{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T04:12:41Z","timestamp":1782879161707,"version":"3.54.5"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The National Pediatric Readiness Project of the Emergency Medical Services for Children surveyed emergency departments in the United States in 2013 for readiness to provide emergency care to children. However, that survey did not query for many elements considered essential to Advanced Trauma Life Support (ATLS).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Our pediatric trauma center and state department of health collaborated to develop a survey reflecting ATLS principles regarding pediatric-specific trauma stabilization, clinical\/administrative resources, and interfacility transfer to complement the 2017 PedsReady survey. We distributed the survey to all emergency department medical directors in our state in 2017.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Medical directors of all 11 emergency departments responded. Only 2 reported having physician or nurse pediatric trauma coordinators. Two reported comfort with all emergency procedures at all ages (eg, airway, traumatic pneumothorax treatment, etc), whereas 9 had variable thresholds of comfort by age and procedure. Reported utilization of pediatric trauma-specific protocols varied the following: hyperosmolar therapy (1), neurological assessment (3), chest injury (4), massive transfusion (1), triage (5), trauma transfer agreements (10), imaging-limitation protocols (4), internal (1) and inter-facility (4) quality assurance\/quality improvement process (1), and real-time image transfer (11).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This survey identified gaps in the readiness of emergency departments to treat injured children in our state that were not detected by the 2013 PedsReady surveys. Future surveys of emergency department pediatric readiness should consider more detailed, trauma-specific readiness questions. This will allow for assignment of more accurate goals and benchmarking standards for national pediatric trauma readiness.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000002144","type":"journal-article","created":{"date-parts":[[2020,6,11]],"date-time":"2020-06-11T20:28:56Z","timestamp":1591907336000},"page":"e1646-e1651","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Pediatric Trauma Readiness"],"prefix":"10.1097","volume":"37","author":[{"given":"Timothy J.","family":"Genovese","sequence":"first","affiliation":[{"name":"Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Roberts-Santana","sequence":"additional","affiliation":[{"name":"Center for Emergency Medical Services, Rhode Island Department of Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hale","family":"Wills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,6,11]]},"reference":[{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"2626","DOI":"10.1001\/jama.293.21.2626","article-title":"Access to trauma centers in the United States","volume":"293","year":"2005","journal-title":"JAMA"},{"key":"bib3-20250504","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1001\/jamapediatrics.2015.138","article-title":"A national assessment of pediatric readiness of emergency departments","volume":"169","year":"2015","journal-title":"JAMA Pediatr"},{"key":"bib5-20250504","first-page":"1363","article-title":"Advanced trauma life support (ATLS(R)): the ninth edition","volume":"74","year":"2013","journal-title":"J Trauma Acute Care Surg"},{"key":"bib6-20250504","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1097\/01.sla.0000164178.62726.f1","article-title":"Transfer times to definitive care facilities are too long: a consequence of an immature trauma system","volume":"241","year":"2005","journal-title":"Ann Surg"},{"key":"bib7-20250504","first-page":"172","article-title":"The evolution of the Rhode Island trauma system: where do we stand?","volume":"92","year":"2009","journal-title":"Med Health R I"},{"key":"bib8-20250504","first-page":"S75","article-title":"186 pediatric emergency care coordinators in US emergency departments","volume":"70","year":"2016","journal-title":"Ann Emerg Med"},{"key":"bib9-20250504","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1016\/j.annemergmed.2015.07.500","article-title":"Pediatric readiness and facility verification","volume":"67","year":"2016","journal-title":"Ann Emerg Med"},{"key":"bib10-20250504","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1080\/10903127.2016.1258097","article-title":"Resource document: coordination of pediatric emergency care in EMS systems","volume":"21","year":"2017","journal-title":"Prehosp Emerg Care"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1001\/jama.1994.03510480043032","article-title":"Outcome of hospitalized injured patients after institution of a trauma system in an urban area","volume":"271","year":"1994","journal-title":"JAMA"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T20:04:43Z","timestamp":1746389083000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000002144"}},"subtitle":["A Trauma-Specific Assessment to Complement the National Pediatric Readiness Project"],"short-title":[],"issued":{"date-parts":[[2020,6,11]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000002144","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2020,6,11]]}}}