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COVID-19: the effects on the practice of pediatric emergency medicine

David M Walker1, Victorio R Tolentino2

  • 1Chief, Pediatric Emergency Medicine, Department of Pediatrics, Joseph M. Sanzari Children's Hospital, Hackensack University Medical Center, Hackensack.

Pediatric Emergency Medicine Practice
|June 18, 2020
PubMed

Insights

Pediatric emergency departments adapted operations and care during COVID-19 due to patient volume shifts and infection control needs. This highlights the resilience of pediatric emergency medicine in public health crises.

Area of Science:

  • Emergency Medicine
  • Public Health
  • Pediatrics

Background:

  • The COVID-19 pandemic significantly impacted healthcare systems globally.
  • Pediatric emergency departments (PEDs) faced unique operational and clinical challenges.
  • Understanding these challenges is crucial for future preparedness.

Purpose of the Study:

  • To survey pediatric emergency department leaders in North America regarding pandemic-related changes.
  • To identify operational, infrastructural, staffing, and clinical care adjustments in PEDs.
  • To assess the impact on academic training and provider well-being.

Main Methods:

  • An informal survey was conducted among 65 leaders of pediatric emergency departments.
  • Respondents represented 30 U.S. states and 4 Canadian provinces.
  • The survey focused on changes implemented due to the COVID-19 pandemic.

Main Results:

  • PEDs implemented changes in operations, infrastructure, staffing, and clinical care.
  • Key drivers included reduced pediatric volumes, increased adult patient surges, infection control, and financial factors.
  • Pandemic effects on academic training programs and provider wellness were also reported.

Conclusions:

  • Pediatric emergency medicine departments demonstrated significant adaptability during the COVID-19 public health emergency.
  • These findings offer a snapshot of resilience and coping strategies in PEDs.
  • The study underscores the need for robust support systems for PEDs during crises.

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