Policy & Position Statements

Position of Director of Pediatrics for Non-Pediatric and Community Hospital Emergency Departments

The 2006 Institute of Medicine Report outlines the need for appointment of at least one physician to assume pediatric leadership within all emergency medical services agencies, whose role should include ensuring adequate skills and knowledge among fellow ED providers and the oversight of pediatric care and quality improvement initiatives within the department. In the absence of adequate numbers of subspecialty trained Pediatric Emergency Medicine physicians within the pediatric emergency care workforce to assume this role in every community hospital department, this post should alternatively be filled by qualified Emergency Medicine-trained physicians with additional training and expertise in pediatric emergencies as demonstrated through successful completion of an Emergency Medicine Pediatric Leader Fellowship (EMPL), or some equivalent form of formal preparation for the job. These physicians would assume the position of Director of Pediatrics within their community hospital ED. In addition to their other duties described above, these physicians would also serve as liaisons between their own non-pediatric emergency departments and the regional tertiary pediatric emergency department, and spearhead and ensure effective working alliances between the two.

What's New

PEP Course

The Steven Z. Miller Community Hospital Emergency Pediatrics Leadership Academy

LET US HELP YOU DEVELOP PEDIATRIC LEADERSHIP FOR YOUR ED!
Read More

Report

How Comfortable Are Community-Hospital Emergency Physicians And Nurses With Emergency Pediatrics?

Physicians surveyed frequently commented that “symptoms displayed by children are so subtle that sepsis and septic shock are often missed. Source: iMedPub Journals
Read More

Report

Cardiac Arrest Survival in Pediatric and General Emergency Departments

Analysis of the difference in survival rate of pediatric patients suffering from out of-hospital cardiac arrest (OHCA) reveals a higher survival rate for children suffering from nontraumatic OHCA at pediatric emergency departments than at general emergency departments. Source: AAP
Read More

Report

Pediatric Myocarditis: The Great Masquerader! Clinical Presentations and Early Predictors for Poor Outcomes.

Diagnosis different from myocarditis was made in 52% of cases. 31% were categorized as respiratory infection (bronchiolitis, pneumonia, and upper respiratory tract infection), 17% as gastrointestinal infection, 2%as urinary tract infection, and 2% as infantile colic. Source: WJCC
Read More

Report

Pediatric Sepsis: A Challenging Diagnosis for Community-Hospital Emergency Physicians!

Due to the physiological differences between children and adults, it is now evident that pediatric sepsis is an entity distinct from adult sepsis. This article describes the challenges community hospital emergency providers face with diagnosis.Source: HHS Public Access
Read More

Report

How Well Do Vital Signs Identify Children With Serious Infections In Pediatric Emergency Care?

This UK study demonstrates that pediatric vital signs can be used to help identify children with serious infections in pediatric emergency departments and offer similar diagnostic performance to more complicated triage tools. Source: BMJ Journals
Read More