Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers

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Abstract
Emergency departments (EDs) with low pediatric patient volumes and limited access to pediatric clinicians are at risk of delivering suboptimal care, including delays in diagnoses, inappropriate therapies, and noncurrent medical management.1-3 Because of this risk, and to enhance safety, acutely ill children presenting to EDs without comprehensive pediatric services are often transferred to regional pediatric centers. Many interfacility transfers of children, however, are unnecessary, and often place a large burden on patients and families.4-6

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