Our goal was to describe the experiences after the launch of a pediatric emergency telemedicine
program at a large, urban, academic medical center.
We launched 3 unique pediatric emergency telemedicine
programs at an urban, academic medical center: direct-to-consumer
urgent care, pediatric emergency department (PED) telemedicine follow-up
, and telemedicine medical screening examination
in the PED.
We evaluated 84 patients via direct-to-consumer
urgent care with the most common chief complaint related to fever, dermatologic, or respiratory systems; we referred 12% to the PED, and 20% of those required hospital admission. We evaluated 38 patients via PED telemedicine follow-up
; we referred 19% back to the PED, and 43% of those required hospital admission. Median duration for a telemedicine
encounter was 10 minutes. We screened 3809 patients in the PED using telemedicine medical screening examination
We offer a description of an innovative and comprehensive new pediatric emergency telemedicine
program implemented at a large, urban, academic medical center. Our initial findings demonstrate short visit times, antibiotic stewardship, and low rates of PED referral and subsequent admission for patients who use a telemedicine
service. We plan to further examine the impact of pediatric emergency telemedicine
on the care of children as our program expands.