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COVID-19 Pandemic: Perspective From Italian Pediatric Emergency Physicians.
Monzani, Alice; Ragazzoni, Luca; Della Corte, Francesco; Rabbone, Ivana; Franc, Jeffrey M.
  • Monzani A; Division of Pediatrics, Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
  • Ragazzoni L; CRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.
  • Della Corte F; CRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.
  • Rabbone I; Division of Pediatrics, Department of Health Sciences, Università del Piemonte Orientale, Novara, Italy.
  • Franc JM; CRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.
Disaster Med Public Health Prep ; 14(5): 648-651, 2020 10.
Article in English | MEDLINE | ID: covidwho-1029475
ABSTRACT

OBJECTIVES:

To document the lived experience of Italian pediatric emergency physicians during the coronavirus disease 2019 (COVID-19) pandemic.

METHODS:

We developed a structured interview to collect the lived experience of the staff of the pediatric emergency department (PED) of a tertiary referral university hospital in Northern Italy. The open-ended questions were draft according to the suggestions of Canadian colleagues and administered by 1 interviewer, who was part of the PED staff, at the end of March 2020. All the PED staff was interviewed, on a voluntary basis, using purposive sampling.

RESULTS:

Most respondents declared to be afraid of becoming infected and of infecting their families. The number of patients seen in the PED has decreased, and the cases tend to be more severe. A shift in the clinical approach to the ill child has occurred, the physical examination is problem-oriented, aiming to avoid un-necessary maneuvers and to minimize the number of practitioners involved. The most challenging aspects reported are (1) performing a physical examination in personal protective equipment (PPE), (2) being updated with rapidly evolving guidelines, and (3) staying focused on the possible COVID-19 clinical presentation without failing in differential diagnosis.

CONCLUSIONS:

During the COVID-19 pandemic, it seems that pediatric emergency physicians are radically changing their clinical practice, aiming at prioritizing essential interventions and maneuvers and self-protection.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Pediatric Emergency Medicine / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Disaster Med Public Health Prep Journal subject: Public Health Year: 2020 Document Type: Article Affiliation country: Dmp.2020.198

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians / Pediatric Emergency Medicine / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Country/Region as subject: Europa Language: English Journal: Disaster Med Public Health Prep Journal subject: Public Health Year: 2020 Document Type: Article Affiliation country: Dmp.2020.198