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  1. Article ; Online: Breaking point: the hidden crisis of emergency physician burnout.

    Lim, Rodrick / Alvarez, Al'ai / Cameron, Brittany / Gray, Sara

    CJEM

    2024  

    Language English
    Publishing date 2024-04-10
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-024-00659-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Current progress in international pediatric emergency medicine.

    Gutiérrez, Camilo E / Lim, Rodrick / Chu, Simon

    Current opinion in pediatrics

    2024  Volume 36, Issue 3, Page(s) 282–287

    Abstract: Purpose of review: Over the past four decades, pediatric emergency Medicine (PEM) has witnessed significant global development, with a notable increase in training programs and official recognition by regulatory bodies. However, disparities persist in ... ...

    Abstract Purpose of review: Over the past four decades, pediatric emergency Medicine (PEM) has witnessed significant global development, with a notable increase in training programs and official recognition by regulatory bodies. However, disparities persist in the recognition of PEM as an independent subspecialty, availability of training programs on a global scale, academic recognition, and the ability to provide high-quality care to children worldwide. There is paucity of published literature regarding development of PEM globally. This review explores the current trends and challenges in international pediatric emergency medicine.
    Recent findings: Current trends in international pediatric emergency medicine encompass the provision of training in pediatric-focused emergency and acute care, increased propagation of evidence-based guidelines specific to the care of children, the growth of collaborative research networks and interest groups within national and international societies. Simultaneously, the field continues to face challenges such as the lack of recognition, inequities in access, and a lack of dissemination of global PEM initiatives.
    Summary: While recent advancements have significantly enhanced the state of international pediatric emergency medicine, including pediatric specific research networks and training programs, barriers still hinder its overall quality. Many of these obstacles are not unique to pediatric emergency medicine but are directly affected by financial disparities and lack of governmental and public recognition of the essential role of pediatric emergency care.
    MeSH term(s) Humans ; Pediatric Emergency Medicine ; Child ; Global Health ; Internationality ; International Cooperation ; Emergency Medicine/education ; Emergency Medicine/trends
    Language English
    Publishing date 2024-04-04
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1049374-8
    ISSN 1531-698X ; 1040-8703
    ISSN (online) 1531-698X
    ISSN 1040-8703
    DOI 10.1097/MOP.0000000000001355
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Acutely Traumatized Child: Advances and Opportunities.

    Lim, Rodrick

    Current pediatric reviews

    2018  Volume 14, Issue 1, Page(s) 3

    MeSH term(s) Acute Disease ; Child ; Humans ; Patient Care/methods ; Wounds and Injuries/therapy
    Language English
    Publishing date 2018-05-29
    Publishing country United Arab Emirates
    Document type Editorial
    ISSN 1875-6336
    ISSN (online) 1875-6336
    DOI 10.2174/157339631401180718111811
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Well-being and mental health should be top priority for the emergency medicine workforce.

    de Wit, Kerstin / Lim, Rodrick

    CJEM

    2021  Volume 23, Issue 4, Page(s) 419–420

    MeSH term(s) Emergency Medicine ; Humans ; Mental Health ; Workforce
    Language English
    Publishing date 2021-07-07
    Publishing country England
    Document type Editorial ; Comment
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-021-00163-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Qualitative analysis of values and motivation reported by families utilizing a paediatric virtual care emergency clinic launched during the SARS-CoV-2 pandemic.

    Sanderson, Victoria / Vujcic, Branka / Coulson, Sherry / Lim, Rodrick

    CJEM

    2023  Volume 25, Issue 6, Page(s) 529–533

    Abstract: Purpose: This is the first study to take an in-depth qualitative approach to identify motivating factors for caregivers who chose the paediatric emergency virtual care option in Canada during the SARS-CoV-2 pandemic. The role that virtual care may play ... ...

    Abstract Purpose: This is the first study to take an in-depth qualitative approach to identify motivating factors for caregivers who chose the paediatric emergency virtual care option in Canada during the SARS-CoV-2 pandemic. The role that virtual care may play moving forward is also considered.
    Methods: Between May 2020 and May 2021, 773 respondents attending the virtual clinic completed a follow-up survey with open-ended questions. For qualitative content analysis, comments were coded and analysed until thematic saturation was reached. Sub-codes were subsumed into major coding categories to identify themes.
    Results: Three major themes, including safety, reassurance and convenience, and an overarching theme of satisfaction emerged from this analysis. Paediatric virtual clinic use was motivated in part by a desire to avoid the hospital environment. In-person Emergency Department visits were reported to be challenging and stressful, particularly due to perceived infection risk. Respondents appreciated that the clinic provided reassurance by assisting in navigating the healthcare system during a time of uncertainty and felt the virtual option allowed them to use healthcare resources responsibly. The convenience and ease of access to virtual care allowed for improved family-centred care in vulnerable populations. The overarching theme of satisfaction was emphasized by numerous comments for this service to be offered post-pandemic.
    Conclusion: Our study indicates that virtual care was an attractive option for caregivers due to the safety, reassurance, and convenience provided. The strong patient desire for continued availability post-pandemic will be important considerations in this rapidly developing area of care.
    MeSH term(s) Humans ; Child ; SARS-CoV-2 ; COVID-19 ; Pandemics ; Motivation ; Delivery of Health Care
    Language English
    Publishing date 2023-04-23
    Publishing country England
    Document type Journal Article
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-023-00505-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Implementing virtual care in the emergency department: building on the pediatric experience during COVID-19.

