Original ArticlesExperiences of Pediatric Emergency Physicians in Providing Alcohol-Related Care to Adolescents in the Emergency DepartmentMabood, Neelam MD*; Ali, Samina MDCM, FRCP(C), FAAP*; Dong, Kathryn A. MD, MSc, FRCP(C)†; Wild, T. Cameron PhD‡; Newton, Amanda S. PhD*§Author Information From the Departments of *Pediatrics and †Emergency Medicine, Faculty of Medicine & Dentistry, ‡School of Public Health, and §Department of Psychiatry, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, Alberta, Canada. Funding for this project was provided to Dr Mabood by the Women and Children’s Health Research Institute (Edmonton, Alberta, Canada). Dr Newton holds a New Investigator Award from the Canadian Institutes of Health Research. Dr Wild is a Health Scholar with Alberta Innovates-Health Solutions. Reprints: Amanda S. Newton, PhD, Room 3-526, Department of Pediatrics, Edmonton Clinic Health Academy, 11405-87 Ave, Edmonton, Alberta, Canada T6G 1C9 (e-mail: email@example.com). Pediatric Emergency Care: December 2013 - Volume 29 - Issue 12 - p 1260-1265 doi: 10.1097/PEC.0000000000000024 Buy Metrics Abstract Objective The emergency department (ED) is a key clinical care setting for identifying and managing patients with alcohol-related presentations. We explored the experiences of emergency physicians in providing alcohol-related care to adolescents. Methods Purposeful sampling was used to identify pediatric emergency physicians with at least 1 year of experience (n = 12) from pediatric EDs across Canada. Data were collected via telephone using a semistructured interview guide. Hermeneutic phenomenology was used to identify common and unique experiences among respondents, using Moustakas’ immersion/crystallization procedures. Results Physicians expressed frustration with patient behaviors accompanying intoxication and described providing care as a struggle; developing an effective therapeutic alliance was challenging. Physicians believed intoxicated adolescent patients required more clinical time and resources than they could offer. Although physicians described the ED as unsuitable for ensuring continuity of care and addressing the broader social issues that accompany alcohol use, they did view the ED as a place to medically stabilize the patient and initiate a discussion on alcohol use and its harmful effects. Conclusions Pediatric ED physicians struggled during the caring experience and were skeptical that broader, more chronic social issues that are often associated with adolescent alcohol misuse can be effectively managed in a clinical setting where they feel primarily responsible for providing medical stabilization. Physicians did believe the ED was an appropriate place to ensure medical stability of a patient and then initiate a conversation regarding alcohol use and its harmful effects. © 2013 Lippincott Williams & Wilkins, Inc.