American Academy of Pediatrics, Sept. 27-Oct. 1

The annual meeting of the American Academy of Pediatrics was held this year from Sept. 27 to Oct. 1 in Orlando, Florida, and attracted participants from around the world, including primary care pediatricians, pediatric medical subspecialists, pediatric surgical specialists, and other health care professionals. The conference featured scientific sessions that focused on the latest advances in the care of infants, children, adolescents, and young adults.

In one study, Stephanie Chao, M.D., of the Stanford University School of Medicine in Palo Alto, California, and colleagues found that a ban on high-capacity magazines could have the greatest impact on reducing child deaths from mass shootings.

The authors evaluated mass shootings by state using 10 categories of gun violence prevention laws and identified 131 pediatric mass shootings between 2009 and 2020. The researchers found that a ban on high-capacity magazines reduced the risk for child mass shootings by 91 percent. At the time of the study, only eight states had high-capacity magazine bans, including California, Colorado, Connecticut, Maryland, Massachusetts, New Jersey, New York, and Vermont. Currently, only 14 states have such bans.

“Sadly, because gun violence is the leading cause of death in children, physicians are often called upon to answer clinical questions about guns, which really are safety practice and policy implication questions,” Chao said. “Many physicians (surgeons, pediatricians, primary care) are also actively engaged in trying to create safer communities. So I think this research, sadly, applies to the new reality of clinical practice for physicians.”

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In another study, Jennifer Allen, D.O., of Akron Children”s Hospital in Ohio, and colleagues found that racial and socioeconomic disparities exist in the emergency management of unintentional ingestions in children.

The authors assessed the health records of 4,411 children younger than 6 years of age who had unintentional ingestions between January 2013 and March 2024. The researchers identified racial and socioeconomic disparities with the management of unintentional ingestions among children in the emergency department. Specifically, African American patients younger than the age of 6 years were more likely to have a social work consult, children services bureau referral, and urine drug screen compared with their White counterparts. A higher severity of illness, a lower Childhood Opportunity Index, and pharmaceutical ingestions also resulted in either a social work consultation, a children services bureau referral, or both.

“Unintentional ingestions happen. However, as pediatric emergency medicine providers, it is our job to provide equitable care for all patients,” Allen said. “This study is important in understanding where underlying bias exists in emergency department management and where changes can be made to address this problem.”

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