Riley Children's Health Annual Report 2023 – 2024

Pediatric 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. In 2023, more than 65,000 children received expert care in the emergency departments (EDs) 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

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. Riley Emergency Medicine is part of the National Emergency Airway Registry for Pediatric Emergency Medicine (NEAR4PEM). The registry includes research, education and international multicenter data collection on pediatric intubation safety and quality. 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. In addition, Riley Children’s hosts a fellowship in pediatric emergency medicine point-of-care ultrasound .

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

PROGRAM DISTINCTIONS

Emergency medicine physicians at Riley Children’s 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.

■ 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

36 board certified physicians

See full team member list >

NOTABLE PUBLICATIONS Annals of Emergency Medicine: September 2023 The Management of Children and Youth With Pediatric Mental and Behavioral Health Emergencies AEM Education and Training: June 2023 External Validation of the Ultrasound

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

Competency Assessment Tool AEM Education and Training: November 2023 Gaps in Pediatric Emergency

Medicine Education of Emergency Medicine Residents: A Needs Assessment of Recent Graduates

Expanded services in the ED at Riley Hospital in downtown Indianapolis include: ■ New, 10-bed Riley ED observation unit ■ Increased capacity of Pediatric Behavioral Health Access Center to six beds In addition, “Fast Track,” an area of the ED dedicated to providing high-quality care to children with lower acuity illnesses and injuries, is now staffed 18 hours per day.

23 research publications in 2023

Committed to quality and patient safety Our consistent focus on rapid sepsis identification and initiation of treatment resulted in continued improvement in 2023, demonstrated by an average arrival to antibiotics of only 99 minutes and minimized associated mortality.

Expanded pediatric

Riley Children’s expanded its pediatric emergency medicine presence in Carmel, Indiana, in spring 2024 with a new eight-bed dedicated space at IU Health North Hospital. The ED in Carmel is staffed 24/7 by pediatric emergency medicine physicians. In 2025, pediatric emergency medicine services will be offered in Fishers, Indiana.

emergency services in central Indiana

Annual Report 2023 – 2024

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