Pediatric Emergency Department Visits: Challenges, Innovation and Best Practices in the Care of Children

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Emergency Medicine & Intensive Care Medicine".

Deadline for manuscript submissions: 30 October 2026 | Viewed by 352

Special Issue Editors


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Guest Editor
Division of Pediatric Emergency Medicine, Hospital for Sick Children, Toronto M5G 1X8, Canada
Interests: paediatric emergency medicine; cardiopulmonary resuscitation; sepsis; emergency management

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Guest Editor
Department of Emergency Medicine, Ghent University Hospital, Corneel Heymanslaan, 10, 9000 Ghent, Belgium
Interests: critical care medicine; intensive care medicine; resuscitation; cardiopulmonary resuscitation; sepsis; airway management; mechanical ventilation; CPR; emergency management
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Special Issue Information

Dear Colleagues,

Pediatric emergency departments across the world are experiencing an unprecedented transformation. Rising patient volumes, increasing medical complexity, workforce strain, evolving infectious threats, and rapid technological innovation are reshaping how acute care for children is delivered. At the same time, advances in resuscitation science, simulation, digital health and interprofessional practice are creating new opportunities to improve safety, efficiency and equity.

This Special Issue seeks to capture the state of the science and the future direction of pediatric emergency care.

We aim to provide an international platform for clinicians, educators, researchers and system leaders to share evidence, innovation and practical solutions that strengthen outcomes for children and families across diverse healthcare environments.

Aim and Scope

The issue will highlight cutting-edge developments and persistent challenges in pediatric emergency medicine, spanning clinical management, systems design, quality improvement, simulation-based readiness, technology integration and workforce development.

We particularly encourage submissions that translate knowledge into practice, demonstrate measurable impact or offer scalable solutions applicable across resource settings.

Topics of Interest

We welcome high-quality original research, reviews, implementation reports, educational innovation and perspectives related to the following:

  • pediatric resuscitation and stabilization
  • sepsis recognition and management
  • trauma and injury systems
  • escalation of care
  • simulation and technology-enhanced training
  • human factors and teamwork
  • diagnostic safety
  • digital health and artificial intelligence
  • family centered emergency care
  • global and resource variable emergency systems
  • equity and access in acute care
  • faculty development and competency-based assessment

Why This Issue Matters

Pediatric emergency medicine stands at the intersection of urgency, uncertainty and opportunity. By bringing together diverse voices and international experiences, this issue will define best practices, illuminate implementation strategies and inspire innovations that improve real-world care.

Dr. Jabeen Fayyaz
Prof. Dr. Saïd Hachimi-Idrissi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • pediatric emergency medicine
  • resuscitation
  • sepsis
  • trauma
  • simulation
  • human factors
  • quality improvement
  • digital health
  • artificial intelligence
  • patient safety
  • global health
  • competency-based education

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Published Papers (1 paper)

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Research

15 pages, 264 KB  
Article
Pediatric Trauma Trends Before and After Recreational Cannabis Legalization in Nevada: A Retrospective Repeated Cross-Sectional Study
by Jenna Serr, Vidhani Goel, Roberto Sagaribay, Kavita Batra and Ami P. Shah
Children 2026, 13(5), 681; https://doi.org/10.3390/children13050681 (registering DOI) - 15 May 2026
Viewed by 141
Abstract
Background: Cannabis legalization has raised concerns regarding its potential influence on injury patterns, particularly among children. However, evidence on pediatric trauma remains limited. Objective: To examine trends in pediatric trauma incidence, injury mechanisms, healthcare utilization, and socioeconomic characteristics before and after [...] Read more.
Background: Cannabis legalization has raised concerns regarding its potential influence on injury patterns, particularly among children. However, evidence on pediatric trauma remains limited. Objective: To examine trends in pediatric trauma incidence, injury mechanisms, healthcare utilization, and socioeconomic characteristics before and after recreational cannabis legalization in Nevada. Methods: A retrospective repeated cross-sectional study of trauma registry data was conducted using pediatric trauma activations recorded between 2013 and 2023. Incidence rates per 100,000 population were calculated using census data. Pre-legalization (2013–2016) and post-legalization (2017–2023) periods were compared using incidence rate ratios (IRRs) and bivariate tests. Socioeconomic status was assessed using the Distressed Communities Index (DCI). Results: Among 1772 pediatric trauma activations, overall incidence remained stable (21.6 vs. 21.4 per 100,000; IRR = 0.99, 95% CI: 0.90–1.09). Post-legalization, motor vehicle collision-related injuries increased (49.3% vs. 41.3%, p = 0.002), while pedestrian injuries declined (25.5% vs. 32.4%). ICU admissions decreased (19.5% vs. 27.3%, p < 0.001), although ICU length of stay increased (5.9 vs. 4.0 days, p = 0.005). A higher proportion of patients originated from less distressed communities post-legalization (p = 0.021), alongside shifts in insurance coverage (p < 0.001). Conclusions: Pediatric trauma incidence remained stable following cannabis legalization in Nevada; however, shifts in injury mechanisms, healthcare utilization, and socioeconomic patterns were observed. Because cannabis legalization was assessed at the population level and individual cannabis exposure was not directly measured, findings should be interpreted as temporal associations rather than causal effects. These findings highlight the need for ongoing surveillance and targeted, equity-focused injury prevention strategies. Full article
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