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Preparation for Pediatric Emergencies in the Office: Policy Statement
Patricia Cantrell1, Jennifer Hoffmann2, Matthew Yuknis3
1Department of Pediatrics, Southern California Permanente Medical Group.
Insights
Pediatric offices can prepare for emergencies by considering location, patient population, and proximity to hospitals. This updated guidance helps create individualized emergency plans for diverse pediatric practices.
Area of Science:
- Pediatrics
- Emergency Medicine
- Healthcare Administration
Background:
- Pediatric emergencies can occur in medical office settings, necessitating preparedness.
- Existing guidelines from 2007 require updating to reflect current practice needs.
- Office settings vary significantly, impacting emergency preparedness strategies.
Purpose of the Study:
- To update recommendations for pediatric emergency preparedness in office settings.
- To provide guidance for primary care and subspecialty pediatric practices.
- To offer an individualized approach to emergency planning based on specific office factors.
Main Methods:
- Review and update of the 2007 American Academy of Pediatrics (AAP) practice guideline.
- Development of a companion technical report with evidence-based recommendations.
- Creation of an accompanying checklist for office readiness assessment.
Main Results:
- Updated recommendations for preparing pediatric offices for emergencies.
- Consideration of factors like location, patient population, and hospital proximity in planning.
- A framework for individualized emergency preparedness plans.
Conclusions:
- Medical offices caring for children and adolescents should proactively prepare for emergencies.
- An individualized approach, considering unique office circumstances, is crucial for effective emergency planning.
- The updated policy statement and technical report serve as a guide for enhancing pediatric office emergency readiness.
Abstract:
Although not common, pediatric emergencies present in the medical office setting, and offices that care for children and adolescents can prepare for these emergencies. Offices vary depending on their location and office setting, patient population, and distance to an emergency department or hospital. Consequently, these factors should be taken into account in the planning process. This statement updates the recommendations from the 2007 American Academy of Pediatrics (AAP) practice guideline "Preparation for Emergencies in the Offices of Pediatricians and Pediatric Primary Care Providers." An accompanying technical report contains explanations and evidence for these recommendations and can be found at https://doi.org/10.1542/peds.2026-076622. This policy statement and companion technical report can be used as a guide to help create an individualized approach to emergencies that occur in offices that care for children, including both primary care and subspecialty practices. An accompanying checklist summarizes steps that medical offices can take to assess their readiness for pediatric emergencies.
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