2017.40 PubMed: 28625173

06 / 2017

DECREASED HOSPITALIZATIONS AT THE COST OF INCREASED EMERGENCY DEPARTMENT RETURNS? OUTCOMES OF ACLINICAL DECISION UNIT.

Paediatrics & child health

Karacabeyli D and Park D and Meckler G and Doan Q

DOI: 10.1093/pch/pxx086.091

05 / 2017

Constipation and paediatric emergency department utilization

Paediatrics & Child Health

Alison Nutter and Garth Meckler and Mimi Truong and Quynh Doan

DOI: 10.1093/pch/pxx041

05 / 2017

Accuracy of Prefilled Code Cart Epinephrine Syringes for Direct Administration of Small Doses

JAMA Pediatrics

Matt Hansen and Carl Eriksson and Nathan Mah and Garth Meckler and Jeanne-Marie Guise

DOI: 10.1001/jamapediatrics.2016.4167

04 / 2017

Pediatric Disaster Triage: Multiple Simulation Curriculum Improves Prehospital Care Providers Assessment Skills

Prehospital Emergency Care

Cicero, M.X. and Whitfill, T. and Overly, F. and Baird, J. and Walsh, B. and Yarzebski, J. and Riera, A. and Adelgais, K. and Meckler, G.D. and Baum, C. and Cone, D.C. and Auerbach, M.

DOI: 10.1080/10903127.2016.1235239

Topiramate for pediatric migraine prevention

Canadian Family Physician

Sakulchit, T. and Meckler, G.D. and Goldman, R.D.

Emergency medical services responders' perceptions of the effect of stress and anxiety on patient safety in the out-of-hospital emergency care of children: A qualitative study

BMJ Open

Guise, J.-M. and Hansen, M. and O'Brien, K. and Dickinson, C. and Meckler, G. and Engle, P. and Lambert, W. and Jui, J.

DOI: 10.1136/bmjopen-2016-014057

An environmental scan of academic emergency medicine at the 17 canadian medical schools: Why does this matter to emergency physicians?

Canadian Journal of Emergency Medicine

Stiell, I.G. and Artz, J.D. and Lang, E.S. and Sherbino, J. and Morrison, L.J. and Christenson, J. and Perry, J.J. and Topping, C. and Woods, R. and Green, R.S. and Lim, R. and Magee, K. and Foote, J. and Meckler, G. and Mensour, M. and Field, S. and Chung, B. and Kuuskne, M. and Ducharme, J. and Klein, V. and McEwen, J.

DOI: 10.1017/cem.2016.346

Emergency Department Return Visits Within a Large Geographic Area

Journal of Emergency Medicine

Truong, M. and Meckler, G. and Doan, Q.H.

DOI: 10.1016/j.jemermed.2017.01.009

Practice variation in acute bronchiolitis: A pediatric emergency research networks study

Pediatrics

Schuh, S. and Babl, F.E. and Dalziel, S.R. and Freedman, S.B. and MacIas, C.G. and Stephens, D. and Steele, D.W. and Fernandes, R.M. and Zemek, R. and Plint, A.C. and Florin, T.A. and Lyttle, M.D. and Johnson, D.W. and Gouin, S. and Schnadower, D. and Klassen, T.P. and Bajaj, L. and Benito, J. and Kharbanda, A. and Kuppermann, N. and Chamberlain, J. and Mintegi, S. and Mistry, R. and Nigrovic, L. and Roland, D. and Van De Voorde, P. and Adekunle-Ojo, A.O. and Cohen, D. and Louie, M. and Powell, E. and Ruddy, R. and Ali, S. and Meckler, G. and Misir, A. and Sweeney, J. and Arshad, F. and Blackburn, C. and Ferris, K. and Hartshorn, S. and Hine, C. and Maney, J.-A. and De La Morandiere, K.P. and Mullen, S. and Oakley, J. and Oliver, N. and Powell, C. and Ramlakhan, S. and Raywood, S. and Roland, D. and Skirka, S. and Stone, J. and Borland, M. and Craig, S. and Kochar, A. and Krieser, D. and Lacey, C. and Neutze, J. and Fernandes, A.S. and Gil, J. and Paniagua, N. and Teruel, G.C. and Waisman, Y. and Shenoy, A. and Fitzpatrick, E. and Boudalaki, E. and Iatrikes, P. and Copley, S. and McErlean, F. and Mullen, N. and Rajagopal, V. and Rayner, J. and Velusamy, K. and Rino, P.B.

