Loma Linda University

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Gail Stewart, DO
Associate Professor, Emergency Medicine
School of Medicine
Publications    Scholarly Journals--Published
  • Diaz R, Zouros A, Stewart G.  Atlanto-Occipital Dislocation with Retroclival Hematoma in a Pediatric Patient Presenting to the Emergency Department. Pediatrc Emerg Care ol 26, #11.  Nov 2010.

    ( 1/2014 )

    AO dislocation is a rare, oftentimes fatal injury sustained from high-impact trauma.  It is seen more often in children compared with adults.  In the past decade, there are more pediatric susvivors presenting to the emergenccy department for treatment.  This case reviews the presentation, diagnosis, and treatment of a child who survived this injury. 

  •  Gail Stewart DO, Bryant Nguyen MD, Tommy Kim MD, Joshua Jauregui BS, Sean Hayes, Stephen Corbett MD. Inter-Rater Reliability for Noninvasive Measurement of Cardiac Function in Children. Pediatric Emergency Care 24 (7) July 2008. ( 7/2008 )
     
  • Stewart GM, Thorp A, Brown L.. "Perichondritis - A complication of high ear piercing." Pediatric Emergency Care 22.12 (2006): 804-806. ( 12/2006 )
    Body piercing has become a fashionable trend in western culture. High ear piercing is common among the adolescent population and comlications from this procedure although uncommon can be permanently disfiguring. We describe a case of perichondritis after high ear piercing in an adolescent male. A review of the history of body piercing, complications, risk factors, and treatment is presented.
  • Michelle L. Rivera, Tommy Y. Kim, Gail M. Stewart, Lilit Minasyan, Lance Brown. "Albuterol nebulized in heliox in the initial ED treatment of pediatric asthma: a blinded, randomized controlled trial." American Journal of Emergency Medicine 24.1 (2006): 38-42. ( 1/2006 )
    Objective A prospective blinded, randomized controlled trial was undertaken to compare the initial response of albuterol nebulized in heliox or control in the treatment of moderately severe asthma in children presenting to a pediatric ED. Methods Patients were randomized to receive heliox (n = 20) or control (n = 21). The primary outcome was to compare a modified dyspnea index score at 10 and 20 minutes after randomization. Secondary outcomes were to determine if heliox decreased admission rates or endotracheal intubation. Results There was no statistically significant difference found at 10 or 20 minutes after randomization with heliox (P = .169 and P = .062, respectively). No statistical difference in admission rate was found, and no patients required endotracheal intubation in either group. Conclusions Our results demonstrate that albuterol nebulized with heliox offered no clinical benefit over standard therapy in the initial treatment of moderately severe asthma in the ED.
  • Kim TY, Stewart, GM, Voth M, et. al. "Signs and Symptoms of CerebrospinalFluid Shunt Malfunction in the Pediatric Emergency Department." Pediatric Emergency Care 22.1 (2006): 28-34. ( 1/2006 )
    Pediatric patients with CSF shunts frequently present to the ED for evaluation of possible shunt malfunction. Most shunt studies appear in the neurosurgical literature. To our knowlecge, none have reviewed presenting sighs and symptoms of shunt malfunction in patients who present to the PEM department. The study objective was to evaluate the medical record of children with cerebrospinal fluid shunts who presented to a pediatric emergency department in order to determine if any signs and/or symptoms were predictive of shunt malfunction. A retrospective chart review was conducted on peds patients 0-18 years who presented to the PED between 1/1/1998 - 12/31/2002 with signs and/or syptoms that prompted an evaluation for possible shunt malfunction. 352 patients were enrolled and of these 86 had a malfunction. Of all signs and symptoms evaluated, lethargy and shunt site swelling were significantly predictive of shunt malfunction (p
  Scholarly Journals--Accepted
  •  James Rook DO, Gail Stewart DO.  Myasthenia Gravis in an adolescent patient presenting to the pediatric emergency depatment.  Pediatric Emergency Care.  Pediatric Emerg Care 26 (5) May 2010.

    ayasthenia gravis is a rre, chronic autoimmune disorder characterized by postsynaptic dysfunction at the neuromuscular junction.  The disease affects more females than males. We describe the case of a 17 year old female adolescent with recurrent episodes of dysarthria and dysphagia and a history of aspiration pneumonia. A bedside endrophonium test in our emergency department confirmed the diagnosis of MG. 

    ( 5/2010 )
  Books and Chapters
  •  Chapter 15: Trauma in Infants. Authors: Gail Stewart DO, Ameer Mody MD.  Published in book: Barens, et al. Pediatric Emergency Medicine, Philadelphia PA Saunders Elsevier, 2008. ( 6/2008 - 9/2008 )
     
  •  Chapter 42 Conditions Causing Increased Intracranial Pressure. Authors: Gail Stewart DO, Tommy Kim MD, Alexander Zouros MD.  Published in:  Barens, et al. Pediatric Emergency Medicine, Philadelphia, PA, Saunders Elsevier, 2008. ( 6/2008 )