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What we can learn from paediatric ED visit changes during pandemics and epidemics
  1. Nishad Rahman1,
  2. Jesse M Pines2
  1. 1 Department of Emergency Medicine, LifeBridge Health, Baltimore, Maryland, USA
  2. 2 Department of Emergency Medicine, US Acute Care Solutions; Allegheny General Hospital, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Jesse M Pines, Emergency Medicine, US Acute Care Solutions; Allegheny General Hospital, Pittsburgh, Pennsylvania, USA; pinesj{at}usacs.com

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Commentary on: Roland D, Gardiner A, Razzaq D, Rose K, Bressan S, Honeyford K, Buonsenso D, Da Dalt L, De T, Farrugia R, Parri N, Oostenbrink R, Maconochie IK, Bognar Z, Moll HA, Titomanlio L, Nijman RGG; in association with the REPEM network (Research in European Paediatric Emergency Medicine) as part of the EPISODES Study. Influence of epidemics and pandemics on paediatric ED use: a systematic review. Arch Dis Child. 2023 Feb;108(2):115–122. doi: 10.1136/archdischild-2022-324108. Epub 2022 Sep 26.

Implications for practice and research

  • Healthsystems must be prepared for paediatric emergency department (ED) volume shifts during epidemics and pandemics.

  • Two interventions to increase efficient paediatric ED use include: (1) parental education about home care and (2) real-time remote advice.

Context

Epidemics and pandemics have major impacts on ED care. Studies examining the COVID-19 pandemic noted large early US ED visit declines.1 In some EDs, visits …

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Footnotes

  • Twitter @DrJessePines

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.