DOI: 10.1542/peds.2017-0842

Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS

BMJ Open

Matthew Hansen and Garth Meckler and William Lambert and Caitlin Dickinson and Kathryn Dickinson and Joshua Van Otterloo and Jeanne-Marie Guise

DOI: 10.1136/bmjopen-2016-012259

11 / 2016

Comparing the Accuracy of Three Pediatric Disaster Triage Strategies: A Simulation-Based Investigation

Disaster Medicine and Public Health Preparedness

Cicero, M.X. and Overly, F. and Brown, L. and Yarzebski, J. and Walsh, B. and Shabanova, V. and Auerbach, M. and Riera, A. and Adelgais, K. and Meckler, G. and Cone, D.C. and Baum, C.R.

DOI: 10.1017/dmp.2015.171

Tintinalli's Emergency Medicine

McGraw Hill

8th Edition

Paramedic assessment and treatment of upper airway obstruction in pediatric patients: An exploratory analysis by the Children's Safety Initiative-Emergency Medical Services

American Journal of Emergency Medicine

Hansen, M. and Meckler, G. and Lambert, W. and Dickinson, C. and Dickinson, K. and Guise, J.-M.

DOI: 10.1016/j.ajem.2015.12.082

Pediatric airway management and prehospital patient safety results of a national delphi survey by the children's safety initiative-emergency medical services for children

Pediatric Emergency Care

Hansen, M. and Meckler, G. and O'Brien, K. and Engle, P. and Dickinson, C. and Dickinson, K. and Jui, J. and Lambert, W. and Cottrell, E. and Guise, J.-M.

DOI: 10.1097/PEC.0000000000000742

Understanding the value of mixed methods research: The Children's Safety Initiative-Emergency Medical Services

Emergency Medicine Journal

Hansen, M. and O'Brien, K. and Meckler, G. and Chang, A.M. and Guise, J.-M.

DOI: 10.1136/emermed-2015-205277

Simulation for Pediatric Emergency Medicine and Trauma

Comprehensive Healthcare Simulation: Pediatrics

Frank L. Overly and Kevin Ching and Garth D. Meckler

DOI: 10.1007/978-3-319-24187-6_17

Inpatient Pediatric Migraine Treatment: Does Choice of Abortive Therapy Affect Length of Stay?

Journal of Pediatrics

Sheridan, D.C. and Meckler, G.D.

DOI: 10.1016/j.jpeds.2016.08.050

Congenital Heart Disease In Pediatric Patients: Recognizing The Undiagnosed And Managing Complications In The Emergency Department

Pediatric emergency medicine practice

Judge, P. and Meckler Mshs, G.

Intranasal sumatriptan for migraine in children.

Canadian family physician Medecin de famille canadien

Goldman RD and Meckler GD

PubMed: 25971759

05 / 2015

Children's safety initiative: A national assessment of pediatric educational needs among emergency medical services providers

Prehospital Emergency Care

Hansen, M. and Meckler, G. and Dickinson, C. and Dickenson, K. and Jui, J. and Lambert, W. and Guise, J.-M.

DOI: 10.3109/10903127.2014.959223

Intranasal sumatriptan for migraine in children,Le sumatriptan intranasal pour la migraine chez les enfants

Canadian Family Physician

Goldman, R.D. and Meckler, G.D.

Test characteristics of quick brain MRI for shunt evaluation in children: An alternative modality to avoid radiation

Journal of Neurosurgery: Pediatrics

Yue, E.L. and Meckler, G.D. and Fleischman, R.J. and Selden, N.R. and Bardo, D.M.E. and Chu O'Connor, A.K. and Vu, E.T. and Fu, R. and Spiro, D.M.

DOI: 10.3171/2014.9.PEDS14207

Time on the scene and interventions are associated with improved survival in pediatric out-of-hospital cardiac arrest

Resuscitation

Tijssen, J.A. and Prince, D.K. and Morrison, L.J. and Atkins, D.L. and Austin, M.A. and Berg, R. and Brown, S.P. and Christenson, J. and Egan, D. and Fedor, P.J. and Fink, E.L. and Meckler, G.D. and Osmond, M.H. and Sims, K.A. and Hutchison, J.S.

DOI: 10.1016/j.resuscitation.2015.06.012

Barriers to pediatric disaster triage: A qualitative investigation

Prehospital Emergency Care

Koziel, J.R. and Meckler, G. and Brown, L. and Acker, D. and Torino, M. and Walsh, B. and Cicero, M.X.

DOI: 10.3109/10903127.2014.967428

Patient safety perceptions in pediatric out-of-hospital emergency care: Children's safety initiative

Journal of Pediatrics

Guise, J.-M. and Meckler, G. and O'Brien, K. and Curry, M. and Engle, P. and Dickinson, C. and Dickinson, K. and Hansen, M. and Lambert, W.

