About: Outside the Box and Into Thick Air: Implementation of an Exterior Mobile Pediatric Emergency Response Team for North American H1N1 (Swine) Influenza Virus in Houston, Texas

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About: Outside the Box and Into Thick Air: Implementation of an Exterior Mobile Pediatric Emergency Response Team for North American H1N1 (Swine) Influenza Virus in Houston, Texas Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Outside the Box and Into Thick Air: Implementation of an Exterior Mobile Pediatric Emergency Response Team for North American H1N1 (Swine) Influenza Virus in Houston, Texas
Creator	Patel, Binita Codispoti, Catherine Cruz, Andrea Demmler-Harrison, Gail Distefano, Michael »more»
source	Elsevier; Medline; PMC
abstract	Study objective We describe the implementation of a mobile pediatric emergency response team for mildly ill children with influenza-like illnesses during the H1N1 swine influenza outbreak. Methods This was a descriptive quality improvement study conducted in the Texas Children's Hospital (Houston, TX) pediatric emergency department (ED), covered, open-air parking lot from May 1, 2009, to May 7, 2009. Children aged 18 years or younger were screened for viral respiratory symptoms and sent to designated areas of the ED according to level of acuity, possibility of influenza-like illness, and the anticipated need for laboratory evaluation. Results The mobile pediatric emergency response team experienced 18% of the total ED volume, or a median of 48 patients daily, peaking at 83 patients treated on May 3, 2009. Although few children had positive rapid influenza assay results and the morbidity of disease in the community appeared to be minimal for the majority of children, anxiety about pandemic influenza drove a large number of ED visits, necessitating an increase in surge capacity. Surge capacity was augmented both through utilization of existing institutional resources and by creating a novel area in which to treat patients with potential airborne pathogens. Infection control procedures and patient safety were also maximized through patient cohorting and adaptation of social distancing measures to the ED setting. Conclusion The mobile pediatric emergency response team and screening and triage algorithms were able to safely and effectively identify a group of low-acuity patients who could be rapidly evaluated and discharged, alleviating ED volume and potentially preventing transmission of H1N1 influenza.
has issue date	2010-01-31(xsd:dateTime)
bibo:doi	10.1016/j.annemergmed.2009.08.003
bibo:pmid	19837479
has license	els-covid
sha1sum (hex)	af673ffbe339cf95c476fcb632efd9acc0ee3de3
schema:url	https://doi.org/10.1016/j.annemergmed.2009.08.003
resource representing a document's title	Outside the Box and Into Thick Air: Implementation of an Exterior Mobile Pediatric Emergency Response Team for North American H1N1 (Swine) Influenza Virus in Houston, Texas
has PubMed Central identifier	PMC7124240
has PubMed identifier	19837479
schema:publication	Annals of Emergency Medicine
resource representing a document's body	covid:af673ffbe339cf95c476fcb632efd9acc0ee3de3#body_text
is schema:about of	named entity 'Pediatric' named entity 'Influenza' named entity 'EXTERIOR' named entity 'TEXAS' named entity 'STUDY OBJECTIVE' »more»

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