Author
Dr. Randhir Khurana, Ghanshyam Singh, Dr. Nitin Kumar
Keywords
Pediatric Emergency Care; Emergency Department Models; Pediatric Triage Systems; Emergency Healthcare Delivery; Pediatric Patient Safety; Emergency Medicine Systems.
Abstract
Emergency care for children represents a critical component of modern healthcare systems, requiring specialized clinical expertise, rapid decision-making, and coordinated multidisciplinary care. Pediatric patients present unique physiological and psychological characteristics that necessitate tailored emergency care models distinct from adult emergency medicine. This cross-sectional analytical study examines the effectiveness of contemporary pediatric emergency care models and evaluates the determinants influencing quality and efficiency in pediatric emergency departments among 238 pediatric patients. Integrated pediatric emergency care models combining specialized clinical expertise, telemedicine support, and collaborative care frameworks significantly improve treatment efficiency and patient outcomes. Triage efficiency and availability of pediatric specialists were the strongest determinants of improved emergency care outcomes (F=7.36, p=0.001 and F=6.14, p=0.003 respectively). The study emphasizes the importance of strengthening pediatric emergency care infrastructure through specialized training programs, technological integration, and coordinated healthcare networks.
References
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[3] Bourgeois, F. T., & Shannon, M. W. (2007). Emergency care for children in pediatric and general emergency departments. Pediatric Emergency Care, 23(2), 94-102.
[4] Foster, C. C., et al. (2020). Emergency care connect: extending pediatric emergency care expertise to general emergency departments through telemedicine. Academic Pediatrics, 20(5), 577-584.
[5] Farchi, S., et al. (2010). Primary paediatric care models and non-urgent emergency department utilization. BMC Family Practice, 11(1), 32.
[6] Cichon, M. E., et al. (2009). A statewide model program to improve emergency department readiness for pediatric care. Annals of Emergency Medicine, 54(2), 198-204.
[7] Committee on Pediatric Emergency Medicine. (2007). Patient safety in the pediatric emergency care setting. Pediatrics, 120(6), 1367-1375.
[8] Kaddan, W., et al. (2006). Medical education and quality of care in the pediatric emergency department setting. European Journal of Emergency Medicine, 13(3), 139-143.
[9] Oakley, E., et al. (2004). Improving emergency care for children: a model of collaboration between emergency departments. Emergency Medicine, 16(5-6), 417-424.
[10] Hamm, M. P., et al. (2010). A systematic review of crisis interventions used in the emergency department. Pediatric Emergency Care, 26(12), 952-962.
[11] Soni, P., & Agrawal, A. (2025). Pediatric emergency care: Determinants and systematic barriers. World Journal of Clinical Pediatrics, 14(3), 108140.
[12] Wylie, K., et al. (2015). Emergency department models of care in the context of care quality and cost. Emergency Medicine Australasia, 27(2), 95-101.
[13] Brown, K., et al. (2008). Patient and family-centred care for pediatric patients in the emergency department. Canadian Journal of Emergency Medicine, 10(1), 38-43.
[14] Miller, S. Z., et al. (2008). Revisiting the emergency medicine services for children research agenda. Academic Emergency Medicine, 15(4), 377-383.
[15] Barak-Corren, Y., Fine, A. M., & Reis, B. Y. (2017). Early prediction model of patient hospitalization from the pediatric emergency department. Pediatrics, 139(5), e20162785.
[16] Faris, G. W., Marcin, J. P., & Weinstein, E. (2018). The current state of the pediatric emergency medicine workforce. Clinical Pediatric Emergency Medicine, 19(3), 272-281.
[17] Barata, I., et al. (2018). A research agenda to advance pediatric emergency care through enhanced collaboration. Academic Emergency Medicine, 25(12), 1415-1426.
[18] Alessandrini, E. A., & Knapp, J. (2011). Measuring quality in pediatric emergency care. Clinical Pediatric Emergency Medicine, 12(2), 102-112.
[19] Manguy, A. M., et al. (2018). Psychosocial care models for families of critically ill children in pediatric emergency department settings. Journal of Pediatric Nursing, 38, 46-52.
[20] Ashifa, K. M. (2019). Developmental initiatives for persons with disabilities. Indian Journal of Public Health Research & Development, 10(12), 1257–1261.
[21] Ashifa, K. M. (2020). Effect of substance abuse on physical health of adolescents. European Journal of Molecular & Clinical Medicine, 7(2), 3155–3160.
[22] Ashifa, K. M. (2020). Physical health hazards of schizophrenia patients. Systematic Reviews in Pharmacy, 11(12), 1848–1850.
