Pediatric Urgent Care Center Management of Traumatic Injuries in Infants and Children: Adherence to Evidence-Based Practice Guidelines

Objectives To determine pediatric urgent care (PUC) clinician adherence to evidence-based practice guidelines in the management of pediatric trauma and to evaluate PUC emergency preparedness for conditions such as severe hemorrhage. Methods A questionnaire covering acute management of 15 pediatric traumatic injuries, awareness of the Stop the Bleed initiative, and presence of emergency equipment and medications was electronically distributed to members of the Society for Pediatric Urgent Care. Clinician management decisions were evaluated against evidence-based practice guidelines. Results Eighty-three completed questionnaires were returned (25% response rate). Fifty-three physician and 25 advanced practice provider (APP) questionnaires were analyzed. Most respondents were adherent to evidence-based practice guidelines in the following scenarios: cervical spine injury; head injury without neurologic symptoms; blunt abdominal injury; laceration without bleeding, foreign body, or signs of infection; first-degree burn; second-degree burn with less than 10% total body surface area; animal bite with and without probable tenosynovitis; and orthopedic fractures. Fever respondents were adherent in the following scenarios: head injury with altered mental status (adherence: physicians, 64%; APPs, 44%) and laceration with foreign body and persistent hemorrhage (adherence: physicians, 52%; APPs, 41%). Most respondents (56%) were unaware of Stop the Bleed and only 48% reported having a bleeding control kit/tourniquet at their urgent care. Conclusions Providers in our sample demonstrated adherence with pediatric trauma evidence-based practice guidelines. Increased PUC provider trauma care certification, PUC incorporation of Stop the Bleed education, and PUC presence of equipment and medications would further improve emergency preparedness.

This is a pre-copyedited, author-produced version of an article accepted for publication in Pediatric Emergency Care. The published version of record [Pediatric Urgent Care Center Management of Traumatic Injuries in Infants and Children. Pediatric Emergency Care 38, 8 pe1440-e1445 (2022)] is available online at: 10.1097/PEC.0000000000002635.

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Work Title Pediatric Urgent Care Center Management of Traumatic Injuries in Infants and Children: Adherence to Evidence-Based Practice Guidelines
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Open Access
Creators
  1. Paige C. Chardavoyne
  2. Emily J. Montgomery
  3. Amanda Montalbano
  4. Robert P. Olympia
Keyword
  1. Evidence-based practice
  2. Ambulatory care
  3. Hemorrhage
  4. Craniocerebral trauma
  5. Lacerations
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Pediatric Emergency Care
Publication Date August 1, 2022
Publisher Identifier (DOI)
  1. https://doi.org/10.1097/PEC.0000000000002635
Deposited May 23, 2023

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  • Created
  • Added Pediatric_Urgent_Care_Management_of_Traumatic_Injuries.docx
  • Added Creator Paige C. Chardavoyne
  • Added Creator Emily J. Montgomery
  • Added Creator Amanda Montalbano
  • Added Creator Robert P. Olympia
  • Published
  • Updated Keyword Show Changes
    Keyword
    • Evidence-based practice, Ambulatory care, Hemorrhage, Craniocerebral trauma, Lacerations
  • Updated