Review of pediatric emergency care and the COVID‐19 pandemic

Author:

Foster Ashley A.1ORCID,Walls Theresa A.2,Alade Kiyetta H.3,Brown Kathleen4,Gausche‐Hill Marianne5678,Lin Sophia D.9,Rose Emily A.10,Ruttan Timothy11,Shahid Sam12,Sorrentino Annalise13,Stoner Michael J14,Waseem Muhammad15,Saidinejad Mohsen568,

Affiliation:

1. Department of Emergency Medicine University of California, San Francisco San Francisco California USA

2. Division of Emergency Medicine, Department of Pediatrics The Children's Hospital of Philadelphia Philadelphia Pennsylvania USA

3. Division of Emergency Medicine, Department of Pediatrics Texas Children's Hospital Houston Texas USA

4. Division of Emergency Medicine, Department of Pediatrics Children's National Hospital Washington, DC USA

5. Departments of Emergency Medicine and Pediatrics, David Geffen School of Medicine at University of California Los Angeles California USA

6. Department of Emergency Medicine Harbor‐University of California Los Angeles Medical Center Los Angeles California USA

7. Department of Pediatrics Harbor‐University of California Los Angeles Medical Center Los Angeles USA

8. The Lundquist Institute for Biomedical Innovation at Harbor University of California Los Angeles California USA

9. Departments of Emergency Medicine and Pediatrics Weill Cornell Medical College New York New York USA

10. Department of Emergency Medicine Los Angeles County + University of Southern California Medical Center Los Angeles California USA

11. Department of Pediatrics, Dell Medical School The University of Texas at Austin US Acute Care Solutions Canton Ohio USA

12. Department of Clinical Affairs American College of Emergency Physicians Irving Texas USA

13. Department of Pediatrics, Division of Emergency Medicine University of Alabama at Birmingham Birmingham Alabama USA

14. Division of Emergency Medicine Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA

15. Division of Emergency Medicine Lincoln Medical Center Bronx New York USA

Abstract

AbstractThe 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.

Publisher

Wiley

Subject

Emergency Medicine

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