Community Emergency Medicine Clinicians' Pediatric Sepsis Readiness

R I Med J (2013). 2025 Jan 2;108(1):30-34.

Abstract

Background/objective: Pediatric sepsis is a significant cause of morbidity and mortality in the United States, and its early recognition is crucial but challenging. This study assessed clinicians' self-reported preparedness for recognizing and managing pediatric sepsis in the Rhode Island region.

Methods: A cross-sectional, survey was developed and sent to community emergency medicine clinicians in greater Rhode Island. Results were analyzed using descriptive statistics.

Results: Survey responses were received from 35 participants across 10 Emergency Departments. Ninety-seven percent (97%) felt confident managing adult sepsis with shock, but only 51% felt confident managing pediatric sepsis with shock. Lack of pediatric procedural experience and familiarity with pediatric dosing were barriers to providing care to pediatric patients with sepsis for 74.2% and 62.8% of participants, respectively.

Conclusion: Many community ED clinicians lack confidence in managing pediatric sepsis. Structured educational initiatives focused on clinical examination, procedural skills, and medication dosing may enhance confidence in managing these patients.

Keywords: Pediatric Emergency Care; Readiness; Resources; Sepsis.

MeSH terms

  • Adult
  • Child
  • Clinical Competence*
  • Cross-Sectional Studies
  • Emergency Medicine
  • Emergency Service, Hospital
  • Female
  • Humans
  • Male
  • Rhode Island
  • Sepsis* / diagnosis
  • Sepsis* / therapy
  • Surveys and Questionnaires