Dr. Gabrielle Freire
MDCM, FRCPC, MDCM, FRCPC
Paediatric Emergency Physician, The Hospital for Sick Children, Paediatric Emergency Physician, The Hospital for Sick Children
Injuries are the leading cause of death and disability in children worldwide. In Canada, 45% of children live more than an hour away from paediatric trauma centers and are more likely to present to general emergency departments without paediatric expertise when injured. Recent studies have shown that children living far from paediatric trauma centers often have worse outcomes compared to children that present directly to these centers. These studies have also demonstrated practice variation at general EDs when managing pediatric trauma.
Our Capstone project focused on addressing practice variation in the management of paediatric trauma patients at Ontario general EDs, to ensure that optimal care is received regardless of geographical location. In our journey, we have identified that a lack of human and physical resources, communication issues, complicated transfer processes and knowledge gaps contribute to practice variation for pediatric trauma management in Ontario. We developed a rigorous research protocol to assess the needs, pertaining to each of these categories, for providers treating paediatric trauma patients at general EDs in Ontario. In addition, the needs assessment will give insight into the knowledge transfer needs and preferences of these health care providers. This will help confirm the pertinence of implementing the PedsPac, a co-created knowledge transfer tool we identified, at Ontario general EDs.