David M. Spiro, M.D. Emergency Medicine Pediatrician

Publications — Peer-Reviewed

1. Pediatric Minor Traumatic Brain Injury with Intracranial Hemorrhage. Identifying Low-risk Patients Who May Not Benefit from ICU Admission, Burns EC, Spiro DM. Pediatric Emergency Care March 2019-Volume 35-Issue 3 p 161-169.
2. Performance characteristics of magnetic resonance imaging without contrast agents or sedation in pediatric appendicitis. Didier RA, Spiro DM. Pediatric Radiology Sept 2017 VOL 47 (10): 1312-20.
3. A randomized trial of Plasma-Lyte A and 0.9% sodium chloride in acute pediatric gastroenteritis. Coburn H. Allen, MD; Ran D. Goldman, MD; Seema Bhatt, MD; Harold K. Simon, MD; Marc H. Gorelick, MD; Philip R. Spandorfer, MD; David M. Spiro, MD; Sharon E. Mace, MD; David W. Johnson, MD; Eric A. Higginbotham, MD; Hongyan Du; Brendan J. Smyth, PhD, MD; Carol R. Schermer, MD; Stuart L. Goldstein, MD. BMC Pediatrics 2016
4. A Clinical Pathway to Reduce Time to Antibiotic Administration in Pediatric Cancer Patients with Fever and Potential Neutropenia. Lamble, A, Spiro DM. Journal of Clinical Pathways. NOV 2015.
5. Test Characteristics of quick brain MRI for shunt evaluation in children: an alternative modality to avoid radiation. Yue, EL, Spiro, DM. Journal of Pediatric Neurosurgery. JAN 2015
6. Sheridan DC, Spiro DM, Meckler GD. Pediatric Migraine: Abortive Management in the Emergency Department. Headache 2014 Feb;54(2):235-45
7. Sheridan DC, Meckler GD, Spiro DM, Koch TM, Hansen ML. Diagnostic Testing and Treatment of Pediatric Headache in the Emergency Department. J Pediatr 2013 DEC; 163(6):1634-7
8. Hansen M, Cedar A, Yarris L, Spiro DM, Ilgen JS, Meckler G. Pediatr Emerg Care. 2013 Sep;29(9):1037-40
9. Huckins, D. Spiro, DM. A Novel BioMarker Panel to Rule Out Acute Appendicitis in Pediatric Patients with Abdominal Pain The American Journal of Emergency Medicine, Accepted June 2013.
10. Hall, MKH, Spiro, DM, Meckler GD. Bedside Optic Nerve Sheath Diameter Ultrasound for the Evaluation of Suspected Pediatric Ventriculo-peritoneal Shunt Failure in the Emergency Department. Child’s Nervous System. Accepted May, 2013
11. Fleischman RJ, Devine MK, Yagapen MA, Steichen A, Hansen ML, Zigman A, Spiro DM. Evaluation of a Novel Pediatric Appendicitis Pathway Using High and Low Risk Scoring Systems. Pediatric Emergency Care. Accepted for publication, February 2013
12. Roberts M, Zonfrillo M, Dzuira J, Spiro DM. Overweight physicians during residency: a crosssectional and longitudinal study. Journal of Graduate Medical Education. In press.
13. Spiro DM, Meckler GD. Radial Head Subluxation. PREP Self Assessment. 2013. In press.
14. Sheridan D. Spiro DM. Koch T. Meckler GD. Low-Dose Propofol for the Abortive Treatment of Pediatric Migraine in the Emergency Department. Pediatric Emergency Care 28(12):1293-1296, December 2012
15. Philip R. Spandorfer, Sharon E. Mace, Pamela J. Okada, Harold K. Simon, David M. Spiro, MD, MPH; Keith Friend, George Harb, and Francois Lebel; on Behalf of the Increased Flow Utilizing Subcutaneously-Enabled Pediatric Rehydration II (INFUSE-Peds II) Study Group A Randomized Clinical Trial of Recombinant Human Hyaluronidase-Facilitated Subcutaneous Versus Intravenous Rehydration in Mild to Moderately Dehydrated Children in the Emergency Department, Clinical Therapeutics, November 2012.
16. Spiro DM, Meckler GD, Arnold DM. Treatment of Children with Acute Otitis Media. NEJM. 2011. 364(18):1775-6
17. Spiro DM. Conveyance of Grief. Ann Emerg Med. 2011;57:539-540
18. Spiro DM, Welker M, Arnold DH, Meckler GD. A Proposal to Limit Otoscopy to Reduce Unnecessary Use of Antibiotics: A Call for Research. Expert Review of Anti-Infective Therapy, 9(2); 177-181
