scholarly journals Use of a National Database to Assess Pediatric Emergency Care Across United States Emergency Departments

2018 ◽  
Vol 25 (12) ◽  
pp. 1355-1364 ◽  
Author(s):  
Kenneth A. Michelson ◽  
Todd W. Lyons ◽  
Joel D. Hudgins ◽  
Jason A. Levy ◽  
Michael C. Monuteaux ◽  
...  
Keyword(s):  
United States ◽  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
National Database ◽  
Pediatric Emergency Care

Availability of Pediatric Emergency Care Coordinators in United States Emergency Departments

2021 ◽  
Author(s):  
Krislyn M. Boggs ◽  
Janice A. Espinola ◽  
Ashley F. Sullivan ◽  
Rachel D. Freid ◽  
Marc Auerbach ◽  
...  
Keyword(s):  
United States ◽  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Pediatric Emergency Care ◽  
Care Coordinators

Pediatric Emergency Medicine: A Developing Subspecialty

PEDIATRICS ◽  
1989 ◽  
Vol 84 (2) ◽  
pp. 336-342
Author(s):  
Marilyn Li ◽  
M. Douglas Baker ◽  
Leland J. Ropp
Keyword(s):  
Emergency Medicine ◽  
Emergency Care ◽  
Emergency Departments ◽  
Life Support ◽  
Pediatric Emergency ◽  
Advanced Trauma Life Support ◽  
Full Time ◽  
Pediatric Emergency Medicine ◽  
Pediatric Hospitals ◽  
Pediatric Emergency Care

Questionnaires were sent to 245 North American institutions with pediatric residency programs. There was a 69% response rate. Pediatric emergency care is provided in three types of facilities: emergency departments in pediatric hospitals, separate pediatric emergency departments or combined pediatric and adult emergency departments, in multidisciplinary hospitals. There are at least 262 pediatricians practicing full-time pediatric emergency medicine. The majority work in pediatric emergency departments, an average of 30.7 clinical hours per week. There are 27 pediatric emergency medicine programs with 46 fellows in training and 117 full-time positions available for emergency pediatricians throughout North America. Varying qualifications for these positions include board eligibility in pediatrics, certification in Basic Life Support or Advanced Trauma Life Support, and a fellowship in pediatric emergency medicine. The demonstrated need for pediatricians, preferably trained in emergency care, clearly indicates that pediatric emergency medicine is a rapidly developing subspecialty of Pediatrics that will be an attractive career choice for future pediatricians.

scholarly journals Grassroots Intervention to Increase Appointment of Pediatric Emergency Care Coordinators in Massachusetts Emergency Departments

2018 ◽  
Vol 25 (12) ◽  
pp. 1442-1446 ◽  
Author(s):  
Carlos A. Camargo ◽  
Krislyn M. Boggs ◽  
Ashley F. Sullivan ◽  
Camilo E. Gutierrez ◽  
Emory M. Petrack
Keyword(s):  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Pediatric Emergency Care ◽  
Care Coordinators

A Regional Intervention to Appoint Pediatric Emergency Care Coordinators in New England Emergency Departments

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Joyce Li ◽  
Emory M. Petrack ◽  
Krislyn M. Boggs ◽  
Marc Auerbach ◽  
Ashley A. Foster ◽  
...  
Keyword(s):  
New England ◽  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Pediatric Emergency Care ◽  
Care Coordinators ◽  
Regional Intervention

Pediatric Emergency Medicine: State of the Art

PEDIATRICS ◽  
1993 ◽  
Vol 91 (3) ◽  
pp. 587-590
Author(s):  
Daniel J. Isaacman ◽  
Holly W. Davis
Keyword(s):  
United States ◽  
Nurse Practitioners ◽  
Emergency Care ◽  
Current Practice ◽  
Training Programs ◽  
The United States ◽  
Pediatric Emergency ◽  
Radio Communications ◽  
Pediatric Emergency Care ◽  
The Mean

