Review of pediatric emergency care and the COVID‐19 pandemic
Abstract The coronavirus disease 2019 (COVID‐19) pandemic posed new challenges in health care delivery for patients of all ages. These included inadequate personal protective equipment, workforce shortages, and unknowns related to a novel virus. Children have been uniquely impacted by COVID‐19, both...
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-12-01
|
| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.13073 |
| _version_ | 1827398997038333952 |
|---|---|
| author | Ashley A. Foster Theresa A. Walls Kiyetta H. Alade Kathleen Brown Marianne Gausche‐Hill Sophia D. Lin Emily A. Rose Timothy Ruttan Sam Shahid Annalise Sorrentino Michael J Stoner Muhammad Waseem Mohsen Saidinejad ACEP Pediatric Emergency Medicine Committee |
| author_facet | Ashley A. Foster Theresa A. Walls Kiyetta H. Alade Kathleen Brown Marianne Gausche‐Hill Sophia D. Lin Emily A. Rose Timothy Ruttan Sam Shahid Annalise Sorrentino Michael J Stoner Muhammad Waseem Mohsen Saidinejad ACEP Pediatric Emergency Medicine Committee |
| author_sort | Ashley A. Foster |
| collection | DOAJ |
| description | Abstract The coronavirus disease 2019 (COVID‐19) pandemic posed new challenges in health care delivery for patients of all ages. These included inadequate personal protective equipment, workforce shortages, and unknowns related to a novel virus. Children have been uniquely impacted by COVID‐19, both from the system of care and socially. In the initial surges of COVID‐19, a decrease in pediatric emergency department (ED) volume and a concomitant increase in critically ill adult patients resulted in re‐deployment of pediatric workforce to care for adult patients. Later in the pandemic, a surge in the number of critically ill children was attributed to multisystem inflammatory syndrome in children. This was an unexpected complication of COVID‐19 and further challenged the health care system. This article reviews the impact of COVID‐19 on the entire pediatric emergency care continuum, factors affecting ED care of children with COVID‐19 infection, including availability of vaccines and therapeutics approved for children, and pediatric emergency medicine workforce innovations and/or strategies. Furthermore, it provides guidance to emergency preparedness for optimal delivery of care in future health‐related crises. |
| first_indexed | 2024-03-08T19:37:57Z |
| format | Article |
| id | doaj.art-1470e53dfacb4fc383457221aa3a56c4 |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-03-08T19:37:57Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-1470e53dfacb4fc383457221aa3a56c42023-12-25T16:06:38ZengWileyJournal of the American College of Emergency Physicians Open2688-11522023-12-0146n/an/a10.1002/emp2.13073Review of pediatric emergency care and the COVID‐19 pandemicAshley A. Foster0Theresa A. Walls1Kiyetta H. Alade2Kathleen Brown3Marianne Gausche‐Hill4Sophia D. Lin5Emily A. Rose6Timothy Ruttan7Sam Shahid8Annalise Sorrentino9Michael J Stoner10Muhammad Waseem11Mohsen Saidinejad12ACEP Pediatric Emergency Medicine CommitteeDepartment of Emergency Medicine University of California, San Francisco San Francisco California USADivision of Emergency Medicine, Department of Pediatrics The Children's Hospital of Philadelphia Philadelphia Pennsylvania USADivision of Emergency Medicine, Department of Pediatrics Texas Children's Hospital Houston Texas USADivision of Emergency Medicine, Department of Pediatrics Children's National Hospital Washington, DC USADepartments of Emergency Medicine and Pediatrics, David Geffen School of Medicine at University of California Los Angeles California USADepartments of Emergency Medicine and Pediatrics Weill Cornell Medical College New York New York USADepartment of Emergency Medicine Los Angeles County + University of Southern California Medical Center Los Angeles California USADepartment of Pediatrics, Dell Medical School The University of Texas at