Another non-American answer...
Manage patient according to EM principles (these seem to work just as well for adults), titrating doses/sizes by weight, etc, until a stage at which I need someone with better skills and/or additional facilities to what I have AND patient is stable enough to transfer. If it's an OR I need, this will be the surgeon, if it's OBGYN I need, it would be one of them, if it's an adult-medicine physician, respiratory physician, geriatrician, renal-ician, whatever-ician, then it will be a transfer to them.
I mostly work now in an ED that is adult only (no on-site paeds beds/staff). The only kids we get are those who self-present and it's not many. We do just the same with them - manage until there's somewhere/someone better we need. Minor injuries - we mostly sort these out 100%. Admissions - we must transfer.
From: Pediatric Emergency Medicine Discussion List [mailto:[log in to unmask]] On Behalf Of trzim29
Sent: Thursday, November 7, 2019 11:26 PM
...Adult shows up on your side of the hospital, to the Peds ER...do you conduct MSE and send over to Adult ER?...seems like an easy answer...do the Peds docs do the MSE, the PA/NP?What if the adult is really sick...do you stabilize, ACLS, call a code kid and adult ER doc comes over?Any and all thoughts, answers, experiences are welcome.Thanks,Todd Z
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