Richard G. Bachur, MD

Senior Physician in Pediatrics, Division of Emergency Medicine; President, Physicians’ Organization; Associate Chief Medical Officer, Medical Director of Access
Professor of Pediatrics and Emergency Medicine, Harvard Medical School
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Chief, Division of Emergency Medicine; Senior Physician in Medicine, Division of Emergency Medicine

Richard G. Bachur, MD

Senior Physician in Pediatrics, Division of Emergency Medicine; President, Physicians’ Organization; Associate Chief Medical Officer, Medical Director of Access
Professor of Pediatrics and Emergency Medicine, Harvard Medical School

Medical Services

Languages
English
Education
Medical School
University of California
1998
Los Angeles
CA
Internship
Boston Children's Hospital
1989
Boston
MA
Residency
Pediatrics
Boston Children's Hospital
1992
Boston
MA
Fellowship
Pediatric Emergency Medicine
Boston Children's Hospital
1994
Boston
MA
Certifications
American Board of Pediatrics (General)
American Board of Pediatrics (Emergency Medicine)

Publications

Exploring Delayed Pediatric Diagnoses in Emergency Department-Reply. View Abstract
A rapid host-protein test for differentiating bacterial from viral infection: Apollo diagnostic accuracy study. View Abstract
Emergency Department Volume and Delayed Diagnosis of Serious Pediatric Conditions. View Abstract
Interpretation of Antibiotic Trials in Pediatric Pneumonia. View Abstract
Disparities in Diagnostic Timeliness and Outcomes of Pediatric Appendicitis. View Abstract
Critical Emergency Department Interventions and Clinical Deterioration in Children With Nonsevere Traumatic Intracranial Hemorrhage. View Abstract
Community Validation of an Approach to Detect Delayed Diagnosis of Appendicitis in Big Databases. View Abstract
Emergency Department Volume and Delayed Diagnosis of Pediatric Appendicitis: A Retrospective Cohort Study. View Abstract
Multicenter evaluation of a method to identify delayed diagnosis of diabetic ketoacidosis and sepsis in administrative data. View Abstract
OUTCOMES OF MISSED DIAGNOSIS OF PEDIATRIC APPENDICITIS, NEW-ONSET DIABETIC KETOACIDOSIS, AND SEPSIS IN FIVE PEDIATRIC HOSPITALS. View Abstract
Identification of delayed diagnosis of paediatric appendicitis in administrative data: a multicentre retrospective validation study. View Abstract
Author Response: Response to "Result Interpretation in Nonoperative Management of Uncomplicated Appendicitis". View Abstract
Boston Febrile Infant Algorithm 2.0: Improving Care of the Febrile Infant 1-2 Months of Age. View Abstract
The authors reply. View Abstract
Nonoperative Management of Uncomplicated Appendicitis. View Abstract
Severity of Illness in Bronchiolitis Amid Unusual Seasonal Pattern During the COVID-19 Pandemic. View Abstract
Refining sonographic criteria for paediatric appendicitis: combined effects of age-based appendiceal size and secondary findings. View Abstract
Development of the Novel Pneumonia Risk Score to Predict Radiographic Pneumonia in Children. View Abstract
Significance of Sonographic Subcentimeter, Subpleural Consolidations in Pediatric Patients Evaluated for Pneumonia. View Abstract
Trends in ED Resource Use for Infants 0 to 60 Days Evaluated for Serious Bacterial Infection. View Abstract
Plasma ß-Hydroxybutyrate for the Diagnosis of Diabetic Ketoacidosis in the Emergency Department. View Abstract
Noninvasive Ventilation and Outcomes in Bronchiolitis. View Abstract
Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis. View Abstract
Validation of an Automated System for Identifying Complications of Serious Pediatric Emergencies. View Abstract
Early Use of Bronchodilators and Outcomes in Bronchiolitis. View Abstract
Maintenance of Certification Pediatrics: Pediatric Emergency Medicine (PEM): The New Part 3 Maintenance of Certification Assessment Option. View Abstract
Does age affect the test performance of secondary sonographic findings for pediatric appendicitis? View Abstract
Epidemiology of Critical Interventions in Children With Traumatic Intracranial Hemorrhage. View Abstract
Trends and variation in repeat neuroimaging for children with traumatic intracranial hemorrhage. View Abstract
Measuring complications of serious pediatric emergencies using ICD-10. View Abstract
Vascular Endothelial Growth Factor and Soluble Vascular Endothelial Growth Factor Receptor as Novel Biomarkers for Poor Outcomes in Children With Severe Sepsis and Septic Shock. View Abstract
Trends in Severe Pediatric Emergency Conditions in a National Cohort, 2008 to 2014. View Abstract
Should the Absence of Urinary Nitrite Influence Empiric Antibiotics for Urinary Tract Infection in Young Children? View Abstract
Leveraging the Combined Predictive Value of Ultrasound and Laboratory Data to Reduce Radiation Exposure and Resource Utilization in Children with Suspected Appendicitis. View Abstract