DOI: 10.1016/j.jpeds.2015.07.023

Intranasal sumatriptan for migraine in children

CANADIAN FAMILY PHYSICIAN

Pediatric patient safety in emergency medical services

Clinical Pediatric Emergency Medicine

Meckler, G. and Leonard, J. and Hoyle, J.

DOI: 10.1016/j.cpem.2014.01.003

Creation and delphi-method refinement of pediatric disaster triage simulations

Prehospital Emergency Care

Cicero, M.X. and Brown, L. and Overly, F. and Yarzebski, J. and Meckler, G. and Fuchs, S. and Tomassoni, A. and Aghababian, R. and Chung, S. and Garrett, A. and Fagbuyi, D. and Adelgais, K. and Goldman, R. and Parker, J. and Auerbach, M. and Riera, A. and Cone, D. and Baum, C.R.

DOI: 10.3109/10903127.2013.856505

Pediatric migraine: Abortive management in the emergency department

Headache

Sheridan, D.C. and Spiro, D.M. and Meckler, G.D.

DOI: 10.1111/head.12253

Immunizations

Rosen and Barkin S 5 Minute Emergency Medicine Consult Fifth Edition

Meckler, G.D.

Understanding safety in prehospital emergency medical services for children

Prehospital Emergency Care

Cottrell, E.K. and O'Brien, K. and Curry, M. and Meckler, G.D. and Engle, P.P. and Jui, J. and Summers, C. and Lambert, W. and Guise, J.-M.

DOI: 10.3109/10903127.2013.869640

Bedside optic nerve sheath diameter ultrasound for the evaluation of suspected pediatric ventriculoperitoneal shunt failure in the emergency department

Child's Nervous System

Hall, M.K. and Spiro, D.M. and Sabbaj, A. and Moore, C.L. and Hopkins, K.L. and Meckler, G.D.

DOI: 10.1007/s00381-013-2172-y

Diagnostic testing and treatment of pediatric headache in the emergency department

Journal of Pediatrics

Sheridan, D.C. and Meckler, G.D. and Spiro, D.M. and Koch, T.K. and Hansen, M.L.

DOI: 10.1016/j.jpeds.2013.07.006

The association between hospital type and mortality among critically ill children in US EDs

Resuscitation

Hansen, M. and Fleischman, R. and Meckler, G. and Newgard, C.D.

DOI: 10.1016/j.resuscitation.2012.07.032

Development and implementation of a web-based instrument to assess management of pediatric respiratory emergencies among trainees

Pediatric Emergency Care

Hansen, M. and Cedar, A. and Yarris, L. and Spiro, D. and Ilgen, J.S. and Meckler, G.

DOI: 10.1097/PEC.0b013e3182a36082

Gastrointestinal bleeding: Lower

Fleisher and Ludwig S 5 Minute Pediatric Emergency Medicine Consult

Hansen, M.L. and Meckler, G.

Pain, throat

Fleisher and Ludwig S 5 Minute Pediatric Emergency Medicine Consult

Meckler, G.

Low-dose propofol for the abortive treatment of pediatric migraine in the emergency department

Pediatric Emergency Care

Sheridan, D.C. and Spiro, D.M. and Nguyen, T. and Koch, T.K. and Meckler, G.D.

DOI: 10.1097/PEC.0b013e3182768a6b

Foreign body ingestion

Fleisher and Ludwig S 5 Minute Pediatric Emergency Medicine Consult

Lodding, C. and Meckler, G.

Erythema multiforme

Fleisher and Ludwig S 5 Minute Pediatric Emergency Medicine Consult

Lodding, C. and Meckler, G.

Gastrointestinal bleeding: Upper

Fleisher and Ludwig S 5 Minute Pediatric Emergency Medicine Consult

Hansen, M.L. and Meckler, G.

Determining the paediatric educational needs of prehospital providers: part 2

Journal of Paramedic Practice

Alia Breon and Lalena Yarris and Junwen Law and Garth Meckler

DOI: 10.12968/jpar.2011.3.9.510

09 / 2011

Determining the paediatric educational needs of prehospital providers: part 1

Journal of Paramedic Practice

Alia Breon and Lalena Yarris and Junwen Law and Garth Meckler

DOI: 10.12968/jpar.2011.3.8.450

08 / 2011

Treatment of acute otitis media in children.

The New England journal of medicine

Spiro DM and Meckler GD and Arnold DH

DOI: 10.1056/nejmc1102207 PubMed: 21542755

05 / 2011

A proposal to limit otoscopy to reduce unnecessary use of antibiotics: A call for research

Expert Review of Anti-Infective Therapy

Spiro, D.M. and Welker, M.A. and Arnold, D.H. and Meckler, G.D.