19. Hansen M, Meckler G, Spiro DM, Newgard C. Intraosseous Line Use, Complications, and Outcomes Among A Population-Based Cohort of Children Presenting to California Hospitals. Pediatric Emergency Care, 27(10), 2011.
20. Choo E, Spiro DM, Loew, RA, Newgard, CD, Hall, MK, McConnell, KJ. Rural-Urban Disparities in Child Abuse Management Resources in the Emergency Department. The Journal of Rural Health. August, 2010.
21. Spiro DM, Zonfrillo M, Meckler GM. Wounds. Pediatrics in Review. Volume 31 (8); Pages 326-334.
22. Spiro DM, Daya M. Cancer Emergencies. Hematology-Oncology Clinics of North America, Preface, Volume 24, Issue 3, Pages xi-xii (June 2010)
23. Deis, J, Spiro DM, Arnold DH. Parental Knowledge and Use of Preventive Asthma Care Measures. Journal of Asthma. June 2010, Vol. 47, No. 5: Pages 551-556
24. Spiro DM, Daya M. Cancer Emergencies, Part 2. Emergency Medicine Clinics of North America, 2009: 27(3); 13-14.
25. Hegel, J, Spiro DM, Meckler GD. Halo Scalp Ring with Purulent Drainage in a Newborn. Pediatr Emer Care. 2010; 26:46-47.
26. Langhan ML, Spiro DM. Portable Spirometry During Acute Excacerbations of Asthma in a Pediatric Emergency Department. Journal of Asthma. 2009;46(2): 122-125.
27. Meckler GD, Spiro DM. Radial Head Subluxation. Pediatrics in Review. 2008;29: e42-e43
28. Spiro DM, Arnold DH. The Concept and Practice of Wait and See Prescription for the Treatment of Acute Otitis Media. Current Opinion in Pediatrics. Current Opinion Pediatrics. 2008:20;72-78
29. Langhan ML, Zonfrillo MZ, Spiro DM. Quantitative End-Tidal Carbon Dioxide in Acute Exacerbations of Asthma. J Pediatr 2008;152:829-32
30. Zonfrillo, MR, Seiden JA, House EM, Shapiro ED, Dubrow R, Baker MD, Spiro DM. The Association of Overweight and Ankle Injuries in Children. Ambulatory Pediatrics, 2008; 8(1): 66-69
31. Arnold DH, Spiro DM. Visual Diagnosis: A 5-year old Child with Facial Palsy and Rash. Pediatrics in Review. December 2007 28(12): 465-469.
32. Nilles, EJ, Spiro DM. Delayed Intra-cerebral Hemorrhage from an Extra Cranial BB-Pellet. Pediatric Emergency Care, June, 2007;23 (6): 409-411
33. Spiro DM, Shapiro ED. Wait-and-See Prescription for Acute Otitis Media—In Reply, JAMA, January 10, 2007; 297: 152 – 153
34. Spiro DM, Tay K, Arnold DH, Dzuira J, Baker MD, Shapiro ED. Wait and See Prescription for Acute Otitis Media: A Randomized Controlled Trial. JAMA. 2006: 296(10):1235-41
35. Langhan ML, Zonfrillo MR, Bazzy-Assad A, Spiro DM. Portable Spirometry During Acute Excacerbations of Asthma in the Pediatric Emergency Department. Pediatric Emergency Care. 2006 Sep:22(9):685
36. Bechtel KB, Spiro DM. Duodenal Hematoma After Upper Endoscopy and Biopsy in a 4-year-old girl. Pediatric Emergency Care 2006 Sep: 22(9):653-654
37. Spiro DM. Acute otitis media-to treat or not to treat? Pediatric Emergency Care. 2006 Apr;22(4):283-284
38. Arnold DH, Spiro DM, Nichols MH, King WD. Availability and Perceived Competence of Pediatricians to serve as Child Protection Team Medical Consultants: A Survey of Practicing Pediatricians. Southern Medical Journal. 98(4): 423-428
39. Spiro DM, Schmidt J, Yagmurlu A, Arnold DH, Cartner S. Antibiotic Induced Mesenteric Adenopathy in an Intussusception Mouse Model. Pediatric Gastroenterology and Nutrition. 2005; 41(1): 39-43
40. Arnold DH, Spiro DM, Desmond RA, Hagood JS. Non-invasive estimation of airway obstruction using pulse oximeter plethysmograph waveform indices. Respiratory Research. 2005; 6:65: 1-8
41. Spiro CE and Spiro DM. Acute Meningitis: Focus on Bacterial Infection. Clinician Reviews, Feb 2006: 14(3): 53-59
42. Spiro DM, Arnold DH, Johnston C, Baldwin S. Tympanometry to Determine Outcome Differences in Otitis Media: Randomized, Controlled Trial. Pediatrics. 2004;114:177-181
43. Spiro DM, Arnold DH, Barbone FB. Association of Antibiotic Use and Intussusception. Archives of Pediatrics and Adolescent Medicine, January 2003; 157: 54-59