Austin US Acute Care Solutions Canton Ohio USADepartment of Clinical Affairs American College of Emergency Physicians Irving Texas USADepartment of Pediatrics, Division of Emergency Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Emergency Medicine Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USADivision of Emergency Medicine Lincoln Medical Center Bronx New York USADepartments of Emergency Medicine and Pediatrics, David Geffen School of Medicine at University of California Los Angeles California USAAbstract The coronavirus disease 2019 (COVID‐19) pandemic posed new challenges in health care delivery for patients of all ages. These included inadequate personal protective equipment, workforce shortages, and unknowns related to a novel virus. Children have been uniquely impacted by COVID‐19, both from the system of care and socially. In the initial surges of COVID‐19, a decrease in pediatric emergency department (ED) volume and a concomitant increase in critically ill adult patients resulted in re‐deployment of pediatric workforce to care for adult patients. Later in the pandemic, a surge in the number of critically ill children was attributed to multisystem inflammatory syndrome in children. This was an unexpected complication of COVID‐19 and further challenged the health care system. This article reviews the impact of COVID‐19 on the entire pediatric emergency care continuum, factors affecting ED care of children with COVID‐19 infection, including availability of vaccines and therapeutics approved for children, and pediatric emergency medicine workforce innovations and/or strategies. Furthermore, it provides guidance to emergency preparedness for optimal delivery of care in future health‐related crises.https://doi.org/10.1002/emp2.13073COVID‐19pandemic emergency preparednesspediatric emergency medicinepediatrics |
| spellingShingle | Ashley A. Foster Theresa A. Walls Kiyetta H. Alade Kathleen Brown Marianne Gausche‐Hill Sophia D. Lin Emily A. Rose Timothy Ruttan Sam Shahid Annalise Sorrentino Michael J Stoner Muhammad Waseem Mohsen Saidinejad ACEP Pediatric Emergency Medicine Committee Review of pediatric emergency care and the COVID‐19 pandemic Journal of the American College of Emergency Physicians Open COVID‐19 pandemic emergency preparedness pediatric emergency medicine pediatrics |
| title | Review of pediatric emergency care and the COVID‐19 pandemic |
| title_full | Review of pediatric emergency care and the COVID‐19 pandemic |
| title_fullStr | Review of pediatric emergency care and the COVID‐19 pandemic |
| title_full_unstemmed | Review of pediatric emergency care and the COVID‐19 pandemic |
| title_short | Review of pediatric emergency care and the COVID‐19 pandemic |
| title_sort | review of pediatric emergency care and the covid 19 pandemic |
| topic | COVID‐19 pandemic emergency preparedness pediatric emergency medicine pediatrics |
| url | https://doi.org/10.1002/emp2.13073 |
| work_keys_str_mv | AT ashleyafoster reviewofpediatricemergencycareandthecovid19pandemic AT theresaawalls reviewofpediatricemergencycareandthecovid19pandemic AT kiyettahalade reviewofpediatricemergencycareandthecovid19pandemic AT kathleenbrown reviewofpediatricemergencycareandthecovid19pandemic AT mariannegauschehill reviewofpediatricemergencycareandthecovid19pandemic AT sophiadlin reviewofpediatricemergencycareandthecovid19pandemic AT emilyarose reviewofpediatricemergencycareandthecovid19pandemic AT timothyruttan reviewofpediatricemergencycareandthecovid19pandemic AT samshahid reviewofpediatricemergencycareandthecovid19pandemic AT annalisesorrentino reviewofpediatricemergencycareandthecovid19pandemic AT michaeljstoner reviewofpediatricemergencycareandthecovid19pandemic AT muhammadwaseem reviewofpediatricemergencycareandthecovid19pandemic AT mohsensaidinejad reviewofpediatricemergencycareandthecovid19pandemic AT aceppediatricemergencymedicinecommittee reviewofpediatricemergencycareandthecovid19pandemic |