Perspectives on Urinary Tract Infection and Race. View Abstract
Variation in the Presentation of Intussusception by Age. View Abstract
Development of a rubric for assessing delayed diagnosis of appendicitis, diabetic ketoacidosis and sepsis. View Abstract
Critically Ill Pediatric Case Exposure During Emergency Medicine Residency. View Abstract
A Teenager With Acute Anterograde Amnesia. View Abstract
Reasons for Interfacility Emergency Department Transfer and Care at the Receiving Facility. View Abstract
Trends in Capability of Hospitals to Provide Definitive Acute Care for Children: 2008 to 2016. View Abstract
The High Value of Blurry Data in Improving Pediatric Emergency Care. View Abstract
Accuracy of automated identification of delayed diagnosis of pediatric appendicitis and sepsis in the ED. View Abstract
Age-Stratified Risk of Critical Illness in Young Children Presenting to the Emergency Department with Suspected Influenza. View Abstract
Complications of Serious Pediatric Conditions in the Emergency Department: Definitions, Prevalence, and Resource Utilization. View Abstract
Diagnosis of Concussion in the Pediatric Emergency Department. View Abstract
Interrater reliability of pediatric point-of-care lung ultrasound findings. View Abstract
A Pilot Study of the Association of Amino-Terminal Pro-B-Type Natriuretic Peptide and Severity of Illness in Pediatric Septic Shock. View Abstract
Temperature-Adjusted Respiratory Rate for the Prediction of Childhood Pneumonia. View Abstract
Profile of Interfacility Emergency Department Transfers: Transferring Medical Providers and Reasons for Transfer. View Abstract
Variation in Pediatric Care Between Academic and Nonacademic US Emergency Departments, 1995-2010. View Abstract
Pediatric Case Exposure During Emergency Medicine Residency. View Abstract
Estimating Risk of Pneumonia in a Prospective Emergency Department Cohort. View Abstract
Negative Chest Radiography and Risk of Pneumonia. View Abstract
Microscopic Bacteriuria Detected by Automated Urinalysis for the Diagnosis of Urinary Tract Infection. View Abstract
Emergency Department Revisits After an Initial Parenteral Antibiotic Dose for UTI. View Abstract
Authors' Response. View Abstract
Use of a National Database to Assess Pediatric Emergency Care Across United States Emergency Departments. View Abstract
Management of Urinary Tract Infections in Young Children: Balancing Admission With the Risk of Emergency Department Revisits. View Abstract
Point-of-Care Ultrasound Differentiation of Lung Consolidation and Normal Thymus in Pediatric Patients: An Educational Case Series. View Abstract
Hip Synovial Fluid Cell Counts in Children From a Lyme Disease Endemic Area. View Abstract
Timing and Location of Emergency Department Revisits. View Abstract
Economic Analysis of Diagnostic Imaging in Pediatric Patients With Suspected Appendicitis. View Abstract
Development and Validation of a Novel Pediatric Appendicitis Risk Calculator (pARC). View Abstract
Cardiac Arrest Survival in Pediatric and General Emergency Departments. View Abstract
Positive guaiac and bloody stool are poor predictors of intussusception. View Abstract
Caregiver Valuation of Chest Radiography for the Diagnosis of Pneumonia in Children. View Abstract
Identifying discordance between senior physicians and trainees on the root cause of ED revisits. View Abstract
Does This Child Have Pneumonia?: The Rational Clinical Examination Systematic Review. View Abstract
Childhood Pneumonia. View Abstract
The influence of insurance type on interfacility pediatric emergency department transfers. View Abstract
Outcomes of Nonoperative Management of Uncomplicated Appendicitis. View Abstract
Outcomes of Nonoperative Management of Uncomplicated Appendicitis. View Abstract
The Threat of Diagnostic Uncertainty in the Medical Management of Uncomplicated Appendicitis. View Abstract
Febrile infant update. View Abstract
Time From Emergency Department Evaluation to Operation and Appendiceal Perforation. View Abstract
Development and Assessment of an Advanced Pediatric Airway Management Curriculum With Integrated Intubation Videos. View Abstract
Current Approach to the Diagnosis and Emergency Department Management of Appendicitis in Children. View Abstract
Urinary NGAL deficiency in recurrent urinary tract infections. View Abstract
The Importance of Urine Concentration on the Diagnostic Performance of the Urinalysis for Pediatric Urinary Tract Infection. View Abstract
A Clinical Score to Predict Appendicitis in Older Male Children. View Abstract
The Influence of Age on the Diagnostic Performance of White Blood Cell Count and Absolute Neutrophil Count in Suspected Pediatric Appendicitis. View Abstract
Urine Concentration and Pyuria for Identifying UTI in Infants. View Abstract
Characteristics of Children Hospitalized With Aspiration Pneumonia. View Abstract
The impact of critically ill children on paediatric ED medication timeliness. View Abstract
