The Spectrum and Frequency of Critical Procedures Performed in a Pediatric Emergency Department: Implications of a Provider-Level View

Mittiga, M; Geis, Gary L.; Kerrey, Benjamin T.; Rinderknecht, Andrea S.

doi:10.1016/j.annemergmed.2012.06.021

Cited by 109 publications

(101 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In one report describing a scoring tool for the performance of endotracheal intubation, the performing provider was responsible for 34 separate steps 17. Compounding this complexity is the relative rarity of RSI at the provider level2 and the high degree of variation in the experience and make-up of ED care teams. We designed and implemented an RSI checklist, and a pilot/copilot model for checklist execution, to reduce the cognitive load on the team leader and increase the performance of key RSI processes.…”

Section: Discussionmentioning

confidence: 99%

Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department

et al. 2015

View full text Add to dashboard Cite

show abstract

“…1 Examples of essential skills include defibrillation and airway management. 2 Mastery of these skills requires sufficient initial training as well as ongoing education, especially if infrequently performed. [3][4][5] The clinical effectiveness of these interventions remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Procedures Performed by Emergency Medical Services in the United States

Carlson

Karns

Mann³

et al. 2015

Prehospital Emergency Care

View full text Add to dashboard Cite

Emergency medical services (EMS) must provide a wide range of care for patients in the out-of-hospital setting. Although previous work has detailed that EMS providers rarely perform certain procedures, (e.g., endotracheal intubation) there are limited data detailing the frequency of procedures across the breadth of EMS providers' scope of practice. We sought to characterize procedures performed by EMS in the United States. We conducted an analysis of the 2011 National Emergency Medical Services Information System (NEMSIS) research data set, encompassing EMS emergency response data from 40 states and two territories. From these data, we report the number and incidence of EMS procedures. We also characterize procedures performed. There were 14,371,941 submitted EMS responses, of which 7,680,559 had complete information on procedures performed on adults. Of these, 4,206,360 EMS responses had procedures performed totaling 11,407,396 procedures. The most common procedures performed were peripheral venous access (28.4%), cardiac monitoring (16.1%) pulse oximetry (13.5%), and blood glucose analysis (10.4%). Procedures were performed most often in patients with traumatic injury (20.0%) followed by chest pain/discomfort (14.0%). Critical procedures (cardioversion, defibrillation, endotracheal intubation, etc.) were infrequently performed (n = 277,785, 2.4%). These data highlight the frequency with which EMS providers perform procedures across the United States. This may help to guide future EMS training and education efforts by highlighting the relative frequency and infrequency of specific procedures.

show abstract

“…A recent article by Mittiga et al found that over the course of 12 months, 63% of pediatric emergency faculty at a teritiary care pediatric institution did not perform any critical procedures. Mittiga et al found that the most common procedure to be performed was orotracheal intubations [7]. For patients who received a critical procedure within 1 hour of arrival to the PICU, the most common procedures included arterial catheters followed by a central venous catheters, procedures much less likely to be performed in a pediatric emergency department.…”

Section: Discussionmentioning

confidence: 99%

Factors that contribute to failure to rescue events in pediatric emergency department patients

Wadia¹,

Montgomery²,

Herr³

2017

Trauma Emerg Care

View full text Add to dashboard Cite

Background: Failure to rescue is defined as the inability to identify early signs or symptoms of deterioration leading to the development of an event that was not expected or desired. We explored 3 types of failure to rescue events in patients who presented to the pediatric emergency department (ED): Patients admitted to a general care unit and transferred to a pediatric intensive care unit (PICU) within 4 hours of arrival to the general care unit; patients who required a critical procedure within the first hour of arrival to the PICU; and patients who require initiation of cardiopulmonary resuscitation (CPR) 30 minutes after arrival in the ED.

show abstract

The Spectrum and Frequency of Critical Procedures Performed in a Pediatric Emergency Department: Implications of a Provider-Level View

Cited by 109 publications

References 20 publications

Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department

Reducing the incidence of oxyhaemoglobin desaturation during rapid sequence intubation in a paediatric emergency department

Procedures Performed by Emergency Medical Services in the United States

Factors that contribute to failure to rescue events in pediatric emergency department patients

Contact Info

Product

Resources

About