Publications — Non-Peer-Reviewed

1. Spiro DM, Bryan RE, Bryan J. “When is Enough Really Enough?” Currents, Quarterly Newsletter of the American Heart Association, June 2007
2. Spiro DM, Lowe RA. Thinking Big. Ann Emerg Med. 2006; 48(4): 480
3. Spiro CE, Spiro DM. Acute Meningitis: Focus on Bacterial Infection. Clinician Reviews, March 2004;14(3): 54-59
4. Spiro DM. A Piece of My Mind: A Little Bit Longer. JAMA. 290(6):716, Aug 2003

Book Chapters

1. Kidd, R, Spiro DM, Arnold DH. Chapter 31. Otitis Media. Pediatric Infectious Diseases, Essentials for Practice. McGraw Hill Press. 2019. Pages 255-261.
2. Spiro, DM. Titanelli’s Emergency Medicine, Just the Facts, 3rd Edition. Chapter 70: Common Infections of the Ears, Nose, Neck and Throat. In press
3. Spiro DM. Titanelli’s Emergency Medicine Manual, 7th Edition. Chapter 68: Common Infections of the Ears, Nose, Neck and Throat. June, 2012
4. Spiro DM. Titanelli’s Emergency Medicine Manual, 7th Edition. Chapter 68: Common Infections of the Ears, Nose, Neck and Throat. June, 2012
5. Arnold DH, Spiro DM. Section Co Author. Chapter: Otitis Media with Effusion. Berman’s Medical Decision Making in Pediatrics, 5th Edition, July, 2011.
6. Arnold DH, Spiro DM. Section Co Author. Chapter: Mastoiditis. Berman’s Medical Decision Making in Pediatrics, 5th Edition, July, 2011.
7. Spiro DM, Arnold DH. Section Co-Author: Chapter: Otitis Media. Berman’s Medical Decision Making in Pediatrics, 5th Edition, July, 2011.
8. Arnold DH, Spiro DM, Langhan ML. Section Co-author: “Chapter 120: Wheezing in Infants and Children” Titinelli et al Editors. 2010

Editor

1. Spiro DM. ReelDx Case Studies. 2014-present. www.reeldx.com
2. Spiro DM, Daya M. Cancer Emergencies. Hematology-Oncology Clinics of North America, Volume 24, Issue 3, Pages 487-668 (June 2010)
3. Spiro, DM, Daya, M. “Cancer Emergencies, Volume 2.” Emergency Medicine Clinics of North America. August 2009

Electronic Publications

1. Spiro DM. Section Author: “Thromboembolism”. PEM Soft – The Pediatric Emergency Medicine Software, www.pemsoft.com, 2007 Update
2. Spiro DM. Section Author: “Malignant Hyperthermia”, PEM Soft – The Pediatric Emergency Medicine Software, www.pemsoft.com, 2007 Update
3. Spiro DM. Section Author: “Systemic Inflammatory Response Syndrome”, PEM Soft – The Pediatric Emergency Medicine Software, www.pemsoft.com, 2007 Update
4. Spiro DM. Otitis Media. Kidcheck: an Interactive Guide to Children’s Health, CD-ROM. Editor: Carden Johnston, MD. 2002

