July 2, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.06.005

Variation in Emergency Department Experience With Pediatric Critical Illness

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The authors aimed to investigate the variation in emergency department (ED) encounters for pediatric critical illness and assess the geographic proximity of low-volume EDs to high-volume EDs. Their study found that a small percentage of pediatric ED visits involved critical illness, with many low-volume EDs infrequently managing such cases, suggesting that direct transport to high-volume centers may not be a feasible strategy for improving access to quality emergency care for critically ill children.

Allan M Joseph, Kenneth A Michelson, Maya L Dewan, Ellen A Lipstein, Lynn Babcock, Billie S Davis, Jeremy M Kahn

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