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Standards of care for children in emergency departments

The Standards of Care for Children in Emergency Departments has been produced by the Paediatric Emergency Medicine Special Interest Group (PEMSIG) for the International Federation for Emergency Medicine (IFEM). It is a unique set of standards in that it delineates valuable practical standards applicable on a global level, for both high income and low- and middle-income country settings. It is worthwhile examining the executive summary by Lim RK et al (CJEM 2020;22(3):280–284 DOI 10.1017/cem.2020.1) and stepping into the main document (https://www.ifem.cc/wp-content/uploads/2019/06/Standards-of-Care-for-Children-in EmergencyDepartments-V3-2019.pdf). These standards are unique because they recognise the varying challenges inherent in different parts of the world, including differences in patient load, burden of disease, staffing, infrastructure, access to education in paediatric emergency care, equipment, and medications. These 16 standards have been developed by consensus from an international group of experts on behalf of IFEM. There are clearly huge differences in aspects such as staffing, equipment, and methods of handling child patients among various countries depending on where that nation is with respect to paediatric emergency care development. The priorities of improving the quality of emergency care for children in high-income countries with advanced EDs, will …

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