Ability of hospitals to care for pediatric emergency patients.


CONTEXT:The needs of children in emergency situations differ from those of adults and require special attention, yet there has been no study of the ability of U.S. hospitals to care for emergently or critically ill children. OBJECTIVE:To estimate the distribution of pediatric services available at U.S. hospitals with emergency departments (EDs). DESIGN:Self-report survey of 101 hospital EDs. PARTICIPANTS:Stratified probability sample of all U.S. hospitals operating EDs. RESULTS:The majority of hospitals that usually admit pediatric patients do not have separate pediatric facilities. Hospitals without a pediatric department, ward, or trauma service usually transfer critically injured pediatric trauma patients; however, nearly 10% of hospitals without pediatric intensive care facilities admit critically injured children to their own facilities. Likewise, 7% of hospitals routinely admit pediatric patients known to require intensive care to their adult intensive care units rather than transferring the patient to a facility with pediatric intensive care facilities. Few hospitals have protocols for obtaining pediatric consultation on pediatric emergencies. Appropriately sized equipment for successful care of infants and children in an emergency situation was more likely to be missing than adult-sized equipment, and significant numbers of hospitals did not have adequate equipment to care for newborn emergencies. CONCLUSION:Emergent and critical care of infants and children may not be well integrated and regionalized within our health care system, suggesting that there is room for improvement in the quality of care for children encountering emergent illness and trauma.


Pediatr Emerg Care


Pediatric emergency care


Athey J,Dean JM,Ball J,Wiebe R,Melese-d'Hospital I




Has Abstract


2001-06-01 00:00:00












  • Deep vein thrombosis and septic pulmonary emboli with MRSA osteomyelitis in a pediatric patient.

    abstract::Deep vein thrombosis (DVT) and pulmonary embolism (PE) are relatively rare occurrences in the pediatric population. However, DVT and PE are associated with significant morbidity and mortality to the patient if not promptly diagnosed and treated. We describe the case of a 5-year-old boy that was diagnosed in our emerge...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Schaub RL,Rodkey ML

    更新日期:2012-09-01 00:00:00

  • Acute disseminated encephalomyelitis following meningoencephalitis: case report and literature review.

    abstract::Meningoencephalitis and acute disseminated encephalomyelitis (ADEM) are both neurological disease processes, but there have been few cases of meningoencephalitis progressing to ADEM in the pediatric population. A case of a 4-year-old girl with an initial diagnosis of meningoencephalitis is presented here, whose initia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Elias MD,Narula S,Chu AS

    更新日期:2014-04-01 00:00:00

  • Diaphragmatic hernia in a pediatric emergency department.

    abstract::Diaphragmatic hernia in pediatric emergency department poses a diagnostic challenge because of the acute or subtle timing of onset and the wide variety of clinical features. We describe 3 different late presentations of Bochdalek diaphragmatic hernia in a pediatric emergency department. These reports may help physicia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Comberiati P,Giacomello L,Camoglio FS,Peroni DG

    更新日期:2015-05-01 00:00:00

  • Fever determination in young infants: prevalence and accuracy of parental palpation.

    abstract:OBJECTIVES:Pediatricians routinely advise parents to seek immediate medical attention if their young infant develops a fever. Many parents rely on palpation to assess their child's temperature. Our objective was to determine the prevalence and accuracy of parental palpation for fever in young infants. METHODS:We enrol...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Katz-Sidlow RJ,Rowberry JP,Ho M

    更新日期:2009-01-01 00:00:00

  • Knowledge, attitudes, and beliefs about emergency contraception: a survey of female adolescents seeking care in the emergency department.

    abstract:OBJECTIVES:This study aimed to assess urban adolescents' knowledge of and attitudes about emergency contraception (EC) and to assess the intention to use EC in particular hypothetical situations. We hypothesized that knowledge about EC would be limited, but that adolescents would support using EC in certain situations....

