Emergency Medical Services for Children: What Is the Pediatric Surgeon's Role?

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 576-581
Author(s):  
J. ALEX HALLER
Keyword(s):  
Emergency Care ◽  
Emergency Services ◽  
Pediatric Emergency ◽  
State Funding ◽  
Adolescent And Young Adult ◽  
Emergency Medical ◽  
Emergency Care System ◽  
Pediatric Emergency Care ◽  
Emergency Systems ◽  
The One

Comprehensive pediatric emergency care should be integrated into an overall emergency care system and organized regionally to address the special needs of children. Some pediatric voices have suggested that emergency care for children be organized separately in a parallel system with adult emergency systems, but this plan would put children in competition with adults for federal and state funding. Equally important is the natural overlap of many emergency services with obstetric, perinatal, adolescent, and young adult programs, all of which will be strengthened by integration, not by separation. The one non-negotiable principle must be that any emergency medical system that includes children must use the best and most experienced pediatric specialists available in the area.

Guidelines for Pediatric Emergency Care Facilities

PEDIATRICS ◽  
1995 ◽  
Vol 96 (3) ◽  
pp. 526-537
Author(s):  
Keyword(s):  
Health Care ◽  
Emergency Medical Services ◽  
Emergency Care ◽  
Pediatric Emergency ◽  
Medical Services ◽  
Emergency Medical ◽  
Care Facilities ◽  
Trained Personnel ◽  
Pediatric Emergency Care

Emergency care for life-threatening pediatric illness and injury requires specialized resources including equipment, drugs, trained personnel, and facilities. The American Medical Association Commission on Emergency Medical Services has provided guidelines for the categorization of hospital pediatric emergency facilities that have been endorsed by the American Academy of Pediatrics (AAP).1 This document was used as the basis for these revised guidelines, which define: 1. The desirable characteristics of a system of Emergency Medical Services for Children (EMSC) that may help achieve a reduction in mortality and morbidity, including long-term disability. 2. The role of health care facilities in identifying and organizing the resources necessary to provide the best possible pediatric emergency care within a region. 3. An integrated system of facilities that provides timely access and appropriate levels of care for all critically ill or injured children. 4. The responsibility of the health cane facility for support of medical control of pre-hospital activities and the pediatric emergency care and education of pre-hospital providers, nurses, and physicians. 5. The role of pediatric centers in providing outreach education and consultation to community facilities. 6. The role of health cane facilities for maintaining communication with the medical home of the patient. Children have their emergency care needs met in a variety of settings, from small community hospitals to large medical centers. Resources available to these health care sites vary, and they may not always have the necessary equipment, supplies, and trained personnel required to meet the special needs of pediatric patients during emergency situations.

Emergency Care of the Child

PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 572-576
Author(s):  
MARTHA BUSHORE
Keyword(s):  
Health Care Providers ◽  
Emergency Care ◽  
Life Support ◽  
Prehospital Care ◽  
Pediatric Emergency ◽  
Care Providers ◽  
Transport Services ◽  
Emergency Medical ◽  
Field Triage ◽  
Pediatric Emergency Care

Optimal emergency care of the child requires a well-developed EMS-C system. The components are easy to identify. We need macroregions with institutions acknowledging their institutional capabilities for pediatric emergency care and supporting field triage and transfer agreements. We need highly educated and skilled prehospital care providers, from emergency medical technicians in the field to air and ground transport services with specialized pediatric transport teams. In addition to having an appropriate hospital emergency department attending physician staff, hospitals must develop networks of cooperation between emergency departments appropriate for pediatrics and childern's emergency care centers. These centers strive for quality care through systematic record keeping, chart reviews, and audits identifying care deficiencies and appropriate remedies. Subsequent reviews document improved care. There are meetings of prehospital and hospital-based providers to discuss the management of challenging cases. Comprehensive pediatric emergency care involves integration of emergency stabilization patient care with community and hospital social services, patient education programs (such as Child Life), and comprehensive rehabilitation programs, as well as community accident prevention and basic life support programs. As we strive to develop optimal emergency medical services for our country to best serve our people, comprehensive emergency care of children must have separate consideration from comprehensive emergency care of adults. If we are to assure optimal outcome for the life-threatened child, we need to continuously assess regional needs and capabilities and encourage optimal involvement of health care providers and institutions.

Pediatrician's Role in Emergency Medical Services for Children

PEDIATRICS ◽  
1988 ◽  
Vol 81 (5) ◽  
pp. 735-735
Author(s):  
Keyword(s):  
Emergency Medical Services ◽  
Emergency Care ◽  
Life Support ◽  
Care Delivery ◽  
Prehospital Care ◽  
Pediatric Emergency ◽  
Medical Services ◽  
Care Providers ◽  
Emergency Medical ◽  
Pediatric Emergency Care

