Race, racism, and antiracism in emergency medicine: A scoping review of the literature and research agenda for the future

Abstract

Objectives:The objective was to conduct a scoping review of the literature and develop consensus-derived research priorities for future research inquiry in an effort to (1) identify and summarize existing research related to race, racism, and antiracism in emergency medicine (EM) and adjacent fields and (2) set the agenda for EM research in these topic areas.Methods: A scoping review of the literature using PubMed and EMBASE databases, as well as review of citations from included articles, formed the basis for discussions with community stakeholders, who in turn helped to inform and shape the discussion and recommendations of participants in the Society for Academic Emergency

Eliminating pain disparities for children in the emergency department

“…Despite American Academy of Pediatrics and the American College of Emergency Physicians policies citing pediatric pain management as a priority and central component of patient‐ and family‐centered care, inadequate pain management remains prevalent in the ED 4 . To date, racial and ethnic disparities in pediatric pain management in the ED have been documented surrounding the treatment of bone fractures, appendicitis, migraines, and general pain management 2,3,5 . Collectively, data from this work indicate that, after controlling for clinical presentation and severity, children who are members of minoritized racial and ethnic groups are less likely to receive optimal pain care in the ED.…”

“…Though significantly more data exist in adult populations, retrospective studies have provided data on the prevalence of racial and ethnic disparities surrounding emergency care in children. Specifically, racially and ethnically minoritized children experience longer wait times and delays in diagnosis and receive lower acuity scores and less opioids 2,3 …”

SAEM Response to the National Institutes of Health request for information: Future directions in violence against women research

“…We confirm our support of the proposed research priorities focused on populations minoritized due to race and gender, particularly those related to (1) social determinants that put women at risk for violence 11 ; (2) the role of childhood trauma, polyvictimization across the lifespan, and intergenerational trauma; (3) unique challenges related to intersectional identities, 12,13 including transgender and gender-diverse populations; and (4) effective strategies for interrupting cycles of violence within these communities. These populations disproportionately rely on the ED for medical care, [14][15][16] and research is needed to identify inequities in care and understand how best to serve these communities while avoiding propagation of existing biases.…”

Diversity, equity, inclusion, justice—Are we accountable?

“…There SAEM is striving to integrate DEI into its national research agenda. 9,10 More than a decade ago, Braveman et al 11 noted the heart and commitment to address health disparities is a commitment to achieving a more just society. This concept is grounded in the justice and equal rights that began in our U.S. constitution.…”