The 2023 – 2024 Trauma Webinar Series – Part Six: Analyzing Pediatric Orthopedic ER Transfers: Necessity, Acuity, and Proposed Screening

Wednesday, February 28, 2024, 12:00 PM - Saturday, February 27, 2027, 1:00 PM

AMA PRA Category 1 Credits™ (1.00 hours), ANCC Nursing Contact Hours (1.00 hours), CME-Designated Participation Credit (1.00 hours)

Many children who require orthopedic care are transferred to the emergency room for treatment. However, not all of these transfers are actually urgent and may not require immediate medical attention. In this presentation, we will analyze the data on pediatric orthopedic transfers, including the types of transfers, the urgency of the cases, and whether they ultimately require emergency care. We will also examine the costs and time involved for patients and their families. Our goal is to provide guidance on when it is necessary to transfer orthopedic patients to the ER and when close follow-up with an orthopedic office may be more appropriate. Additionally, we will explore the possibility of using pre-transfer telemedicine screening as a way to reduce the burden on busy emergency rooms.

Presenter
Rameez A. Qudsi, MD, MPH
Pediatric Orthopedic Surgeon; Department of Orthopedics^, and New London Hospital, New London, NH; Assistant Professor of Orthopedic Surgery*; Assistant Professor of Pediatrics*

About our Presenter
Dr. Rameez Qudsi is a pediatric orthopaedic surgeon specializing in hand & upper extremity, trauma, and clubfoot at Dartmouth-Hitchcock Medical Center. Dr. Qudsi received his MD from a combined Harvard Medical School - MIT program in 2011. Following his medical education, he completed the Harvard Combined Orthopaedic Residency Program, including a post-doctoral research fellowship at Brigham & Women’s Hospital and an MPH in Clinical Effectiveness and Global Orthopaedics. He then completed a fellowship in Pediatric Orthopaedics at Nemours Alfred I. DuPont Hospital for Children, followed by a Hand & Upper Extremity fellowship at the Mary S. Stern Hand & Upper Extremity Fellowship in Cincinnati, OH, and a traveling fellowship in Pediatric Hand & Shoulder at the Shriner’s Children’s Hospital, Philadelphia.  

Dr. Qudsi is now an Assistant Professor of Orthopaedic Surgery and Assistant Professor of Pediatrics at Dartmouth-Hitchcock Medical Center, with an academic focus on Pediatric Upper Extremity, Congenital Hand, Pediatric Upper and Lower Limb Trauma, and Global Surgery.
Dr. Qudsi sees patients both in Lebanon and New London, NH. 

1. Describe the potential levels of care and acuity for pediatric orthopedic emergency room transfers and their general costs (time and money).
2. Explain pre-transfer screening criteria including the role of pediatric orthopedic telemedicine evaluation to effectively optimize the triage of patients.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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Bibliographic Sources

• Qudsi R, Leyden K, Moontasri N, Atanda Jr. A. Optimizing Triage of Orthopedic Transfers to a Level 1 Pediatric Trauma Center: Is there a Role for Telemedicine? E-Podium Presentation, POSNA Virtual Annual Meeting (San Diego, CA), May 2020
  
  
• Blank et al, Early analysis of the United States Army’s telemedicine orthopaedic consultation program. J of Surg Orthopaedic Adv. 2011.
  
  
• Song X, Case AL, Carroll R, Abzug JM. Pediatric Emergency Room Transfers: Are They Warranted? J Pediatr Orthop. 2019 Jul;39(6):e430-e435.
  
  
• Smithson KB, Parham SG, Mears SC, Siegel ER, Crawley L, Sachleben BC. Transfers of pediatric patients with isolated injuries to a rural Level 1 Orthopedic Trauma Center in the United States: are they all necessary? Arch Orthop Trauma Surg. 2022 Apr;142(4):625-631.
  
  
• Bracey JW, Tait MA, Hollenberg SB, Wyrick TO. A Novel Telemedicine System for Care of Statewide Hand Trauma. Hand (N Y). 2021 Mar;16(2):253-257.  Epub 2019 May 29.
  
  

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
CE Office
Dartmouth Hitchcock Medical Center
[email protected] 

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.