To assess the current practice of pediatric emergency care in the United States, a questionnaire was mailed to the directors of all 240 emergency departments (EDs) affiliated with pediatric residency training programs in the United States. One hundred seventy-two programs (72%) returned completed surveys, which comprised 32 questions highlighting staffing patterns, ancillary services, clinical issues, and resident education. The mean annual ED census was 39 290; the mean number of visits for children 0 to 18 years of age was 17 473. Seven percent of pediatric visits were categorized as critical, 23% as urgent, and 70% as nonurgent. Eleven percent of patients were admitted to the hospital. During peak periods, patients whose visits were triaged as nonurgent waited an average of 1.5 hours to be seen by a physician. Twenty-eight percent of programs provided 24-hour onsite coverage by a pediatric attending physician or fellow. Of the remaining programs, the average daily on-site pediatric coverage was 8.6 ± 6.2 hours. Eighteen percent of programs used physician assistants or nurse practitioners in the ED. During their first, second, and third years of training, pediatric residents spent an average of 5.2, 5.8, and 3.5 weeks in the ED, respectively. The majority of EDs handled all levels of pediatric trauma (84%), had dedicated trauma teams (73%), employed social workers specifically assigned to the ED (62%), and had child abuse teams (72%). Ninety-one percent of EDs had radio communications with prehospital care vehicles and 67% provided medical command for incoming pediatric patients. Fifty-four percent of programs had a mechanism for ensuring telephone follow-up of worrisome patients, and 69% used a system for ensuring feedback to the referring physician. Ninety-five percent of programs had a system in place for contacting patients with positive cultures; in most cases this function was handled by physicians. Seventy-five percent of programs provided medical advice by telephone. These data highlight current practice patterns in EDs associated with pediatric training programs and may assist in the development of practice standards for pediatric emergency care.

scholarly journals A Research Agenda to Advance Pediatric Emergency Care Through Enhanced Collaboration Across Emergency Departments

2018 ◽  
Vol 25 (12) ◽  
pp. 1415-1426 ◽  
Author(s):  
Isabel Barata ◽  
Marc Auerbach ◽  
Oluwakemi Badaki‐Makun ◽  
Lee Benjamin ◽  
Madeline M. Joseph ◽  
...  
Keyword(s):  
Emergency Care ◽  
Emergency Departments ◽  
Research Agenda ◽  
Pediatric Emergency ◽  
Pediatric Emergency Care

scholarly journals Common diagnoses among pediatric attendances at emergency departments

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shuen Yin Celine Yoong ◽  
Peck Har Ang ◽  
Shu-Ling Chong ◽  
Yong-Kwang Gene Ong ◽  
Nur Diana Bte Zakaria ◽  
...  
Keyword(s):  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Upper Respiratory Tract ◽  
Patient Demographics ◽  
Triage Category ◽  
Pediatric Emergency Care ◽  
Case Type ◽  
The Common ◽  
Respiratory Conditions

Abstract Background Pediatric patients present to Emergency Departments (EDs) with a variety of medical conditions. An appreciation of the common presenting conditions can aid EDs in the provision of pediatric emergency care. In this study, we established the common pediatric diagnoses seen at the general EDs, with reference to a pediatric ED. Methods A retrospective review of medical records was performed for patients less than 16 years old at a pediatric ED and two general EDs from 1 January to 31 December 2018. Information including patient demographics, triage category, case type and diagnoses were collected. Results There were 159,040 pediatric attendances, of which 3477 (2.2%) were seen at the general EDs. Non-traumatic conditions were most prevalent at both general (N = 1933, 55.6%) and pediatric (N = 128,415, 82.5%) EDs. There was a higher proportion of trauma related conditions seen at the general EDs (N = 1544, 44.4%) compared to the pediatric ED (N = 27,148, 17.5%; p < 0.01). Across all EDs, upper respiratory tract infection, unspecified musculoskeletal pain and gastroenteritis were the three most common non-trauma related diagnoses, while fracture, wound and contusion were the three most common trauma related diagnoses. There was a greater proportion of emergent (P1) cases seen at the general EDs (N = 233, 6.7%) than the pediatric ED (N = 3821, 2.5%; p < 0.01). Respiratory conditions including bronchiolitis, asthma and bronchitis were the most common emergent (P1) diagnoses. Conclusions The common diagnoses among pediatric attendances varied between pediatric and general EDs. Therefore, general EDs should focus their efforts on these common diagnoses, especially the emergent (P1) ones, so that they can enhance their preparedness and work towards providing quality pediatric emergency care.

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