Abstracts

1. Poster, Spiro DM, Arnold DH, Barbone F. The Association Between Antibiotic Use and Intussusception. Presented at the Pediatric Academic Societies’ Meeting, Baltimore, Maryland: May 2002
2. Poster. Spiro DM, Arnold DH, Barbone F. The Association Between Antibiotic Use and Intussusception. Presented at the International Society for Pharmacoepidemiology Annual Meeting, Edinburgh, Scotland: August 2002
3. Poster. Spiro DM, Schmidt J, Arnold DH, Cartner S, Yagmurlu A. Antibiotic Induced Mesenteric Adenopathy in an Intussusception Mouse Model. Presented at the Pediatric Academic Societies’ Meeting, Seattle, Washington: May, 2003
4. Platform. Spiro DM, Arnold DH, Johnston C, Baldwin S. Tympanometry to Determine Outcome Differences in Otitis Media: A Randomized, Controlled Trial. Presented at the Pediatric Academic Societies’ Meeting, Seattle, Washington: May, 2003
5. Poster. Eppich, WJ, Spiro, DM. Integration of Human Patient Simulation into a Pediatric Advanced Life Support Course for Community Practitioners. Presented at the 5th International Meeting on Medical Simulation, ami, Florida: January 2005                                                                                                                                                                                                                        6. Platform. Spiro, DM. A Wait and See Prescription for Acute Otitis Media: A Randomized, Controlled Trial Presented at the Eastern Society for Pediatric Research, Greenwich, Connecticut: May 2005
6. Platform. Spiro DM, Tay K, Baker MD, Shapiro ED. A Wait and See Prescription for Acute Otitis Media: A Randomized, Controlled Trial Presented at the Pediatric Academic Societies’ Meeting, Washington DC: May 2005
7. Platform. Spiro DM, Tay K, Baker MD, Shapiro ED. A Wait and See Prescription for Acute Otitis Media: A Randomized, Controlled Trial. Presented at the Society for Academic Emergency Medicine Annual Meetings, New York City, New York: May 2005
8. Poster. Arnold DH, Spiro DM, MD, Desmond RA, DVM, Hagood JS. Non-invasive estimation of airway obstruction using pulse oximeter plethysmograph waveform indices. Presented at the Pediatric Academic Societies Meeting, Washington DC: May 2005
9. Poster. Arnold DH, Sheller J, LaFleur B, Spiro DM, King P, Hartert TV. Correlation of Pulse Oximeter Estimated Pulsus Paradoxus with Severity of Airflow Obstruction: A Prospective, Observationa1 Analysis Presented at the American Thoracic Society Conference, San Diego, CA: May 2005
10. Poster. Langhan M, Zonfrillo MR, Bazzy-Asaad A, Dziura J, Spiro DM. End Tidal Carbon Dioxide as an Objective, Noninvasive Measurement of Acute Asthma Exacerbations. PAS- SPR. San Francisco, CA. May 2006
11. Poster. Langhan M, Zonfrillo MR, Bazzy-Asaad A, Dziura J, Spiro DM. End Tidal Carbon Dioxide Changes with Bronchodilator Therapy During Acute Exacerbations of Asthma in Children. PASSPR. San Francisco, CA. May 2006
12. Poster. Langhan M, Zonfrillo MR, Bazzy-Asaad A, Dziura J, Spiro DM. End Tidal Carbon Dioxide as an Objective, Noninvasive Measurement of Acute Asthma Exacerbations. ESPR. Greenwich, CT. March 2006
13. Platform. Langhan M, Zonfrillo MR, Bazzy-Asaad A, Dziura J, Spiro DM. End Tidal Carbon Dioxide Changes with Bronchodilator Therapy During Acute Exacerbations of Asthma in Children. ESPR. Greenwich, CT. March 2006