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Mollen CJ,Miller MK,Hayes KL,Barg FK

    更新日期:2013-04-01 00:00:00

  • Torsade de pointes associated with Astemizole overdose treated with magnesium sulfate.

    abstract::Astemizole (Hismanal-Janssen, New Brunswick, NJ) is a nonsedating antihistamine that has the advantage of a once-daily dosage schedule. This article reports the case of a 14-year-old female who intentionally ingested 270 mg of Astemizole and developed torsade de pointes, a form of polymorphic ventricular tachycardia t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hasan RA,Zureikat GY,Nolan BM

    更新日期:1993-02-01 00:00:00

  • Penetrating injury to the superior sagittal sinus by a nail in a 4-year-old child: a case report.

    abstract::Penetrating head injuries are rare in children, with most injuries being accidental as a result of unsupervised use of sharp objects by young children. We present the case of a 4-year-old boy brought to our emergency department with a nail embedded through a wooden board and into his skull. The nail was determined to ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sedney CL,Harshbarger T,Orphanos J,Collins JJ

    更新日期:2012-11-01 00:00:00

  • Central venous access via external jugular vein in children.

    abstract:OBJECTIVE:To determine the success rate and complications of using the external jugular (EJ) vein for central venous access in pediatric patients. METHODS:Prospective cohort study of children who underwent attempts at EJ vein central venous access while receiving care in an 11-bed pediatric intensive care unit at an u...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tecklenburg FW,Cochran JB,Webb SA,Habib DM,Losek JD

    更新日期:2010-08-01 00:00:00

  • Scorpion envenomation and antivenom therapy.

    abstract::Scorpion envenomation is a dangerous and common global event that can result in a variety of toxic clinical effects. These are typically managed with supportive care or antivenom. Antivenom use is controversial because of conflicting evidence of effectiveness for adrenergic toxicity. However, both controlled and uncon...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tuuri RE,Reynolds S

    更新日期:2011-07-01 00:00:00

  • Adverse events in pediatric ketamine sedations with or without morphine pretreatment.

    abstract:OBJECTIVE:To assess outcomes between 2 groups of patients receiving ketamine for procedural sedations in our pediatric emergency department. Our hypothesis is that there is no difference in the number of adverse events in ketamine sedations with and without morphine pretreatment. METHODS:This was a retrospective cohor...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Waterman GD Jr,Leder MS,Cohen DM

    更新日期:2006-06-01 00:00:00

  • Update on antidotes for pediatric poisoning.

    abstract::Antidotes are playing an increasing role in therapy for pediatric poisonings. Although initial response to all pediatric poisonings begins with basic stabilization, knowledge of specific antidotes, their mechanisms of action, safety profile in pediatrics, and dosing regimens can be life-saving for pediatric victims of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: White ML,Liebelt EL

    更新日期:2006-11-01 00:00:00

  • Real-Time Measurement of Crowding in Pediatric Emergency Department: Derivation and Validation Using Consensual Perception of Crowding (SOTU-PED).

    abstract::Our study aimed to develop and validate a real-time crowding composite scale for pediatric emergency department (PED). The study took place in one teaching PED for 2 months. The outcome was the perception of crowding evaluated by triage nurses and pediatricians on a 10-level Likert scale. Triage nurses evaluated crowd...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Noel G,Jouve E,Fruscione S,Minodier P,Boiron L,Viudes G,Gentile S

    更新日期:2020-01-27 00:00:00

  • Ingested magnets: the force within.

    abstract::Foreign body ingestion is a common occurrence in children. Morbidity associated with ingestion is rare and is dependent on the type of foreign body ingested. We report a case of a 9-year-old boy who developed intestinal obstruction and perforation following ingestion of magnetic-backed earrings. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Tay ET,Weinberg G,Levin TL

    更新日期:2004-07-01 00:00:00

  • Pediatric pyogenic liver abscess.

    abstract::Pyogenic liver abscess (PLA) is a rare pediatric disease. Typically, PLA is found in adults with biliary disease. There are no typical physical findings or symptoms. Often, pathogenic organisms are not recovered for identification. This case illustrates a teenager presenting with prolonged episodes of fever and vomiti...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Israeli R,Jule JE,Hom J

