Abstract

This commentary outlines how the clinical pharmacist can support the safe administration of emergency medications in trauma anesthesia for seriously injured children. Promoting the professional development of the clinical pharmacist provided an opportunity to strengthen a key step in our trauma care pathway. We describe the implementation of this process in a new hospital, which was to become the designated children’s trauma center for an entire country. Although the literature documents the use of pharmacists in emergency intubation, ours was a unique set of circumstances, where empowering the pharmacist in frontline clinical care provided additional quality assurance for rapid sequence induction and intubation in trauma. Medical simulation was a core part of socializing the advanced clinical practice role of pharmacy within the trauma team. It was our experience that the pharmacist helps to promote confidence and decision making among other members of the trauma team.

Highlights

  • In June 2018, Sidra Medicine in Doha, Qatar, a 400-bed tertiary women’s and children’s hospital, and the largest of its kind in the Middle East, launched its Pediatric Emergency Medicine (PEM) program

  • The aims of this paper are to document the role of the clinical pharmacist in supporting drug-assisted intubation in pediatric major trauma, to describe the process by which this was implemented, and to outline the benefits of having a clinical pharmacist as an integral part of a newly established trauma system

  • Clinical pharmacists have been present in trauma teams before, in North America and several publications document the expanding role of pharmacists in trauma teams [4, 18]

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Summary

Introduction

In June 2018, Sidra Medicine in Doha, Qatar, a 400-bed tertiary women’s and children’s hospital, and the largest of its kind in the Middle East, launched its Pediatric Emergency Medicine (PEM) program. This newly established pediatric emergency department (PED) would receive all cases of pediatric major trauma for the entire country. The new trauma center expected to receive approximately 300 cases of major trauma per annum, including up to twenty seriously injured children requiring emergency intubation. The contemporary role includes clinical practice in emergency medicine.

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