Related Experiment Video

Updated: Aug 15, 2026

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

The Infant Feeding History: An Evidence-Informed 9-Item Structured History for Detecting Serious Illness in the

Joel Berezow1, Chrysalis Mandell2, Ellery H Schlingmann3

  • 1Department of Emergency Medicine, Columbia University Medical Center, New York, New York, USA.

Journal of the American College of Emergency Physicians Open
|August 14, 2026
PubMed

Insights

Changes in infant feeding are key early signs of illness. A new 9-item tool helps emergency department providers assess infant feeding history to identify serious conditions and improve diagnostic accuracy.

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Clinical Diagnostics

Background:

  • Seriously ill infants often present with nonspecific symptoms, complicating early diagnosis.
  • Changes in feeding behavior are reliable early indicators of infant pathology.

Purpose of the Study:

  • To present an evidence-informed, structured approach to infant feeding history assessment.
  • To introduce a 9-item tool for frontline providers to detect life-threatening conditions in infants.

Main Methods:

  • Development of a 9-item tool based on an evidence-informed framework.
  • Utilizing feeding history to assess infant vigor and hydration.
  • Providing normative feeding patterns by age to identify deviations.

Main Results:

  • The proposed tool aids in identifying red flags for serious or life-threatening conditions.
  • The framework aims to standardize and strengthen feeding history assessment.

Conclusions:

  • The tool can improve diagnostic accuracy and reduce missed diagnoses in infants.
  • Prospective studies are needed to validate the tool's diagnostic performance and feasibility.
  • Integration into clinical practice may enhance parental counseling and guidance.

Keywords:
emergency departmentinfant feedingpediatric triageserious illness identification

More Related Videos

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children04:55

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Related Concept Videos

Data Collection II01:29

Data Collection II

The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and family,...
Assessment of the Gastrointestinal System I: Subjective Data01:17

Assessment of the Gastrointestinal System I: Subjective Data

Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems related to...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Flow Sheet01:17

Flow Sheet

Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Data Collection I01:30

Data Collection I

Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of data...