14. Poster. Zonfrillo MR, Seiden JA, House EM, Shapiro ED, Dubrow R, Baker MD and Spiro DM. The association of body mass index and ankle injuries in children. The 2006 Pediatric Academic Societies’ Annual Meeting, San Francisco, CA. May 2006
15. Poster. Zonfrillo MR, Seiden JA, House EM, Shapiro ED, Dubrow R, Baker MD and Spiro DM. The association of body mass index and ankle injuries in children.2006 Society for Academic Emergency Medicine Annual Meeting, San Francisco, CA. May 2006
16. Platform. Zonfrillo MR, Seiden JA, House EM, Shapiro ED, Dubrow R, Baker MD and Spiro DM. The association of body mass index and ankle injuries in children. Eastern Society for Pediatric Research Annual Meeting, Greenwich, CT. March 2006
17. Poster/Platform.Choo EK, Spiro DM, Lowe RA. Pediatric Emergency Visits before the Diagnosis of Child Abuse. Western States Emergency Medicine Research Annual Meeting, Spring, 2008
18. Platform Presentation. Roberts, M. Zonfrillo M and Spiro DM. Body Mass Index of Residents During Post-Graduate Training: A Prospective, Case-Control Analysis. Pediatric Academic Society Meetings. Honolulu, Hawaii, May 2008
19. Poster. Choo EK, Spiro DM, Lowe RA. Pediatric Emergency Visits before the Diagnosis of Child Abuse. American College of Emergency Physicians Annual Meeting, October, 2008
20. Poster. Deis, J, Spiro DM, Arnold DH. Parental Knowledge and Use of Preventive Asthma Care Measures. Pediatric Academic Societies Meeting, Baltimore, Maryland, May 2009.
21. Poster. Langley D, Hall MK, Meckler GD, Spiro DM. Use of Nurse-Administered Propofol in the State of Oregon, Society of Academic Emergency Medicine, New Orleans, LA, May 2009.
22. Poster. Bedside Optic Nerve Sheath Ultrasound Evaluation of Suspected Pediatric Ventricular Shunt Failure in the Emergency Department. American College of Emergency Physicians Meeting, October 2009
23. Poster. Integrating Video Technology In Simulation Education. Meckler GM, Anderson J, Cloutier R, Ellingson T, Yarris L, Spiro DM. 3rd International Paediatric Simulation Symposium and Workshops Madrid, Spain, September 2010.
24. Platform Presentation. Welker M, Newgard C, Zive D, Tith S, Spiro DM. Use Of An Observation Option And Analgesic Medications For Acute Otitis Media In The Emergency Department. Western Regional SAEM Meeting, Keystone Colorado, February 26, 2010.
25. Platform Presentation. The Location of Emergency Department Visits for Injured Children. Fleischmann, R. Spiro DM. Hansen M. Newgard C. Society for Academic Emergency Medicine, Boston, MA. June 4, 2011.
26. Platform Presentation. Wandell, M, Spiro DM, Copeland K., Brown M. Simon, H. Huckins D, Blumenstein B. Physician Clinical Impression Compared to a Novel Clinical Decision Rule for Use in Sparing Pediatric Patients with Signs and Symptoms of Acute Appendicitis Exposure to Computed Tomography. 15th Annual Western Regional SAEM Research Forum, Las Vegas, Nevada. March 17th, 2012
27. Platform Presentation. A Novel BioMarker to Rule Out Acute Appendicitis in Pediatric Patients with Abdominal Pain. Wandell, M, Spiro DM, Copeland K., Brown M. Simon, H. Huckins D, Blumenstein B. 15th Annual Western Regional SAEM Research Forum, Las Vegas, Nevada. March 17th, 2012.
