The Skills of Emergency Medicine in Children: Actual Challenges

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: closed (25 July 2025) | Viewed by 310

Special Issue Editors


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Guest Editor
Department of Pediatric Emergency, Regina Margherita Children’s Hospital—A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy
Interests: pediatric emergency; pediatric advanced life support; high-fidelity simulation; non-technical skills
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Guest Editor
Department of Pediatric Emergency, Regina Margherita Children's Hospital—A.O.U. Città della Salute e della Scienza di Torino, Turin, Italy
Interests: emergency pediatric

Special Issue Information

Dear Colleagues,

Over the past ten years, pediatric emergency medicine has vastly changed.

Sepsis, trauma, respiratory diseases, and seizure management are still priorities in pediatric emergency departments, but the effects of the COVID-19 pandemic, global migrations, and social and cultural trends have had an impact on the epidemiology and etiology of such conditions. Moreover, these factors have assisted in largely increasing the psychiatric burden in pediatric emergency departments worldwide.

From a global perspective, the crowding of pediatric emergency departments is a major patient safety concern and has consequences for healthcare providers regarding burnout and their well-being.

Simulation-based education and debriefing have emerged as effective strategies to improve the management of low-frequency/high-impact conditions like pediatric emergencies. More recently, such training programs have also been used to develop non-technical skills in critical situations.

This Special Issue will focus on actual challenges in pediatric emergency medicine. Special emphasis will be given to core pediatric emergency medicine skills, such as the management of medical and traumatic emergencies and procedural competencies, as well as psychiatric diseases and non-technical skills, like crisis resource management, teamwork, and communication. In this Special Issue, papers that focus on simulation-based learning, debriefing, and organizational strategies to help manage overcrowding and aid healthcare workers in dealing with burnout are welcome.

Dr. Claudia Bondone
Dr. Emanuele Castagno
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 100 words) can be sent to the Editorial Office for announcement on this website.

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
  • pediatric emergency department
  • psychiatric disorders
  • crowding
  • medical simulation
  • non-technical skills
  • children
  • adolescents

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Published Papers (1 paper)

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Research

14 pages, 723 KB  
Article
Lesson from a Single Pediatric Emergency Department: Potentially Applicable Radiation-Minimizing Practices for Non-Traumatic Abdominal Pain in Adolescents
by Min Kyo Chun, Reenar Yoo, Soo-young Lim, Dahyun Kim, Jeeho Han, Seung Jun Choi, Jeong-Yong Lee, Jong Seung Lee and Jun Sung Park
Children 2025, 12(10), 1306; https://doi.org/10.3390/children12101306 - 28 Sep 2025
Abstract
Background/Objectives: In emergency departments (EDs), choosing imaging modalities for adolescents with abdominal pain requires balancing diagnostic accuracy and minimizing radiation exposure. This retrospective study compared imaging modalities in adolescents (16–18 years) presenting with non-traumatic acute abdominal pain between the pediatric ED (PED) and [...] Read more.
Background/Objectives: In emergency departments (EDs), choosing imaging modalities for adolescents with abdominal pain requires balancing diagnostic accuracy and minimizing radiation exposure. This retrospective study compared imaging modalities in adolescents (16–18 years) presenting with non-traumatic acute abdominal pain between the pediatric ED (PED) and adult ED (AED) in the same institution. Methods: We conducted a retrospective study in patients aged 16–18 years who presented to AED or PED in the same tertiary university-affiliated hospital due to non-traumatic acute abdominal pain between January 2019 and July 2023 (study period = 55 months). The patient freely decided on the emergency department (ED) to be admitted. Results: This study analyzed 950 patients (683 in AED and 267 in PED). Actionable and surgical emergencies were comparable between both EDs (p = 0.617 and 0.245, respectively). PED physicians used fewer CT scans (28.5% vs. 37.9%, p = 0.006) and fewer CT phases (mean, 0.49 vs. 0.76, p < 0.001). Despite more patients undergoing X-rays in PED (77.9% vs. 61.6%, p < 0.001), the number of X-ray images was lower than in AED (mean, 0.9 vs. 1.1, p < 0.001). PED performed more point-of-care US (POCUS) than AED (28.0% vs. 0.1%, p < 0.001). Both EDs had comparable safety outcomes (revisits and missed surgical emergencies). Conclusions: PED physicians utilize POCUS more frequently and employ fewer CT scans, X-ray images, and CT phases than AED physicians in adolescents presenting with non-traumatic acute abdominal pain. Despite lower radiation exposure, the PED achieved safety outcomes comparable to the AED’s, indicating that a PED-style imaging strategy may be safely applied to adolescent abdominal pain evaluation. Full article
(This article belongs to the Special Issue The Skills of Emergency Medicine in Children: Actual Challenges)
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