[23] Ashifa, K. M. (2021). Analysis on the determinants of health status among tribal communities. Journal of Cardiovascular Disease Research, 12(3), 531–534.
[24] Ashifa, K. M. (2021). Health status of primitive tribal women in India. Journal of Cardiovascular Disease Research, 12(5), 772.
[25] Ashifa, K. M. (2022). A situation analysis of the social well-being of elderly during the COVID-19 pandemic. International Journal of Health Sciences, 6(3), 10156–10163.
[26] Ashifa, K. M., & Ramya, P. (2019). Health afflictions and quality of work life among women working in fireworks industry. International Journal of Engineering and Advanced Technology, 8(6S3), 1723–1725.
[27] Catherine, S., et al. (2025). Enhancing Patient Engagement and Outcomes Through Digital Transformation. In Impact of Digital Transformation on Business Growth and Performance (pp. 285-312). IGI Global Scientific Publishing.
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[29] Elkin, N., et al. (2025). Mental health literacy and happiness among university students. Frontiers in Psychiatry, 16, 1541316.
[30] Gayathri, R. K., Vettriselvan, R., et al. (2025). Striking a Balance: Mental Health Challenges and Work-Life Integration. Texila International Journal of Public Health, 13(2).
[31] Gayathri, R. K., Vettriselvan, R., et al. (2025). Strategic Role of Human Resource Management in Enhancing Occupational Health and Safety Practices. Texila International Journal of Public Health, 13(2).
[32] Jenifer, R. D., Vettriselvan, R., et al. (2025). Green Marketing in Healthcare Advertising. In AI Impacts on Branded Entertainment and Advertising (pp. 303-326). IGI Global Scientific Publishing.
[33] Kariveliparambil, A., et al. (2026). Evolving Social Capital in Indigenous Communities. Journal of Social Service Research, 52(1), 147–166.
[34] Mustafa, N., et al. (2026). Empowering future caregivers: the role of self-leadership in reducing stress. International Journal of Innovation and Learning, 39(1), 74-103.
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[37] Shanthi, H. J., et al. (2025). Leveraging Artificial Intelligence for Enhancing Urban Health. In Nexus of AI, Climatology, and Urbanism for Smart Cities (pp. 275-306). IGI Publishing.
[38] Swadhi, R., et al. (2025). Leveraging Machine Learning for Enhanced Patient Engagement and Outcomes. In Impact of Digital Transformation on Business Growth and Performance (pp. 313-340). IGI Global Scientific Publishing.
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[43] Vettriselvan, R., Deepan, A., et al. (2025). Health Consequences of Early Marriage. In Social, Political, and Health Implications of Early Marriage (pp. 189-212). IGI Global Scientific Publishing.
[44] Vettriselvan, R., Ramya, R., et al. (2026). Empowering Patients through Knowledge: Educational Strategies in Rehabilitation. In Holistic Approaches to Health Recovery (pp. 263-290). IGI Global Scientific Publishing.
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[49] Kumar, A., et al. (2024). Malignant parotid gland tumours: A case series from a tertiary care centre in Western Uttar Pradesh. Journal of Carcinogenesis, 24(2), 157–163. https://doi.org/10.64149/J. Carcinog .24.2 .157-163
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[51] Patel, A. M., Goel, S., Rai, V., Gopal, A. V., Gupta, V., & Nagpal, S. (2025). Anaesthetic management of 60-year-old female with ankylosing spondylitis undergoing a restorative surgery: A case report. International Journal of Medical and All Body Health Research, 6(2), 152–154. https://doi.org/10.54660/IJMBHR.2025. 6.2.152-154
[52] Jain, T., Sahu, R. L., Bhatia, R., & Pratap, H. (2025). A comparative analysis of functional outcome of distal femur fractures treated with locking compression plate fixation and non-locking plate fixation. International Journal of Medical and All Body Health Research, 6(3), 200–207. https://doi.org/10.54660/IJMBHR.2025.6.3.200-207
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[54] Kumar, A., Titoria, C., Sinha, G., Sharma, M., & Yadav, E. (2025). Rare Coexistence of Follicular Adenoma Thyroid and Colloid Goitre – A Surgical Case Report. Journal of Contemporary Clinical Practice, 11(7), 391-395.
[55] Mahaveerakannan, R., Anitha, C., Balamanigandan, R., & Saraswathi, S. (2025). Enhanced Public Security: Modified YOLO Network for Unattended Object Detection in Dynamic Environments. In 2025 Global Conference in Emerging Technology (GINOTECH) (pp. 1-8). IEEE.
Received : 29 January 2026
Accepted : 24 April 2026
Published : 27 April 2026
DOI: 10.30726/ijmrss/v13.i2.2026.13229