28. Poster. Evaluation of a Novel Pediatric Appendicitis Pathway Using High and Low Risk Scoring Systems. Fleischmann, R. Spiro, DM. Society for Academic Medicine, Chicago, ILL. May 12, 2012.
29. Poster. Low-Dose Propofol for Abortive Treatment of Pediatric Migraine. Sheridan, D., Spiro DM, Koch T, Meckler G. Boston, MA. May 1, 2012.
30. Poster. Bridging the Border in Pediatric Emergencies – A Pacific Northwest Collaboration Platform. Goldman, R. Meckler G. Brown, J. Spiro DM. Klein, E. CAB IV: Interprofessional Collaboration: Transformative Change from the Classroom to Practice conference, Vancouver, BC, Canada on June 12 – 14, 2013
31. Poster. Comparison Between a Former and Current Emergency Room Protocol for Treatment of Fever in Potentially Neutropenic Children on Chemotherapy.” Lamble, A. Spiro DM, Stork L. American Society of Pediatric Hematology/Oncology, April 24-27, 2013, Miami, FL.
32. Presentation. Test Characteristics of Quick-Brain MRI for Shunt Evaluation in Children: A New Modality To Avoid Unnecessary Radiation. Yue, E. Spiro DM. Pediatric Academic Societies Meeting, May 2013, Washington DC.
33. Presentation. Test Characteristics of Quick-Brain MRI for Shunt Evaluation in Children: A New Modality to Avoid Unnecessary Radiation. Yue, E. Spiro, DM. Society for Academic Emergency Medicine, May 2013, Atlanta GA.
34. Poster. Diagnostic Testing and Treatment of Pediatric Headache in the Emergency Department. Sheridan, D. Hansen, M. Spiro DM, Meckler GD. Pediatric Academic Societies Meeting, May 2013, Washington DC.
35. Poster. Evaluation of a Novel Clinical Guideline Utilizing Empiric Antimicrobial Treatment of Fever in Potentially Neutropenic Children. Lamble A, Stork L, Spiro DM. Pediatric Academic Societies Meeting, May 2013, Washington DC.
36. Presentation. Test Characteristics of Quick-Brain MRI for Shunt Evaluation in Children: A New Modality To Avoid Unnecessary Radiation. Yue, E. Spiro, DM. American Academy of Pediatrics. Oct., 2013, Orlando, FL.
37. Poster. Psychiatric Utilization of the Pediatric Emergency Department. Sheridan D, Spiro DM, Hansen M. Pediatric Academic Societies Meeting, May 2014 Vancouver, Canada.
38. Poster. Psychiatric Utilization of the Pediatric Emergency Department. Sheridan D, Spiro DM, Hansen M. Society of Academic Emergency medicine, May 2014 Dallas, TX.
39. Presentation. Balanced Crystalloid or Saline in Pediatric Gastroenteritis: A Randomized Controlled Trial. Allen C, Spiro DM, et al. Society of Academic Emergency medicine, May 2014 Dallas, TX.
40. Oral Presentation. Didier, R. Spiro DM, et al. Rapid multiparametric MRI without contrast or sedation in the diagnosis of pediatric appendicitis. Pacific Association of Pediatric Surgeons, Alberta, Canada April 24-29.
41. Oral Presentation. Sheridan DS, Spiro DM. Impact of an Inpatient Psychiatric Unit on Pediatric Emergency Mental Health Care. American Academy of Pediatrics. San Diego, CA OCT 10, 2014.
42. Poster. April Clawson, Thomas Abramo, Spiro DM, Tonya Thompson. Does the Clinical Prediction Rule Accurately Identify Febrile Infants as Low Risk for Serious Bacterial Infection. Pediatric Academic Societies Meeting, Philadelphia, PA, May 2020 (Mtg Cancelled)
43. Oral Presentation. Palaniappan, A. Spiro DM, Quang L. The Effects of Racemic Epinephrine in Bronchiolitis. Mid-Atlantic Society for Academic Medicine, George Washington University, Washington DC February 2020.