To reduce the morbidity and mortality of critically ill and injured children, comprehensive care must be provided. This includes effective services and treatment from the onset of the illness or injury through definitive care. Pediatricians should counsel families not only about prevention of disease and injury but also about access to pediatric emergency care resources in their region. If the interval between recognition of illness and delivery of care is to be reduced to a minimum, a prehospital protocol must be established. Parents as well as prehospital care providers must be knowledgeable about their community's prehospital protocol for life-threatening illness or injury. Primary care pediatricians need to establish networks with hospital-based pediatricians, emergency physicians, pediatric surgeons, and other pediatric medical and pediatric surgical specialists so that there is clearly assigned responsibility for provision of pediatric emergency care.1 When available, a pediatric surgeon should take charge of the child with multiple traumatic injuries. Optimally, the pediatric emergency care delivery system will be comprehensive and designed to meet the unique needs of children. The specific objectives of an emergency medical services for children (EMS-C) system should remain constant even though available resources may vary from region to region. For an EMS-C system to be most effective, practitioners need to develop the knowledge, skills, attitudes, and experience necessary to provide essential life support for ill and injured children. Many regions currently have well-developed emergency medical services (EMS) systems with outstanding capability and sophistication but most have been designed to meet the needs of adults.2

Calcium blocking agents in pediatric emergency care

1990 ◽  
Vol 6 (1) ◽  
pp. 52-57 ◽  
Author(s):  
ELI SHAHAR ◽  
MAYER SAGY ◽  
GIDEON KOREN ◽  
ZOHAR BARZILAY
Keyword(s):  
Emergency Care ◽  
Pediatric Emergency ◽  
Blocking Agents ◽  
Pediatric Emergency Care

SCHOOL NURSES AND PEDIATRIC EMERGENCY CARE IN NEW JERSEY

1997 ◽  
Vol 13 (4) ◽  
pp. 299
Author(s):  
Robert van Amerongen ◽  
Sally Klig ◽  
Abu Khan
Keyword(s):  
New Jersey ◽  
Emergency Care ◽  
Pediatric Emergency ◽  
School Nurses ◽  
Pediatric Emergency Care

Pediatric Emergency Medicine: A Developing Subspecialty

PEDIATRICS ◽  
1989 ◽  
Vol 84 (2) ◽  
pp. 336-342
Author(s):  
Marilyn Li ◽  
M. Douglas Baker ◽  
Leland J. Ropp
Keyword(s):  
Emergency Medicine ◽  
Emergency Care ◽  
Emergency Departments ◽  
Life Support ◽  
Pediatric Emergency ◽  
Advanced Trauma Life Support ◽  
Full Time ◽  
Pediatric Emergency Medicine ◽  
Pediatric Hospitals ◽  
Pediatric Emergency Care

Questionnaires were sent to 245 North American institutions with pediatric residency programs. There was a 69% response rate. Pediatric emergency care is provided in three types of facilities: emergency departments in pediatric hospitals, separate pediatric emergency departments or combined pediatric and adult emergency departments, in multidisciplinary hospitals. There are at least 262 pediatricians practicing full-time pediatric emergency medicine. The majority work in pediatric emergency departments, an average of 30.7 clinical hours per week. There are 27 pediatric emergency medicine programs with 46 fellows in training and 117 full-time positions available for emergency pediatricians throughout North America. Varying qualifications for these positions include board eligibility in pediatrics, certification in Basic Life Support or Advanced Trauma Life Support, and a fellowship in pediatric emergency medicine. The demonstrated need for pediatricians, preferably trained in emergency care, clearly indicates that pediatric emergency medicine is a rapidly developing subspecialty of Pediatrics that will be an attractive career choice for future pediatricians.

The Pediatric Emergency Care Applied Research Network and Knowledge Translation

2018 ◽  
Vol 19 (3) ◽  
pp. 295-303 ◽  
Author(s):  
Rachel M. Stanley ◽  
Mona Jabbour ◽  
Jessica M. Saunders ◽  
Sally Jo Zuspan
Keyword(s):  
Knowledge Translation ◽  
Emergency Care ◽  
Applied Research ◽  
Pediatric Emergency ◽  
Research Network ◽  
Pediatric Emergency Care

scholarly journals Mitigation Policies and Emergency Care Management in Europe's Ground Zero for COVID-19

2020 ◽  
Author(s):  
Gabriele Ciminelli ◽  
Sílvia Garcia-Mandicó
Keyword(s):  
Emergency Care ◽  
Service Sector ◽  
Emergency Services ◽  
Factory Workers ◽  
Hospital Emergency ◽  
Employment Share ◽  
Emergency Care System ◽  
Physical Interactions ◽  
Critical Patients ◽  
Care System

This paper draws from daily death registry data on 4,000 Italian municipalities to investigate two crucial policies that can dramatically affect the toll of COVID-19: the shutdown of non-essential businesses and the management of the emergency care system. Our results, which are robust to controlling for a host of co-factors, offer strong evidence that the closure of service activities is very effective in reducing COVID-19 mortality - this was about 15% lower in municipalities with a 10 percentage points higher employment share in shut down services. Shutting down factories, instead, is much less effective, plausibly because factory workers engage in more limited physical interactions relative to those in the consumer-facing service sector. Concerning the management of the health care system, we find that mortality strongly increases with distance from the intensive care unit (ICU). Municipalities at 10 km from the closest ICU experienced up to 50% higher mortality. This effect - which is largest within the epicenter and in days of abnormally high volumes of calls to the emergency line - underscores the importance of improving pre-hospital emergency services and building ambulance capacity to ensure timely transportation of critical patients to the ICU.

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