Riley Children's Health Annual Report 2022 – 2023

Emergency medicine physicians at Riley Children’s Health combine clinical skill and compassion to care for some of the youngest and most critically ill children in Indiana. More than 50,000 children each year receive expert care in the emergency departments at Riley Children’s. Pediatric emergency medicine services are provided at Riley Hospital for Children in downtown Indianapolis and at Riley Children’s Health at IU Health North in Carmel, Indiana. EMERGENCY MEDICINE

RESEARCH HIGHLIGHTS

Recognized for quality and patient safety Our consistent focus on rapid sepsis identification and initiation of treatment resulted in a pediatric mortality rate from sepsis of 0% in 2022. For these efforts, the emergency department team at Riley Children’s earned the International Hospital Federation Silver Award for Quality and Safety. Riley Emergency Medicine is a part of the National Emergency Airway Registry for Pediatric Emergency Medicine (NEAR4PEM) registry. The registry includes research, education and international multicenter data collection on pediatric intubation safety and quality. Riley Children’s is currently enrolling in three national Pediatric Emergency Care Applied Research Network (PECARN) studies: ■ Bedside Exclusion of Pulmonary Embolism in Children without Radiation Exposure (BEEPER) ■ Pediatric Dose Optimization for Seizures in Emergency Medical Services (PediDOSE) ■ Hyperhydration to Improve Kidney Outcomes in Children with Shiga Toxin-Producing E. Coli (HIKO STEC); in partnership with Riley Nephrology Improving Pediatric Acute Care Through Simulation (ImPACTS) – We are engaged in multiple multicenter research initiatives with ImPACTS. These include a simulation-based study of EMS management of pediatric care and involvement in recruiting EMS agencies across Indiana.

INTERIM DIVISION CHIEF Cory D. Showalter, MD Assistant Professor of Clinical Emergency Medicine, IU School of Medicine > Connect with Dr. Showalter on Doximity.

Program distinctions

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■ Certified as “Pediatric Advanced” by the Indiana Emergency Medical Services for Children Pediatric Facility Recognition Program ■ One of a select number of hospitals in the nation to be verified by the American College of Surgeons as a Level I Pediatric Trauma Center ■ More than 90% of physicians certified in point-of-care ultrasound—accelerates diagnosis and management of illness, and improves accuracy and patient safety

31 board certified physicians

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See full team member list

Our emergency medicine physicians have subspecialty expertise in disaster medicine, emergency medical services (prehospital care), point-of-care ultrasound, and informatics and simulation. This specialized experience impacts care for patients at Riley Children’s, across Indiana and nationally.

Riley Emergency Medicine is the only program in the nation to offer both a combined residency program in emergency medicine and pediatrics and a fellowship in pediatric emergency medicine. We are one of only four programs to offer combined residency training in emergency medicine and pediatrics. Riley Children’s also hosts a fellowship in pediatric emergency medicine point-of-care ultrasound .

■ Leads pediatric disaster response planning/ preparedness for Indiana (as part of Region V for Kids )

NOTABLE PUBLICATIONS

The Journal of Pediatrics: January 2022 Improving the Quality of Clinical Care of Children with Diabetic Ketoacidosis in General Emergency Departments Following a Collaborative Improvement Program with an Academic Medical Center Pediatric Emergency Care: February 2022 Performance of Pediatric Emergency Medicine Faculty After Point-of-Care Ultrasound Credentialing Implementation Pediatric Emergency Care: January 2022 The Impact of a New On-site Inpatient Psychiatric Unit in an Urban Pediatric Emergency Department

Cureus: August 2022 Identification of Bias in Ordering Further Imaging in Ethnic Groups with Indeterminate Ultrasound for Appendicitis Academic Emergency Medicine: September 2022 Establishing the International Research Priorities for Pediatric Emergency Medicine

Point-of-Care Ultrasound: A Modified Delphi Study

28 research publications in 2022

Annual Report 2022 – 2023

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