Critically ill children and the mystery of the outside emergency department
from American Academy of Pediatrics
The level of preparedness of an outside community hospital emergency department (ED) for a pediatric patient, especially a critically ill pediatric patient, is unpredictable — adult providers, adult equipment, rarity of children presenting there, unfamiliarity with pediatric diagnoses like a newborn in cardiogenic shock or pediatric sepsis, lack of focus on developing pediatric skills — the challenges go on. However, does the preparedness matter, and how often do critically ill children present to EDs that are not fully equipped to take care of them?
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