Development of a Model to Measure Emergency Department Staffing Limitations. View Abstract
Impact of Chest Radiography on Antibiotic Treatment for Children With Suspected Pneumonia. View Abstract
Emergency Department Management of Febrile Respiratory Illness in Children. View Abstract
Advancing Urinary Protein Biomarker Discovery by Data-Independent Acquisition on a Quadrupole-Orbitrap Mass Spectrometer. View Abstract
The Frequency of Postreduction Interventions After Successful Enema Reduction of Intussusception. View Abstract
Effect of Reduction in the Use of Computed Tomography on Clinical Outcomes of Appendicitis. View Abstract
MStern Blotting-High Throughput Polyvinylidene Fluoride (PVDF) Membrane-Based Proteomic Sample Preparation for 96-Well Plates. View Abstract
Quality Improvement Effort to Reduce Cranial CTs for Children With Minor Blunt Head Trauma. View Abstract
Quality improvement in pediatric sepsis. View Abstract
Febrile seizures: emergency medicine perspective. View Abstract
Pediatric CT dose reduction for suspected appendicitis: a practice quality improvement project using artificial gaussian noise--part 2, clinical outcomes. View Abstract
Integration of ultrasound findings and a clinical score in the diagnostic evaluation of pediatric appendicitis. View Abstract
A comparison of acute treatment regimens for migraine in the emergency department. View Abstract
Use of White Blood Cell Count and Polymorphonuclear Leukocyte Differential to Improve the Predictive Value of Ultrasound for Suspected Appendicitis in Children. View Abstract
The recommendation for rest following acute concussion. View Abstract
Early symptom burden predicts recovery after sport-related concussion. View Abstract
Evaluating the child with acute hip pain ("irritable hip") in a Lyme endemic region. View Abstract
Effect of Hispanic ethnicity and language barriers on appendiceal perforation rates and imaging in children. View Abstract
Bedside ultrasound in pediatric practice. View Abstract
Value of point-of-care ketones in assessing dehydration and acidosis in children with gastroenteritis. View Abstract
Performance of ultrasound in the diagnosis of appendicitis in children in a multicenter cohort. View Abstract
Advances in pediatric dehydration therapy. View Abstract
Early identification of children at risk for critical care: standardizing communication for inter-emergency department transfers. View Abstract
Use of an automated case log to improve trainee evaluations on a pediatric emergency medicine rotation. View Abstract
Urine proteomics for discovery of improved diagnostic markers of Kawasaki disease. View Abstract
Intravenous dextrose for children with gastroenteritis and dehydration: a double-blind randomized controlled trial. View Abstract
Validation and refinement of a prediction rule to identify children at low risk for acute appendicitis. View Abstract
Simulation in the pediatric emergency department. View Abstract
The effect of abdominal pain duration on the accuracy of diagnostic imaging for pediatric appendicitis. View Abstract
Physicians' assessment of pediatric returns to the Emergency Department. View Abstract
Pediatric emergency department crowding is associated with a lower likelihood of hospital admission. View Abstract
Interfacility transfers of noncritically ill children to academic pediatric emergency departments. View Abstract
Application of the world health organization criteria to predict radiographic pneumonia in a US-based pediatric emergency department. View Abstract
Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. View Abstract
Errors of medical interpretation and their potential clinical consequences: a comparison of professional versus ad hoc versus no interpreters. View Abstract
Interrater reliability of clinical findings in children with possible appendicitis. View Abstract
Detection and diagnostic value of urine leucine-rich a-2-glycoprotein in children with suspected acute appendicitis. View Abstract
Ability of pediatric physicians to judge the likelihood of intussusception. View Abstract
Advanced radiologic imaging for pediatric appendicitis, 2005-2009: trends and outcomes. View Abstract
Computed tomography for minor head injury: variation and trends in major United States pediatric emergency departments. View Abstract
The influence of body mass index on the accuracy of ultrasound and computed tomography in diagnosing appendicitis in children. View Abstract
Prediction of pneumonia in a pediatric emergency department. View Abstract
Variation in the use of chest radiography for pneumonia in pediatric emergency departments. View Abstract
Appendicitis update. View Abstract
Risk stratification of children being evaluated for intussusception. View Abstract
Risk factors for contamination of catheterized urine specimens in febrile children. View Abstract
