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Improving Pediatric Bronchiolitis Care: Optimizing Nasal Suctioning in Community Emergency Departments

Christine E Maloney1, Kendra L Powell2, Ashley E Keilman1

  • 1Pediatric Emergency Medicine, Seattle Children's Hospital, Seattle, USA.

Cureus
|May 4, 2026
PubMed

Insights

Partnerships between academic and community emergency departments improved pediatric care. Training in bronchiolitis management increased staff confidence and intent to enhance infant care quality.

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Medical Education

Background:

  • Community emergency departments (EDs) manage most pediatric emergency care.
  • Low patient volume can lead to staff discomfort with pediatric cases, especially infants.
  • Bronchiolitis is a common pediatric illness requiring specialized emergency care.

Purpose of the Study:

  • To enhance clinical skills of community ED staff caring for infants with bronchiolitis.
  • To improve the quality of pediatric emergency care in community settings.
  • To explore the impact of academic-community ED partnerships on continuing education.

Main Methods:

  • Developed an evidence-based training module for bronchiolitis management.
  • Conducted hands-on suctioning simulations for community ED nurses and respiratory therapists.
  • Implemented a multi-center pilot study involving 31 participants.

Main Results:

  • The majority of participants reported increased confidence in caring for children with bronchiolitis.
  • Most participants intended to change their clinical practice following the training.
  • The training effectively addressed knowledge and skill gaps in pediatric emergency care.

Conclusions:

  • Academic-community ED partnerships are effective for delivering continuing education.
  • Simulation-based training can significantly improve pediatric care quality in community EDs.
  • Enhanced staff confidence and practice changes can lead to better infant outcomes.

Keywords:
community emergency departmentcontinuing health educationpediatric emergency caresimulation-based learningviral bronchiolitis

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