Dialogue Volume 14 Issue 2 2018 - Page 21

COUNCIL AWARD Outreach program provides help to community ED doctors Dr. Sarah Reid I magine you are a doctor working in a general emergency department in a small town in North- ern Ontario. On your shift so far, you have seen a woman with migraine, a man with chest pain, an elderly lady with dizziness and a 20-year-old with a sore throat. Your next patient is a two-year-old with a three day history of fever. Her heart rate is 180. Her BP is 70/40. She is very sleepy and barely responds to your physical exam. She is mottled and her hands and feet are cool. Her mom says she has not had a wet diaper in o ver 12 hours. She is clearly very ill and you are four hours from the nearest pediatric centre. The last time you resuscitated a critically ill child was two years ago. For many physicians, this unsettling scenario is all too familiar. The majority of ill and injured children in Canada are treated not in tertiary care centres, but in community emergency departments where the physicians and nurses often have fewer resources and less experience and training in treating severely ill children. At its most recent meeting, the College presented its Council Award to Dr. Sarah Reid, an expert in pediatric emergency medicine, who has been working tirelessly to ensure that health-care professionals in under-resourced hospitals get the focused education they want and need in order to care for acutely ill children who arrive at their emergency departments. Dr. Reid is a pediatrician in the emergency department at the Children’s Hospital of Eastern Ontario (CHEO). She is also the medical lead for CHEO’s Emergency De- partment Outreach Program, and an assistant professor in pediatrics and emergency medicine at the University of Ottawa. As the founding medical lead for the outreach program, Dr. Reid has been at the forefront of the creation and implementation of the program which provides outreach education to the 20 community hospitals within the Champlain and the South East LHINs to facilitate broad standardization of evidence-based care. The program has, at its core, a multidisciplinary team of physicians, nurses and a pharmacist. Team members conduct an assessment to learn about a particular com- munity hospital, its resources and educational require- ments. The team then spends a full day at the hospital to deliver an educational program specific to the identified learning needs of the physicians, nurses and allied health professionals in the emergency department. Over its 10 years, and under the leadership of Dr. Reid, the outreach program has grown to include a staff of 10 health educators, online resources, didactic teaching and hands-on, high fidelity simulation of pediatric resuscita- tion cases. The program is highly valued throughout Eastern Ontario and has fostered strong partnerships between CHEO and the community. Today, CHEO is recognized within Canada as the pediatric academic health centre with the most comprehensive emergency department outreach program to community hospitals. CHEO’s program has been a model for implementa- tion of the work now being done at the national level through TREKK – the Translating Emergency Knowl- ISSUE 2, 2018 DIALOGUE 21