Adherence to guidelines for managing the well-appearing febrile infant: assessment using a case-based, interactive survey. View Abstract
Physician assessment of the likelihood of pneumonia in a pediatric emergency department. View Abstract
Detection of occult pneumonia in a pediatric emergency department. View Abstract
Lack of predictive value of tachypnea in the diagnosis of pneumonia in children. View Abstract
Serious bacterial infection in recently immunized young febrile infants. View Abstract
Serum markers in acute appendicitis. View Abstract
Urine proteomics for profiling of human disease using high accuracy mass spectrometry. View Abstract
Clinical predictors of pneumonia among children with wheezing. View Abstract
Discovery and validation of urine markers of acute pediatric appendicitis using high-accuracy mass spectrometry. View Abstract
Advanced airway management. View Abstract
Serious adverse events during procedural sedation with ketamine. View Abstract
Acute pediatric monoarticular arthritis: distinguishing lyme arthritis from other etiologies. View Abstract
Radiographic pneumonia in young, highly febrile children with leukocytosis before and after universal conjugate pneumococcal vaccination. View Abstract
Sport-related concussion. View Abstract
Development of an emergency department triage tool to predict acidosis among children with gastroenteritis. View Abstract
Procalcitonin levels in febrile infants after recent immunization. View Abstract
Procalcitonin in young febrile infants for the detection of serious bacterial infections. View Abstract
Bedside ultrasound in the pediatric emergency department. View Abstract
Predictors of cerebrospinal fluid pleocytosis in febrile infants aged 0 to 90 days. View Abstract
Comparison of pediatric emergency physicians' and surgeons' evaluation and diagnosis of appendicitis. View Abstract
Use of an automated electronic case log to assess fellowship training: tracking the pediatric emergency medicine experience. View Abstract
The presentation of appendicitis in preadolescent children. View Abstract
Scholarship oversight under the new American Board of Pediatrics guidelines for subspecialty training: lessons learned from the first cycle. View Abstract
Stridor in an infant with myelomeningocele. View Abstract
Lyme disease update. View Abstract
Status asthmaticus in children. View Abstract
Suspected appendicitis in children: rectal and intravenous contrast-enhanced versus intravenous contrast-enhanced CT. View Abstract
Evaluating appendicitis scoring systems using a prospective pediatric cohort. View Abstract
Intravenous dextrose during outpatient rehydration in pediatric gastroenteritis. View Abstract
Clinical predictors of occult pneumonia in the febrile child. View Abstract
Success of short-course parenteral antibiotic therapy for acute osteomyelitis of childhood. View Abstract
Atypical clinical features of pediatric appendicitis. View Abstract
Clinical deterioration among patients with fever and erythroderma. View Abstract
Advances in the emergency management of pediatric sepsis. View Abstract
An automated electronic case log: using electronic information systems to assess training in emergency medicine. View Abstract
A clinical decision rule to identify children at low risk for appendicitis. View Abstract
Hyperpyrexia among infants younger than 3 months. View Abstract
Predictive model for serious bacterial infections among infants younger than 3 months of age. View Abstract
Reliability of the urinalysis for predicting urinary tract infections in young febrile children. View Abstract
Nonresponders: prolonged fever among infants with urinary tract infections. View Abstract
Reevaluation of outpatients with Streptococcus pneumoniae bacteremia. View Abstract
Non-typhi Salmonella bacteremia in children. View Abstract
Bacteremia-associated pneumococcal pneumonia and the benefit of initial parenteral antimicrobial therapy. View Abstract
Occult pneumonias: empiric chest radiographs in febrile children with leukocytosis. View Abstract
Clinical implications of penicillin and ceftriaxone resistance among children with pneumococcal bacteremia. View Abstract
Parenteral vs oral antibiotics in the prevention of serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia: a meta-analysis. View Abstract
Comparison of self-inflating bags with anesthesia bags for bag-mask ventilation in the pediatric emergency department. View Abstract
Do oral antibiotics prevent meningitis and serious bacterial infections in children with Streptococcus pneumoniae occult bacteremia? A meta-analysis. View Abstract
Developing residents as teachers: process and content. View Abstract
Invasive pneumococcal infections in human immunodeficiency virus-infected children. View Abstract
Bacteremia and meningitis among infants with urinary tract infections. View Abstract
Effect of antibiotic therapy on the outcome of outpatients with unsuspected bacteremia. View Abstract