Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department

Author:

Vukovic Adam A123,Keiner Elizabeth3,Hanson Holly R3

Affiliation:

1. Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, OH, USA

2. Division of Emergency Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

3. Division of Pediatric Emergency Medicine, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA

Abstract

Objective: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. Methods: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. Interrater reliability and descriptive statistics were calculated. Results: A total of 189 patients were included. Co-abstracted data demonstrated excellent agreement. The median time to PS and length of stay (LOS) were 214 (interquartile range [IQR]: 160-282) and 320 (IQR: 257-402) minutes, respectively. Conclusion: Patients with orthopedic injuries requiring PS experience prolonged PED visits. Interventions should target safely reducing the time to PS and LOS.

Funder

National Center for Advancing Translational Sciences

Publisher

SAGE Publications

Subject

Health Policy,Health (social science),Leadership and Management

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