Community Emergency Medicine Clinicians' Pediatric Sepsis Readiness.

R I Med J (2013)

Assistant Professor of Emergency Medicine and Pediatrics, Division of Pediatric Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI.

Published: January 2025

Background/objective: Pediatric sepsis is a significant cause of morbidity and mortality in the United States, and its early recognition is crucial but challenging. This study assessed clinicians' self-reported preparedness for recognizing and managing pediatric sepsis in the Rhode Island region.

Methods: A cross-sectional, survey was developed and sent to community emergency medicine clinicians in greater Rhode Island. Results were analyzed using descriptive statistics.

Results: Survey responses were received from 35 participants across 10 Emergency Departments. Ninety-seven percent (97%) felt confident managing adult sepsis with shock, but only 51% felt confident managing pediatric sepsis with shock. Lack of pediatric procedural experience and familiarity with pediatric dosing were barriers to providing care to pediatric patients with sepsis for 74.2% and 62.8% of participants, respectively.

Conclusion: Many community ED clinicians lack confidence in managing pediatric sepsis. Structured educational initiatives focused on clinical examination, procedural skills, and medication dosing may enhance confidence in managing these patients.

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