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During COVID-19, it was critical that services adapted to meet the high demands of the pandemic. This qualitative study explores the experiences of several staff members of the community palliative care team, as they adapted the delivery of their services to such pressures. Semi-structured interviews via a virtual platform were conducted and four themes were identified: service development, communication, inter-professional relationships and support mechanisms. The participants supported the change in service delivery and use of technology to triage patients. The participants also reported improved collaboration and patient care-coordination, and enhanced support mechanisms used by the team helped sustain resilience and wellbeing. Although challenging, the team embraced the changes and described improved collaboration and coordination of patient care.

Byline: Paul E Sirbaugh, Paul E Pepe, Joan E Shook, Kay T Kimball, Mitchell J Goldman, Mark A Ward, Denise M Mann Abstract: Study Objectives: To perform a population-based study addressing the demography, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest (PCPA). Methods: Prospective, population-based study of all children (17 years of age or younger) in a large urban municipality who were treated by EMS personnel for apneic, pulseless conditions. Data were collected prospectively for 3 1/2 years using a comprehensive data collection tool and on-line computerized database. Each child received standard pediatric advanced cardiac life support. Results: During the 3 1/2-year period, 300 children presented with PCPA (annual incidence of 19.7/100,000 at risk). Of these, 60% (n=181) were male (P =.0003), and 54% (n=161) were patients 12 months of age or younger (152,500 at risk). Compared with the population at risk (32% black patients, 36% Hispanic patients, 26% white patients), a disproportionate number of arrests occurred in black children (51.6% versus 26.6% in Hispanics, and 17% in white children; P [Sirbaugh PE, Pepe PE, Shook JE, Kimball KT, Goldman MJ, Ward MA, Mann DM: A prospective, population-based study of the demographics, epidemiology, management, and outcome of out-of-hospital pediatric cardiopulmonary arrest. Ann Emerg Med February 1999;33:174-184.] Author Affiliation: From the Departments of Pediatrics.sup.* and Medicine,.sup.a Baylor College of Medicine; Texas Children's Hospital;.sup.As. the Houston Fire Department,.sup.|| Houston, Texas ; and the Departments of Emergency Medicine and Pediatrics,.sup.A[paragraph] and the School of Public Health,.sup.# Allegheny University of the Health Sciences, Pittsburgh, PA Article History: Received 24 June 1997; Revised 6 November 1997; Revised 16 April 1998; Revised 11 June 1998; Accepted 25 June 1998 Article Note: (footnote) [star] Address for reprints: paul E Pepe, MD, MPH, Department of Emergency Medicine, Allegheny University Hospitals, Allegheny General, 320 East North Avenue, Pittsburgh, PA 15212-4772; 412-359-6180, fax 412-359-8874., [star][star] 47/1/95318

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