    Rosenfield, Daniel / Lim, Rodrick / Tse, Sandy

    CJEM

    2021  Volume 23, Issue 1, Page(s) 15–18

    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; Child ; Emergency Service, Hospital ; Humans ; Pandemics ; SARS-CoV-2 ; Telemedicine/methods ; Virtual Reality
    Language English
    Publishing date 2021-01-25
    Publishing country England
    Document type Editorial
    ISSN 1481-8043
    ISSN (online) 1481-8043
    DOI 10.1007/s43678-020-00026-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Standards of Care for Children in Emergency Departments: International Federation of Emergency Medicine Agenda for the Care of Children.

    Gutierrez, Camilo E / Gausche-Hill, Marianne / Lim, Rodrick K

    The western journal of emergency medicine

    2020  Volume 21, Issue 3, Page(s) 581–582

    Language English
    Publishing date 2020-04-21
    Publishing country United States
    Document type Editorial
    ZDB-ID 2375700-0
    ISSN 1936-9018 ; 1936-900X
    ISSN (online) 1936-9018
    ISSN 1936-900X
    DOI 10.5811/westjem.2020.2.46917
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: How can surgical programs use peer support programs in times of crisis?

    Scott, Leslie / Lim, Rodrick / Foxcroft, Laura / Lum, P Andrea

    Canadian Urological Association journal = Journal de l'Association des urologues du Canada

    2021  Volume 15, Issue 6 Suppl 1, Page(s) S36–S39

    Language English
    Publishing date 2021-08-18
    Publishing country Canada
    Document type Journal Article ; Review
    ZDB-ID 2431403-1
    ISSN 1911-6470
    ISSN 1911-6470
    DOI 10.5489/cuaj.7302
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: EMS Use and Success Rates of Intraosseous Infusion for Pediatric Resuscitations: A Large Regional Health System Experience.

    Garabon, Justin J W / Gunz, Anna C / Ali, Aaisham / Lim, Rodrick

    Prehospital emergency care

    2022  Volume 27, Issue 2, Page(s) 221–226

    Abstract: Objective: Access of intraosseous (IO) compartments is a commonly used technique that is an invaluable asset in emergency resuscitation. Prehospital IO success rates using semi-automatic insertion devices vary between 70 and 100% of pediatric patients. ... ...

    Abstract Objective: Access of intraosseous (IO) compartments is a commonly used technique that is an invaluable asset in emergency resuscitation. Prehospital IO success rates using semi-automatic insertion devices vary between 70 and 100% of pediatric patients. There are limited data on time to insertion and duration of IO function in the prehospital setting. Recent studies limited to the pediatric emergency department (PED) setting have also suggested that IOs may be less successful in the infant population. We explored the use of IO access for pediatric resuscitation, encompassing the prehospital and pediatric emergency department (PED) settings.
    Methods: This is a retrospective review of emergency medical services (EMS) patient care reports and PED data of patients aged 0-17 years old and transported by regional ground EMS agencies in Southwestern Ontario, Canada from 2012 to 2019. Mean and median time to first insertion and IO function (from insertion to IO failure, IV access, transfer to ICU, or death) were calculated.
    Results: Successful prehospital IO access was achieved in 83.7% of patients. The median time required to achieve IO access was 4 min (IQR 3-7) and mean duration of IO function was 27.6 min (SD: 14.8). Patients less than 1 year old had fewer functional IOs (25.9% vs. 75.0%), more insertion attempts (2 vs. 1), and shorter duration of IO function (18.8 vs. 32.2 mins) than the older age group (
    Conclusions: This is the first study to provide time to IO access and IO duration in the prehospital setting, and the first prehospital evidence to suggest inferior IO function in infants <1 year old, compared to other ages. This highlights unique challenges for infants that have implications for the PED, interfacility transport, and critical care settings.
    MeSH term(s) Infant ; Child ; Humans ; Aged ; Infant, Newborn ; Child, Preschool ; Adolescent ; Infusions, Intraosseous/methods ; Emergency Medical Services/methods ; Resuscitation/methods ; Emergency Service, Hospital ; Ontario
    Language English
    Publishing date 2022-05-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1461751-1
    ISSN 1545-0066 ; 1090-3127
    ISSN (online) 1545-0066
    ISSN 1090-3127
    DOI 10.1080/10903127.2022.2072553
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Emergency physician mental health during the subacute phase of the COVID-19 pandemic.

    Lim, Rodrick / Ali, Huma / Gagnier, Rachel / Marlborough, Michelle / Northcott, Sandra

    CJEM

    2020  Volume 22, Issue 6, Page(s) E13

    MeSH term(s) COVID-19/epidemiology ; COVID-19/therapy ; Emergency Service, Hospital/standards ; Humans ; Mental Health ; Occupational Health/standards ; Pandemics ; Physicians/psychology ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-07-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2059217-6
    ISSN 1481-8035 ; 1481-8035 ; 1488-1543
    ISSN (online) 1481-8035
    ISSN 1481-8035 ; 1488-1543
    DOI 10.1017/cem.2020.442
    Database MEDical Literature Analysis and Retrieval System OnLINE

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