DOI: 10.1586/eri.10.175

Treatment of Acute Otitis Media in Children

NEW ENGLAND JOURNAL OF MEDICINE

Pediatric educational needs assessment for urban and rural emergency medical technicians

Pediatric Emergency Care

Fleischman, R.J. and Yarris, L.M. and Curry, M.T. and Yuen, S.C. and Breon, A.R. and Meckler, G.D.

DOI: 10.1097/PEC.0b013e31823a3e73

Pediatric educational needs assessment for urban and rural emergency medical technicians.

Pediatric emergency care

Fleischman, R.J. and Yarris, L.M. and Curry, M.T. and Yuen, S.C. and Breon, A.R. and Meckler, G.D.

Intraosseous line use, complications, and outcomes among a population-based cohort of children presenting to California hospitals

Pediatric Emergency Care

Hansen, M. and Meckler, G. and Spiro, D. and Newgard, C.

DOI: 10.1097/PEC.0b013e3182307a2f

Halo scalp ring with purulent drainage in a newborn

Pediatric Emergency Care

Heugel, J. and Spiro, D. and Meckler, G.D.

DOI: 10.1097/PEC.0b013e3181cd14c7

Wounds

Pediatrics in Review

Spiro, D.M. and Zonfrillo, M.R. and Meckler, G.D.

DOI: 10.1542/pir.31-8-326

Fever and Neutropenia in Pediatric Patients with Cancer

Emergency Medicine Clinics of North America

Meckler, G. and Lindemulder, S.

DOI: 10.1016/j.emc.2009.04.007

To intubate or not to intubate? transporting infants on prostaglandin e 1

Pediatrics

Meckler, G.D. and Lowe, C.

DOI: 10.1542/peds.2008-0641

Technical Tip: Radial head subluxation

Pediatrics in Review

Meckler, G.D. and Spiro, D.M.

DOI: 10.1542/pir.29-7-e42

Nondisclosure of sexual orientation to a physician among a sample of gay, lesbian, and bisexual youth

Archives of Pediatrics and Adolescent Medicine

Meckler, G.D. and Elliott, M.N. and Kanouse, D.E. and Beals, K.P. and Schuster, M.A.

DOI: 10.1001/archpedi.160.12.1248

Respite

Journal of General Internal Medicine

Garth Meckler

DOI: 10.1007/s11606-998-0002-9

01 / 1998

Current projects

Sheridan DC, Spiro DM, Koch TK, and Meckler GD: Use of Propofol for the Treatment of Pediatric Migraine Headache. Pediatric Emergency Care. Pediatric Emergency Care. Dec 2012, 28(12): 1293-96.

This is the first description of a novel therapeutic treatment for pediatric migraine in the emergency department in more than 10 years. The results of this case-control study have lead to the implementation of a prospective randomized controlled trial that is currently approved and will begin recruitment in October, 2012. Based on this work, my mentee has received a national research award from the American Academy of Pediatrics. We have subsequently submitted (under review) a paper describing the national variability in pediatric headache treatment across the US using a nationally representative sample of pediatric ED patients, and have received ethics approval for a prospective randomized controlled clinical trial of low-dose propofol vs. standard migraine therapy for pediatric migraine in the ED.

Small Victims, Big Challenges: Refining Pediatric Disaster Triage Education and Assessing Triage Algorithms in the Prehospital Setting. This multi-center study out of Yale in the US is designed to compare the accuracy of three separate pediatric mass-casualty triage systems utilizing simulation-based video assessment and capitalizing on a natural experiment wherein three adjacent states utilize three distinct triage systems in their pre-hospital EMS systems.

The Epidemiology of Preventable Safety Events in Pre-hospital EMS for Children. This large 5 year NIH funded grant utilizes an innovative mixed-method approach to explore, describe, understand, and test critical elements related to preventable safety events in the pre-hospital care of pediatric patients. Qualitative, quantitative and simulation-based observational data as well as the largest Delphi Survey conducted are being analyzed to understand potentially modifiable contributors to safety risk in this setting.

Grants

National Institutes of Health, PAR-08-261: Epidemiology of Preventable Safety Events in Pre-hospital EMS of Children. $3,491,585.00; 2010-2015, Jeanne-Marie Guise / Garth Meckler.

Friends of Doembecher Foundation: Pediatric Simulation. $30,000.00; 2009-2010; Robert Cloutier / Garth Meckler.

Honours & Awards

Robert C. Chambliss Best Paper Award, Section of Transport Medicine, American Academy of Pediatrics

Academic Instructor of the Year, Oregon Health & Science University, Department of Emergency Meidicne, 2010, 2011

Joseph B Bilderback Award (Teaching), Oregon Health & Science University, Department of Pediatrics

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