    更新日期:2009-02-01 00:00:00

  • Invasive Bacterial Infections in Infants Younger Than 60 Days With Skin and Soft Tissue Infections.

    abstract:OBJECTIVE:The objective of this study was to describe the frequency of invasive bacterial infections (IBIs) in young infants with skin and soft tissue infections (SSTIs) and the impact of IBI evaluation on disposition, length of stay (LOS), and cost. METHODS:This retrospective (2009-2014) cohort study used data from 3...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Foradori DM,Lopez MA,Hall M,Cruz AT,Markham JL,Colvin JD,Nead JA,Queen MA,Raphael JL,Wallace SS

    更新日期:2018-08-20 00:00:00

  • Current variability of clinical practice management of pediatric diabetic ketoacidosis in Illinois pediatric emergency departments.

    abstract:OBJECTIVE:This study aimed to investigate the management of pediatric patients with diabetic ketoacidosis (DKA) presenting to emergency departments (EDs) participating in the Illinois Emergency Medical Services for Children (EMSC) Facility Recognition program. METHODS:In 2010, Illinois EMSC conducted a survey (includi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Barrios EK,Hageman J,Lyons E,Janies K,Leonard D,Duck S,Fuchs S

    更新日期:2012-12-01 00:00:00

  • Emergency Department Management of Bronchiolitis in the United States.

    abstract:OBJECTIVE:The aim of this study was to examine differences between general and pediatric emergency departments (PEDs) in adherence to the American Academy of Pediatrics bronchiolitis management guidelines. METHODS:We conducted a nationally representative study of ED visits by infants younger than 24 months with bronch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Gong C,Byczkowski T,McAneney C,Goyal MK,Florin TA

    更新日期:2019-05-01 00:00:00

  • Epidemiology of Headache in Children in a Community Emergency Department: A Scoping Study.

    abstract:OBJECTIVE:This study aimed to describe the epidemiology of headache in children attending a community mixed adult-pediatric emergency department (ED) in Australia with a view to providing scoping data for future headache-related projects for the pediatric ED research networks. METHODS:This is a retrospective cohort st...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Klim S,Kelly AM,Krieser D

    更新日期:2020-01-21 00:00:00

  • Pediatric Dog Bite Prevention: Are We Barking Up the Wrong Tree or Just Not Barking Loud Enough?

    abstract:OBJECTIVES:The objectives of this study were (1) to evaluate dog bite-related injuries and associated medical documentation and (2) to compare these results with a study of dog bites from the same institution 10 years prior. METHODS:Data were retrospectively collected from a pediatric emergency department from July 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Bykowski MR,Shakir S,Naran S,Smith DM,Goldstein JA,Grunwaldt L,Saladino RA,Losee JE

    更新日期:2019-09-01 00:00:00

  • Epidemiology of Admissions From the Emergency Department Among Febrile Infants Younger Than 90 Days in the United States, 2002 to 2012.

    abstract:BACKGROUND AND OBJECTIVES:Febrile infants younger than 90 days are often subjected to invasive diagnostic evaluation and hospitalization to monitor for serious bacterial infection (SBI) despite recent changes in SBI risk and advances in diagnostics. Nationwide provider practices, over time, are unknown for this group. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Nguyen DK,Fleischman RJ,Friedlander S,Zangwill KM

    更新日期:2020-08-01 00:00:00

  • Abnormal gait in a child with fever: diagnosing septic arthritis of the hip.

    abstract::The diagnosis of septic arthritis should be considered in all children with hip pain. We review the evaluation of children who present with fever and hip pain, emphasizing features that may assist in distinguishing septic arthritis of the hip from transient synovitis. We also discuss the impact of the increased preval...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Shah SS

    更新日期:2005-05-01 00:00:00

  • Electrical injuries in urban children in New Delhi.

