Pediatric emergency medicine: Optimizing risk assessment and safety netting in children with infectious diseases
Abstract
Introduction \nIn the introduction, the importance of good quality pediatric emergency care is explained. Acute illnesses in children differ among countries and settings. Regarding our population of the ED at the Erasmus MC in Rotterdam, The Netherlands, 1) we still observe mortality, although rare, 2) 45% of children with medical (non-trauma) complaints suffer from infectious diseases and 3) the number of revisits is high. As the main focus in research in pediatric emergency medicine has been on the development of good quality guidelines, we aimed to improve early recognition and treatment (aim 1), the implementation and use of guidelines (aim 2) and the discharge process after the ED visit (aim 3). \n \nHow to (early) recognize and treat patients at risk for serious infections or a complicated disease course (in developed low-prevalence) countries- decision making at the ED (aim 1) \nIn order to answer these research questions, the importance of early recognition of serious infections in general is addressed in chapter 2: ‘Malpractice in pediatric emergency care in the Netherlands- what can we learn?’ Nineteen malpractice lawsuits are described, of which 16 were acknowledged. Important lessons learned are: 1) Pediatricians need to be aware
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