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New Recommendations on Emergency Care for Children

WASHINGTON, D.C.—The American College of Emergency Physicians (ACEP), the American Academy of Pediatrics (AAP) and the Emergency Nurses Association (ENA) will publish the updated joint guidelines, “Pediatric Readiness in the Emergency Department,” that recommend ways health care providers can make sure every injured or critically ill child receives the best care possible.

The joint policy statement is published in Annals of Emergency Medicine, represents a revision of the 2009 policy statement and highlights recent advances in pediatric emergency care that may be incorporated into all emergency departments that care for children. The statement emphasizes the importance of evidence-based guidelines and includes additional recommendations for quality improvement plans focusing on children and disaster preparedness.

“The joint recommendations help improve and standardize care delivery for children of all ages in the emergency department, create best practice benchmarks for emergency departments and strengthen pediatric patient safety efforts,” said Vidor Friedman, MD, FACEP, president of ACEP.

According to the 2014 National Hospital Ambulatory Medical Care Survey, there were approximately 5,000 emergency departments in the United States. Of the more than 141 million emergency department visits, an estimated 20 percent were for children younger than 15 years. As many as 83 percent of children in need of emergency care go to a community emergency department versus a pediatric emergency department.

“Children have unique needs that are heightened during serious or life-threatening emergencies,” said Colleen Kraft, MD, MBA, FAAP, President of the American Academy of Pediatrics. “It’s imperative that all hospitals have the medications, equipment, policies, resources, education and training, and capable staff to provide effective emergency care for children of all ages.”

AAP, ACEP and ENA are longstanding partners in the shared effort to optimize high-quality, family-centered care of children in emergency departments. In 2013, the groups collaborated with the federal EMS for Children Program, to launch the National Pediatric Readiness Project (NPRP) to ensure pediatric readiness of emergency departments.

“The delivery of pediatric care should reflect an awareness of unique pediatric patient safety concerns. ENA, AAP and ACEP are working together to maintain and improve the quality of care that pediatric patients receive in hospitals and emergency departments. These updated recommendations are intended to serve as a resource for clinical and administrative leadership of emergency departments as they strive to improve their readiness for children of all ages,” said ENA President Jeff Solheim, MSN, RN, CEN, TCRN, CFRN, FAEN, FAAN.

Annals of Emergency Medicine is one of the peer-reviewed scientific journal for the American College of Emergency Physicians (ACEP), the national medical society representing emergency medicine. Annals of Emergency Medicine is the largest and most frequently cited circulation peer-reviewed journal in emergency medicine and publishes original research, clinical reports, opinion, and educational information related to the practice, teaching, and research of emergency medicine.

For further information: Steve Arnoff | | Twitter: @EmergencyDocs

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