Other Publications / Media

1. Reviewer, Oregon Crisis Care Guidance, State of Oregon Emergency Preparedness Committee, OCT 2013
2. Blog Author – Doernbecher Healthy Families Blog “Teen Texting” http://www.ohsu.edu/blogs/doernbecher/ Posted July 28, 2013
3. Video Interview KATU TV: Hypothermia: http://www.katu.com/news/local/Mary-Owenrescued-from-Mount-Hood-Hope-got-her-through-212871971.html
4. Interview KXL Radio “Pediatric Drowning”, June 6, 2013
5. Interview Fox 12 News, Portland “Pediatric Drowning” June 4, 2013 http://www.kptv.com/story/22491867/teen-pulled-from-river-after-30-minutes-underwaterflown-to-hospital
6. Blog Author – Doernbecher Healthy Families Blog “Prevention of Injuries During Spring Break” http://www.ohsu.edu/blogs/doernbecher/2013/03/22/doernbecher-emergency-room- staffwish-you-a-safe-injury-free-spring-break/
7. Blog Author – Doernbecher Healthy Families Blog “Middle ear Infections in Children”: http://www.ohsu.edu/blogs/doernbecher/
8. Blog Author – Doernbecher Healthy Families Blog “Consent Form Improves Emergency Care for Kids”: http://www.ohsu.edu/blogs/doernbecher/
9. Interview KATU TV, “Lightning Injuries”, Aired June 9, 2012
10. Primary editor – Doernbecher Children’s Hospital/OHSU Pediatric Emergency Department Poster Guide, 3rd Edition
11. Primary editor – Doernbecher Children’s Hospital/OHSU Pediatric Emergency Department Pocket Guide, 2nd Edition
12. “How Do I Need to Know When to Take My child to the Emergency Room” OHSU Fall Newletter, October 2011
13. “Girl, 12, called hero for help in rescuing boy at Long Beach”, Seattle times, AUG 11, 2011
14. “First Aid Emergencies For Children,” Interview on the Morning Show, KATU TV – Portland, June 1, 2010
15. “What to look for when your child hits her head” (Oregonlive.com) http://blog.oregonlive.com/themombeat/2010/04/what_to_look_for_when_your_chi.html
16. “An Emergency Department Just for Kids”, Page 12-13, Hero News, Winter 2010
17. “Not Scary”, Page 8, Kids Health Annual 2009,
18. “First Aid for Parents”, Portland Monthly Magazine, June 2009
19. “Heat Related Injuries” Interview FOX 12, Portland, Oregon
20. “Firework Injuries: The Oregonian Health Section. http://blog.oregonlive.com/themombeat/2009/07/fireworks_safety_tips_as_july.html#more
21. “Trampoline Injuries” The Oregonian Health Section. http://blog.oregonlive.com/themombeat/2009/04/best_way_to_keep_kids_safe_aro.html
22. Spiro DM, Langley D. “Clinical Pathway: Bronchiolitis.” July, 2008
23. “Improving Emergency Care for Children” Quoted in the Scribe, Multnomah County Medical Society Newsletter
24. “When a Fever Means a trip to the doctor”. The Oregonian Health Section. http://blog.oregonlive.com/themombeat/2008/06/when_a_fever_means_a_trip_to_t.html#more
25. Spiro DM. “Heat Injury.” The Oregonian Health Section. http://blog.oregonlive.com/themombeat/
26. Spiro DM, Langley D. “Pediatric Code White Initiative Protocol for Critically Ill Children”, August 2008
27. Spiro DM, Meckler GD. “Clinical Pathway: Sepsis.” July, 2008
28. Spiro DM, Meckler GD. “Clinical Pathway: Asthma.” February, 2008]
29. Spiro DM, Meckler GD. “Clinical Pathway: Fever & Neutropenia.” February, 2008
30. Spiro DM, Meckler GD. “Clinical Pathway: Dehydration.” February, 2008
31. Spiro, DM (quoted). “Healing Kids Cuts.” Parents Magazine, November 2007. Page 50
32. Spiro, DM. “Sinus Study: Antibiotics Over-prescribed”. Quoted by the Associated Press, International News Coverage of New Study, March 19, 2007
33. Spiro DM. “Bike Helmet May have Saved Vancouver Girl”. KOIN News 6 Television Interview from the Pediatric Emergency Department, April 2, 2007
34. Spiro DM. “Bee Stings: Prevention and Treatment”. Radio Interview, Sunday Magazine Show, KEX Radio Portland, Oregon. Aired July 29, 2007
35. Spiro DM, Langley D, Meckler G. OHSU Doernbecher Pediatric Emergency Department Emergency Management Guide – 2nd Edition, State-wide Poster for Outpatient Locales that serve children, August, 2007
36. Spiro DM, Tay K, Arnold DH, Dzuira J, Baker MD, Shapiro ED. Wait and See Prescription for Acute Otitis Media: A Randomized Controlled Trial. JAMA Video Interview Distributed to > 700 Television Stations, CNN on September 12, 2006 and aired Nationally September 13th, 2006. Article was featured as a Cover article for The Oregonian. Listed on > 50 health-related web sites

Research Interests

Judicious Use of Antibiotics in the Emergency Department Use of Plethysmography to Estimate Pulsus Paradoxus Acute Otitis media Video-Visual Diagnosis in the Pediatric Emergency Department Developing Clinical Pathways and Biomarkers for Acute Appendicitis Migraine Headache in the Pediatric Population Healthcare Utilization