Review of pediatric emergency care and the COVID-19 pandemic

被引：2

作者：

Foster, Ashley A. ^{[1
]}

Walls, Theresa A. ^{[2
]}

Alade, Kiyetta H. ^{[3
]}

Brown, Kathleen ^{[4
]}

Gausche-Hill, Marianne ^{[5
,6
,7
,8
,9
]}

Lin, Sophia D. ^{[10
,11
]}

Rose, Emily A. ^{[12
]}

Ruttan, Timothy ^{[13
]}

Shahid, Sam ^{[14
]}

Sorrentino, Annalise ^{[15
]}

Stoner, Michael J. ^{[16
]}

Waseem, Muhammad ^{[17
]}

Saidinejad, Mohsen ^{[5
,6
,7
,9
]}

机构：

[1] Univ Calif San Francisco, Dept Emergency Med, 550 16th St,Box 0649, San Francisco, CA 94143 USA

[2] Childrens Hosp Philadelphia, Dept Pediat, Div Emergency Med, Philadelphia, PA USA

[3] Texas Childrens Hosp, Dept Pediat, Div Emergency Med, Houston, TX USA

[4] Childrens Natl Hosp, Dept Pediat, Div Emergency Med, Washington, DC USA

[5] Univ Calif Los Angeles, David Geffen Sch Med, Dept Emergency Med, Los Angeles, CA USA

[6] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Los Angeles, CA USA

[7] Harbor Univ Calif Los Angeles, Med Ctr, Dept Emergency Med, Los Angeles, CA USA

[8] Harbor Univ Calif Los Angeles, Med Ctr, Dept Pediat, Los Angeles, CA USA

[9] Harbor Univ Calif, Lundquist Inst Biomed Innovat, Los Angeles, CA USA

[10] Weill Cornell Med Coll, Dept Emergency Med, New York, NY USA

[11] Weill Cornell Med Coll, Dept Pediat, New York, NY USA

[12] Los Angeles Cty Univ Southern Calif Med Ctr, Dept Emergency Med, Los Angeles, CA USA

[13] Univ Texas Austin, Dell Med Sch, Dept Pediat, US Acute Care Solut, Canton, OH USA

[14] Amer Coll Emergency Phys, Dept Clin Affairs, Irving, TX USA

[15] Univ Alabama Birmingham, Dept Pediat, Div Emergency Med, Birmingham, AL USA

[16] Nationwide Childrens Hosp, Dept Pediat, Div Emergency Med, Columbus, OH USA

[17] Lincoln Med Ctr, Div Emergency Med, Bronx, NY USA

来源：

JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS OPEN | 2023年 / 4卷 / 06期

关键词：

COVID-19; pandemic emergency preparedness; pediatric emergency medicine; pediatrics; PERSONAL PROTECTIVE EQUIPMENT; RESPIRATORY SYNCYTIAL VIRUS; UNITED-STATES; DEPARTMENT VISITS; CHILDREN; RESPONSES; VACCINE; TRENDS;

D O I：

10.1002/emp2.13073

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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.

引用

页数：8

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