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Community Emergency Medicine Clinicians' Pediatric Sepsis Readiness

Carli Reisdorf1, Mark R Zonfrillo2, Susan J Duffy2

  • 1Clinical Fellow, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI.

Rhode Island Medical Journal (2013)
|December 18, 2024
PubMed

Insights

Many emergency clinicians lack confidence in treating pediatric sepsis, citing insufficient procedural experience and dosing knowledge. Targeted education is recommended to improve care for critically ill children.

Area of Science:

  • Pediatric Emergency Medicine
  • Clinical Preparedness
  • Sepsis Management

Background:

  • Pediatric sepsis is a major cause of illness and death in the U.S.
  • Early recognition and management are critical but difficult.
  • This study evaluated clinician readiness in the Rhode Island region.

Purpose of the Study:

  • To assess self-reported preparedness of community emergency medicine clinicians for pediatric sepsis.
  • To identify barriers in recognizing and managing pediatric sepsis.

Main Methods:

  • A cross-sectional survey was distributed to emergency medicine clinicians in Rhode Island.
  • Descriptive statistics were used to analyze the survey results.

Main Results:

  • 35 clinicians from 10 Emergency Departments participated.
  • While 97% felt confident managing adult sepsis with shock, only 51% felt confident with pediatric sepsis with shock.
  • Lack of pediatric procedural experience (74.2%) and familiarity with pediatric dosing (62.8%) were key barriers.

Conclusions:

  • Community emergency department clinicians report low confidence in managing pediatric sepsis.
  • Educational programs focusing on pediatric clinical examination, procedural skills, and medication dosing are needed.
  • Enhancing clinician confidence can improve care for pediatric sepsis patients.
Abstract

Keywords:
Pediatric Emergency CareReadinessResourcesSepsis

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