Pediatric Readiness in Emergency Medical Services Systems

被引:40
作者
Owusu-Ansah, Sylvia [1 ,2 ]
Moore, Brian [3 ,31 ]
Shah, Manish I. [4 ,5 ]
Gross, Toni [6 ,7 ]
Brown, Kathleen [8 ,9 ,10 ]
Gausche-Hill, Marianne [11 ,12 ,13 ]
Remick, Katherine [14 ,15 ,16 ,33 ]
Adelgais, Kathleen [17 ]
Rappaport, Lara [18 ,19 ]
Snow, Sally [35 ]
Wright-Johnson, Cynthia [20 ,28 ]
Leonard, Julie C. [21 ,22 ]
Lyng, John [23 ,24 ]
Fallat, Mary [25 ,26 ,36 ]
Wright, Joseph
Callahan, James
del Rey, Javier Gonzalez
Gross, Toni [6 ,7 ]
Joseph, Madeline
Lane, Natalie
Lee, Lois
Mack, Elizabeth
Marin, Jennifer
Mazor, Suzan
Timm, Nathan
Eisenberg, Andrew [27 ]
Wright-Johnson, Cynthia [20 ,28 ]
Lightfoot, Cynthiana [29 ]
Macias, Charles [30 ]
Moore, Brian [3 ,31 ]
Pilkey, Diane [32 ]
Remick, Katherine [14 ,15 ,16 ,33 ]
Saidinejad, Mohsen [34 ]
Snow, Sally [35 ]
Fallat, Mary [25 ,26 ,36 ]
Adirim, Terry
Agus, Michael S. D.
Chun, Thomas
Conners, Gregory
Conway, Edward, Jr.
Dudley, Nanette
Lane, Natalie
Macias, Charles [30 ]
Mahajan, Prashant
Moore, Brian [3 ,31 ]
Shook, Joan
机构
[1] Univ Pittsburgh, Dept Pediat, Div Emergency Med Serv, Med Ctr,Childrens Hosp Pittsburgh, Pittsburgh, PA 15260 USA
[2] Univ Pittsburgh, Childrens Hosp Pittsburgh, Emergency Dept, Med Ctr, Pittsburgh, PA 15213 USA
[3] Univ New Mexico, Dept Emergency Med, Hlth Sci Ctr, Albuquerque, NM 87131 USA
[4] Baylor Coll Med, Dept Pediat, Sect Emergency Med, Houston, TX 77030 USA
[5] Texas Childrens Hosp, Houston, TX 77030 USA
[6] Childrens Hosp New Orleans, Dept Emergency Med, New Orleans, LA USA
[7] Louisiana State Univ Hlth New Orleans, New Orleans, LA USA
[8] George Washington Univ, Sch Med & Hlth Sci, Dept Pediat, Washington, DC 20052 USA
[9] George Washington Univ, Sch Med & Hlth Sci, Dept Emergency Med, Washington, DC 20052 USA
[10] Childrens Natl Med Ctr, Div Emergency Med, Washington, DC 20010 USA
[11] Univ Calif Los Angeles, David Geffen Sch Med, Dept Emergency Med, Los Angeles, CA 90095 USA
[12] Univ Calif Los Angeles, David Geffen Sch Med, Dept Pediat, Los Angeles, CA 90095 USA
[13] Harbor Univ Calif, Los Angeles Med Ctr, Los Angeles, CA USA
[14] San Marcos Hays Cty Emergency Med Serv, San Marcos, TX USA
[15] Austin Travis Cty Emergency Med Serv Syst, Austin, TX USA
[16] Univ Texas Austin, Dell Med Sch, Dept Pediat, Austin, TX 78712 USA
[17] Univ Colorado, Sch Med, Dept Pediat, Aurora, CO USA
[18] Denver Hlth Med Ctr, Dept Pediat Emergency Med, Denver, CO USA
[19] Denver Hlth Med Ctr, Urgent Care Ctr, Denver, CO USA
[20] Maryland Inst Emergency Med Serv Syst, Emergency Med Serv Children, Baltimore, MD 21201 USA
[21] Nationwide Childrens Hosp, Dept Pediat, Div Emergency Med, Columbus, OH USA
[22] Ohio State Univ, Coll Med, Columbus, OH 43210 USA
[23] North Mem Hlth Hosp, Level Adult Trauma Ctr 1, Minneapolis, MN USA
[24] North Mem Hlth Hosp, Level Pediat Trauma Ctr 2, Minneapolis, MN USA
[25] Univ Louisville, Div Pediat Surg, Louisville, KY 40292 USA
[26] Norton Childrens Hosp, Louisville, KY USA
[27] Amer Acad Family Phys, Leawood, KS USA
[28] Natl Assoc State EMS Officials, Falls Church, VA USA
[29] Amer Acad Pediat Family Partnerships Network, Falls Church, VA USA
[30] Emergency Med Serv Children Innovat & Improvement, Houston, TX USA
[31] Natl Assoc EMS Phys, Overland Pk, KS USA
[32] Maternal & Child Hlth Bur, Rockville, MD USA
[33] Natl Assoc Emergency Med Tech, Clinton, MS USA
[34] Amer Coll Emergency Phys, Irving, TX USA
[35] Emergency Nurses Assoc, Des Plaines, IL USA
[36] Amer Coll Surg, Washington, DC USA
关键词
TRAUMATIC CARDIOPULMONARY ARREST; RANDOMIZED CONTROLLED-TRIAL; DRUG-ASSISTED INTUBATION; NATIONAL-ASSOCIATION; ASSESSMENT TRIANGLE; POSITION STATEMENT; RESOURCE DOCUMENT; EMS-PHYSICIANS; DOSING ERRORS; CARE;
D O I
10.1542/peds.2019-3308
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Ill and injured children have unique needs that can be magnified when the child's ailment is serious or life-threatening. This is especially true in the out-of-hospital environment. Providing high-quality out-of-hospital care to children requires an emergency medical services (EMS) system infrastructure designed to support the care of pediatric patients. As in the emergency department setting, it is important that all EMS agencies have the appropriate resources, including physician oversight, trained and competent staff, education, policies, medications, equipment, and supplies, to provide effective emergency care for children. Resource availability across EMS agencies is variable, making it essential that EMS medical directors, administrators, and personnel collaborate with outpatient and hospital-based pediatric experts, especially those in emergency departments, to optimize prehospital emergency care for children. The principles in the policy statement "Pediatric Readiness in Emergency Medical Services Systems" and this accompanying technical report establish a foundation on which to build optimal pediatric care within EMS systems and serve as a resource for clinical and administrative EMS leaders.
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页数:15
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