Imperial College London
Dr Ian Maconochie

DrIanMaconochie

Faculty of Medicine, Department of Infectious Disease

Professor of Practice (Paediatric Emergency Medicine)
 
 
 
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Contact

 

+44 (0)20 3312 3729i.maconochie

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Bressan:2020:10.1016/j.annemergmed.2020.05.018,
author = {Bressan, S and Buonsenso, D and Farrugia, R and Parri, N and Oostenbrink, R and Titomanlio, L and Roland, D and Nijman, RG and Maconochie, I and Da, Dalt L and Mintegi, S},
doi = {10.1016/j.annemergmed.2020.05.018},
journal = {Annals of Emergency Medicine},
pages = {788--800},
title = {Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks},
url = {http://dx.doi.org/10.1016/j.annemergmed.2020.05.018},
volume = {76},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Study objectiveWe aimed to describe the variability and identify gaps in preparedness and response to the COVID-19 pandemic in European EDs caring for children.MethodsA cross-sectional point prevalence survey, was developed and disseminated through the pediatric emergency medicine research networks for Europe (REPEM) and the United Kingdom and Ireland (PERUKI). We aimed to include ten EDs for countries with > 20 million inhabitants and five EDs for less populated countries, unless the number of eligible EDs was below five. ED directors or their delegates completed the survey between March 20th and 21st to report practice at that time. We used descriptive statistics to analyse data.ResultsOverall 102 centers from 18 countries (86% response rate) completed the survey: 34% did not have an ED contingency plan for pandemics and 36% had never had simulations for such events. Wide variation on PPE items was shown for recommended PPE use at pre-triage and for patient assessment, with 62% of centers experiencing shortage in one or more PPE items, most frequently FFP2/N95 masks. Only 17% of EDs had negative pressure isolation rooms. COVID-19 positive ED staff was reported in 25% of centers.ConclusionWe found variation and identified gaps in preparedness and response to the COVID-19 epidemic across European referral EDs for children. A lack in early availability of a documented contingency plan, provision of simulation training, appropriate use of PPE, and appropriate isolation facilities emerged as gaps that should be optimized to improve preparedness and inform responses to future pandemics.
AU  - Bressan,S
AU  - Buonsenso,D
AU  - Farrugia,R
AU  - Parri,N
AU  - Oostenbrink,R
AU  - Titomanlio,L
AU  - Roland,D
AU  - Nijman,RG
AU  - Maconochie,I
AU  - Da,Dalt L
AU  - Mintegi,S
DO  - 10.1016/j.annemergmed.2020.05.018
EP  - 800
PY  - 2020///
SN  - 0196-0644
SP  - 788
TI  - Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks
T2  - Annals of Emergency Medicine
UR  - http://dx.doi.org/10.1016/j.annemergmed.2020.05.018
UR  - https://www.sciencedirect.com/science/article/pii/S0196064420303668?via%3Dihub
UR  - http://hdl.handle.net/10044/1/79177
VL  - 76
ER  -
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