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

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

scholarly journals Pediatric Emergency Care Research Networks: A Research Agenda

2018 ◽  
Vol 25 (12) ◽  
pp. 1336-1344 ◽  
Author(s):  
Michael J. Stoner ◽  
Prashant Mahajan ◽  
Silvia Bressan ◽  
Samuel H. F. Lam ◽  
Corrie E. Chumpitazi ◽  
...  
Keyword(s):  
Emergency Care ◽  
Research Agenda ◽  
Pediatric Emergency ◽  
Research Networks ◽  
Care Research ◽  
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.

scholarly journals The utility of telemedicine in pediatric emergency care: a scoping review.

2021 ◽  
Vol 44 (2) ◽  
pp. 15-16
Author(s):  
Owen Robinson ◽  
Shaelynn Zouboules ◽  
Hailey Lafave ◽  
Roger Galbraith ◽  
Eddy Lang
Keyword(s):  
Patient Satisfaction ◽  
Patient Outcomes ◽  
Scoping Review ◽  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Lessons Learned ◽  
Provider Satisfaction ◽  
University Of Calgary ◽  
Pediatric Emergency Care

The utility of telemedicine in pediatric emergency care: a scoping review. Owen Robinson, Shaelynn Zouboules, Hailey Lafave, Roger Galbraith, Eddy Lang Background: Widespread public health measures to combat COVID-19 and escalated parental fear in seeking medical care have compromised access to acute healthcare, leading clinicians to search for alternative methods of delivery. Pediatric emergency departments (ED) have seen significant reductions in documented visits without evidence of a reduction in needs. In Alberta, average daily visits to pediatric emergency and urgent care departments decreased 69.6%, from 952.2 in December 2019 to 289.6 in April 2020. While pediatric emergency telemedicine (PET) programs have the potential to alleviate said gaps in care, it is critical that these technologies are evaluated to ensure patient safety and efficacy. Implementation: This study aimed to serve as an implementation framework for future PET programs. A scoping review was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis extension for scoping reviews (PRISMA-ScR). The primary objective was to map the existing literature and identify research gaps pertaining to the use of telemedicine in pediatric emergency departments. Primary areas of focus included direct-to-consumer (DTC) telemedicine, rural/regional applications, general ED utility, transfer of care and specialist consultation. This presentation focused on the aspects of DTC telemedicine, and its ability to potentially alleviate the present barriers to in-person presentations to EDs for acute pediatric health concerns. Our team consisted of two University of Calgary affiliated emergency physicians, three University of Calgary medical students, Canadian Agency for Drugs and Technology in Health research consultants, and a university librarian. Evaluation Methods: The outcomes of interest that we used to evaluate the relevant literature included: prevalence of PET; current applications; patient outcomes; patient satisfaction; provider satisfaction; and feasibility, challenges and barriers to implementation. In addition, we aimed to determine the proportion of literature focusing on DTC telemedicine, as this would be the desirable telemedicine application that could be used to supplement the gap in pediatric ED visits during the pandemic and mitigate the resulting health impacts. Lastly, we aimed to characterize both successes and challenges associated with DTC telemedicine in order to provide guidance for future research and policy. Results: Searches of the electronic databases returned 1617 studies. Following the two-step screening process, 37 studies met our inclusion criteria and six focused on DTC telemedicine. Study designs were all observational with all published in 2015 or later. The number of studies reporting data on the outcomes of interest were as follows: patient satisfaction (N=0); prevalence (N=1); provider satisfaction (N=1); patient outcomes (N=2); current applications (N=6); feasibility, challenges and barriers (N=6). Respiratory presentations were the most prevalent application. Three of six studies demonstrated agreement between telemedicine and in-person providers during acute assessments, demonstrating reliability of telemedicine. Conversely, two studies conveyed antimicrobial stewardship with conflicting results. Overall, results were largely positive with important challenges identified.Advice and Lessons Learned: Based on the lessons learned from our research, we recommend the following: 1) Implentation of a DTC telemedicine program can provide timely access to care, whileminimizing the health risks associated with visting the ED during the COVID-19 pandemic. 2) Respiratory complaints were among the most common presentations and thus we recommenddeveloping diagnostic and management algorithms to standardize the virtual care provided. 3) Continue quality improvement measures upon implementing a telemedicine program throughtimely feedback regarding physicians’ experiences and challenges in order to addressconcerns early and optimize efficacy of the program.

Emergency Care Connect: Extending Pediatric Emergency Care Expertise to General Emergency Departments Through Telemedicine

2020 ◽  
Vol 20 (5) ◽  
pp. 577-584 ◽  
Author(s):  
Carolyn C. Foster ◽  
Michelle L. Macy ◽  
Norma-Jean Simon ◽  
Rebecca Stephen ◽  
Katherine Lehnig ◽  
...  
Keyword(s):  
Emergency Care ◽  
Emergency Departments ◽  
Pediatric Emergency ◽  
Pediatric Emergency Care

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
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