scholarly journals Remick K, Gausche-Hill M, Joseph MM, Brown K, Snow SK, Wright JL; American Academy of Pediatrics Committee on Pediatric Emergency medicine and Section on Surgery; American College of Emergency Physicians Pediatric Emergency Medicine Committee; Emergency Nurses Association Pediatric Committee. Pediatric Preparedness in the Emergency Department. Pediatrics. 2018;142(5):e20182459

PEDIATRICS ◽  
2019 ◽  
Vol 143 (3) ◽  
pp. e20183894
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
American Academy ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Emergency Physicians ◽  
Emergency Nurses ◽  
American Academy Of Pediatrics

scholarly journals How to conduct implementation trials and multicentre studies in the emergency department

CJEM ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 448-452
Author(s):  
Ian G. Stiell ◽  
Jeffrey J. Perry ◽  
Jamie Brehaut ◽  
Erica Brown ◽  
Janet A. Curran ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Implementation Research ◽  
Pediatric Emergency ◽  
Research Infrastructure ◽  
Pediatric Emergency Medicine ◽  
Structured Interviews ◽  
Local Study ◽  
Multicentre Studies ◽  
Implementation Studies

AbstractObjectiveThe objective of Panel 2b was to present an overview of and recommendations for the conduct of implementation trials and multicentre studies in emergency medicine.MethodsPanel members engaged methodologists to discuss the design and conduct of implementation and multicentre studies. We also conducted semi-structured interviews with 37 Canadian adult and pediatric emergency medicine researchers to elicit barriers and facilitators to conducting these kinds of studies.ResultsResponses were organized by themes, and, based on these responses, recommendations were developed and refined in an iterative fashion by panel members.ConclusionsWe offer eight recommendations to facilitate multicentre clinical and implementation studies, along with guidance for conducting implementation research in the emergency department. Recommendations for multicentre studies reflect the importance of local study investigators and champions, requirements for research infrastructure and staffing, and the cooperation and communication between the coordinating centre and participating sites.

scholarly journals Pulse oximetry in discharge decision-making: a survey of emergency physicians

CJEM ◽  
2002 ◽  
Vol 4 (06) ◽  
pp. 388-393 ◽  
Author(s):  
Lance Brown ◽  
Bernard Dannenberg
Keyword(s):  
Emergency Medicine ◽  
Pulse Oximetry ◽  
Pediatric Emergency ◽  
Primary Objective ◽  
Pediatric Emergency Medicine ◽  
Emergency Physicians ◽  
Inclusion Criteria ◽  
Experience Teaching ◽  
Practice Variability ◽  
Modest Degree

ABSTRACT Objectives: Our primary objective was to describe the pulse oximetry discharge thresholds used by general and pediatric emergency physicians for well-appearing children with bronchiolitis and pneumonia, and to assess the related practice variability. Methods: This mail-in survey was conducted in August and September 2001 and included the 281 active members of the Pediatric Emergency Medicine Section of the American College of Emergency Physicians. The survey consisted of 2 case scenarios of previously healthy, well-appearing children: a 2-year-old with pneumonia and a 10-month-old with bronchiolitis. Respondents were asked about their years of experience, teaching load, percentage of children in their practice, whether they currently have a written departmental guideline at their institution, and the lowest pulse oximetry reading that they would accept and still discharge the patient directly home. Results: One hundred and eighty-two (65%) physicians answered the survey and met the inclusion criteria. The respondents’ median oximetry value and interquartile range (IQR) for the pneumonia and bronchiolitis cases were 93% (92%–94%) and 94% (92%–94%) respectively. With the exception of the 3 physicians practising >1000 metres above sea level, the responses by subgroups were similar. Conclusions: There does not yet exist a safe, clinically validated pulse oximetry discharge threshold. Emergency physicians from this study sample have a modest degree of practice variability in a self-reported pulse oximetry discharge threshold. Emergency physicians may use this data to compare their own practice with that reported by this group.

Death in the Emergency Department

PEDIATRICS ◽  
1995 ◽  
Vol 95 (2) ◽  
pp. 321-321
Author(s):  
Larrie W. Greenberg
Keyword(s):  
Emergency Department ◽  
American Academy ◽  
Critical Issue ◽  
Pediatric Emergency ◽  
Crisis Counseling ◽  
Residency Programs ◽  
Pediatric Residency ◽  
American Academy Of Pediatrics ◽  
Death Of A Child

The American Academy of Pediatrics Committee on Pediatric Emergency Medicine's position on the death of a child in the emergency department that appeared in the May 1994 issue of Pediatrics omitted a critical issue, in my opinion.1 The paper did not address what pediatric residency programs are or should be doing to train physicians to be more effective in crisis counseling. Unfortunately, the most inexperienced physicians are often expected to inform parents that their child has died and then counsel them.

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