Dissociative and Deep Sedations Administered by Trained Unsupervised Pediatric Residents in Israeli Emergency Departments.
Annals of emergency medicine January 22, 2025 Neta Cohen, Nitai Levy, Jordanna H. Koppel et al. 2 citations
In Israel, third-year pediatric residents are trained to administer deep and dissociative sedation in emergency departments when pediatric emergency physicians are unavailable. A retrospective review of 23,578 sedations across 10 pediatric EDs from 2018 to 2022 found only 6 critical sedation events (chest compressions, intubation, vasopressors, or unplanned admission). Residents performed 12,733 sedations and emergency physicians 10,845. The frequency of critical events was 0.024% for residents and 0.028% for emergency physicians, a statistically similar rate. The findings suggest that unsupervised sedation by trained pediatric residents is safe in this setting.