    abstract:AIM:The objective of this study was to analyze the epidemiology, presentation, management, and complications of electrical burn injuries in urban children. METHODS:Data from records and clinical data were collected retrospectively and prospectively during 2008 to 2010. RESULTS:Of 41 children enrolled, the mean age of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Rai A,Khalil S,Batra P,Gupta SK,Bhattacharya S,Dubey NK,Mehra N,Saha A

    更新日期:2013-03-01 00:00:00

  • Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children.

    abstract:UNLABELLED:Negative-pressure pulmonary edema is a rare but life-threatening complication of upper airway obstruction. Because negative-pressure pulmonary edema may occur in a large spectrum of pathologies associated with upper airway obstruction, awareness of this condition is crucial during daily clinical practice. We...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Silva PS,Monteiro Neto H,Andrade MM,Neves CV

    更新日期:2005-11-01 00:00:00

  • Factors Associated With First Medication Time for Children Treated in the Emergency Department for Asthma.

    abstract:OBJECTIVES:Acute asthma exacerbations are among the most common reasons for childhood emergency department (ED) visits and hospitalizations. Although early ED administration of asthma medication has been shown to decrease hospitalizations, studies of factors associated with early ED asthma medication delivery have been...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Jang H,Ozkaynak M,Ayer T,Sills MR

    更新日期:2021-01-01 00:00:00

  • The clinical presentation of pediatric pelvic fractures.

    abstract:BACKGROUND:Few studies have addressed the presentation and clinical impact of pediatric pelvic fractures. We sought to describe pediatric blunt trauma patients with pelvic fracture (PF) and to evaluate the sensitivity and specificity of physical examination at presentation for diagnosis. METHODS:Retrospective analysis...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Junkins EP,Furnival RA,Bolte RG

    更新日期:2001-02-01 00:00:00

  • Survey of parental willingness to pay and willingness to stay for "painless" intravenous catheter placement.

    abstract:OBJECTIVES:This study examined how much parents are willing to pay and/or willing to stay to make their child's intravenous (IV) catheter placement painless. METHODS:A prospective survey was conducted using a questionnaire administered to a consecutive sample of parents presenting to an emergency department (ED). Elig...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Walsh BM,Bartfield JM

    更新日期:2006-11-01 00:00:00

  • Accessory Spleen Fracture: Report of a Pediatric Case and Review of the Literature.

    abstract::Accessory spleen rupture may occur after blunt abdominal trauma or, more rarely, spontaneously. Although only few cases are described in adults, it is even more uncommon in children. We report the case of a 13-year-old boy with traumatic accessory spleen fracture. After a review of the literature, we discuss the diagn...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Chauvet E,Spyropoulou V,Anooshiravani-Dumont M,Sanchez O,Lacroix L

    更新日期:2020-01-01 00:00:00

  • A retrospective study of the influence of telemedicine in the management of pediatric facial lacerations.

    abstract::A study was carried out to determine the influence of telemedicine on management of facial lacerations in children. Proforma was designed, and information was collected retrospectively over a 4-month period. Of the 2524 telemedicine referrals, 27% (693/2524) were pediatric referrals. One hundred forty-five of these we...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Farook SA,Davis AK,Sadiq Z,Dua R,Newman L

    更新日期:2013-08-01 00:00:00

  • Changing epidemiology of injury-related pediatric mortality in a rural state: implications for injury control.

    abstract:STUDY OBJECTIVE:To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time. DESIGN:Retrospective review of injury-related deaths in children less than 15 years of age. Data were obtained from death certificates and coroner, autopsy, prehospital, and hospital...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Rausch TK,Sanddal ND,Sanddal TL,Esposito TJ

    更新日期:1998-12-01 00:00:00

  • Examining the Appropriateness and Motivations Behind Low-Acuity Pediatric Emergency Department Visits.

    abstract:OBJECTIVES:High patient volumes have a deleterious effect on care in the pediatric emergency department (PED). Our study assessed the motivation for PED visits that could have been assessed by a primary care physician. METHODS:We identified a convenience sample of patients presenting to the SickKids Hospital PED in Ju...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Haasz M,Ostro D,Scolnik D

    更新日期:2018-09-01 00:00:00