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 A survey of emergency medicine in 36 countries

CJEM ◽  
2001 ◽  
Vol 3 (02) ◽  
pp. 109-118 ◽  
Author(s):  
Jeffrey L. Arnold ◽  
Garth Dickinson ◽  
Ming-Che Tsai ◽  
David Han
Keyword(s):  
Emergency Medicine ◽  
Patient Care ◽  
Life Support ◽  
Advanced Cardiac Life Support ◽  
Pediatric Emergency ◽  
Rapid Sequence Intubation ◽  
Advanced Trauma Life Support ◽  
Rapid Sequence ◽  
The World ◽  
Pediatric Emergency Care

ABSTRACTObjective:To assess the current level of development of emergency medicine (EM) systems in the world.Design:Survey of EM professionals from 36 countries during a 90-day period from Aug. 25 to Nov. 24, 1998.Participants:Thirty-six EM professionals from 36 countries and 6 continents completed the survey. Thirty-five (97%) were physicians, of whom 25 (69%) gave presentations at 1 of 4 international EM conferences during the study period. Three potential participants from 3 countries were excluded because of language barriers. Five additional participants from 5 other countries did not respond within the study period and were excluded.Measurements:Respondents completed a 103-question questionnaire about the presence of EM specialty, academic, patient care, information and management systems and the factors influencing the future of EM in their countries.Results:The overall response rate was 88%. Nearly all respondents (97%) stated that their countries had hospital-based emergency departments (EDs). More than 80% of respondents reported that their countries have emergency medical services (EMS), national EMS activation phone numbers and ED systems for pediatric emergency care. More than 70% stated that their countries had national EM organizations, EM research, ED systems for patient transfer and peer review and emergency physician (EP) training in Advanced Cardiac Life Support (ACLS) and the ability to perform rapid sequence intubation. More than 60% reported ED systems for trauma care and triage and EP training in Advanced Trauma Life Support (ATLS) and the ability to perform thrombolysis for acute myocardial infarction. Fifty percent reported EM residency training programs, official recognition of EM as an independent specialty, and EM journals.Conclusions:Basic emergency medicine components now exist in the majority of countries surveyed. These include many specialty, academic, patient care and administrative systems. The foundation for further EM development is widely established throughout the world.

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

Variability in Informed Consent Practices for Non-Emergent Procedures in Pediatric Emergency Departments

2019 ◽  
Vol 58 (14) ◽  
pp. 1509-1514
Author(s):  
B. Lorrie Edwards ◽  
Heidi Werner ◽  
Yorghos Tripodis ◽  
David Dorfman ◽  
Tehnaz Boyle ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Informed Consent ◽  
Blood Transfusion ◽  
Emergency Departments ◽  
Current Practice ◽  
Response Rate ◽  
Standard Of Care ◽  
Pediatric Emergency ◽  
Pediatric Emergency Medicine ◽  
Written Informed Consent

Although informed consent is a cornerstone of medical ethics, it is unclear if the practice for obtaining informed consent is consistent among pediatric emergency departments. This study’s goal is to describe the current practice for written informed consent in academic pediatric emergency departments for non-emergent procedures. A questionnaire distributed to pediatric emergency medicine fellowship directors queried whether written informed consent was standard of care for 15 procedures and assessed departmental consent policies and use of “blanket” consent-to-treat forms. Response rate was 80% (n = 64). Institutions obtained written consent for a mean of 4.4 procedures. Written informed consent was most commonly obtained for procedural sedation (82.5%), blood transfusion (72.9%), and lumbar puncture (66.5%). Twenty-one institutions (32.8%) had policies specifying procedures requiring written consent. Thirty-five institutions (54.7%) used “blanket” consent-to-treat forms. Our results suggest that there is variability in the use of written informed consent for non-emergent procedures among academic pediatric emergency departments.

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

Emergency Care of the Child

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 572-576
Author(s):  
MARTHA BUSHORE
Keyword(s):  
Health Care Providers ◽  
Emergency Care ◽  
Life Support ◽  
Prehospital Care ◽  
Pediatric Emergency ◽  
Care Providers ◽  
Transport Services ◽  
Emergency Medical ◽  
Field Triage ◽  
Pediatric Emergency Care

Optimal emergency care of the child requires a well-developed EMS-C system. The components are easy to identify. We need macroregions with institutions acknowledging their institutional capabilities for pediatric emergency care and supporting field triage and transfer agreements. We need highly educated and skilled prehospital care providers, from emergency medical technicians in the field to air and ground transport services with specialized pediatric transport teams. In addition to having an appropriate hospital emergency department attending physician staff, hospitals must develop networks of cooperation between emergency departments appropriate for pediatrics and childern's emergency care centers. These centers strive for quality care through systematic record keeping, chart reviews, and audits identifying care deficiencies and appropriate remedies. Subsequent reviews document improved care. There are meetings of prehospital and hospital-based providers to discuss the management of challenging cases. Comprehensive pediatric emergency care involves integration of emergency stabilization patient care with community and hospital social services, patient education programs (such as Child Life), and comprehensive rehabilitation programs, as well as community accident prevention and basic life support programs. As we strive to develop optimal emergency medical services for our country to best serve our people, comprehensive emergency care of children must have separate consideration from comprehensive emergency care of adults. If we are to assure optimal outcome for the life-threatened child, we need to continuously assess regional needs and capabilities and encourage optimal involvement of health care providers and institutions.

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
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