1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1080/10903120500541308" target="_blank" rel="noreferrer noopener">http://doi.org/10.1080/10903120500541308</a> Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Pages 213-219 Issue 2 Volume 10 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Paramedic Initiated Non-transport Of Pediatric Patients Publisher An entity responsible for making the resource available Prehospital Emergency Care Date A point or period of time associated with an event in the lifecycle of the resource 2006 2006-04 Subject The topic of the resource children; emergency medical-services; Emergency Medicine; EMS; Environmental & Occupational Health; life; non-transport; Pediatrics; physician; pramedic triage; prehospital evaluation; Public; system Creator An entity primarily responsible for making the resource Haines C J; Lutes R E; Blaser M; Christopher N C Description An account of the resource Introduction. In a time of emergency department overcrowding and increased utilization of emergency medical services, a highly functional prehospital system will balance the needs of the individual patient with the global needs of the community. Our community addressed these issues through the development of a multitiered prehospital care system that incorporated EMS initiated non-transport of pediatric patients. Objective. To describe the outcome of pediatric patients accessing a progressive prehospital system that employed EMS initiated non-transport. Methods. A prospective observational case series was performed on pediatric patients (< 21 years old) designated EMS initiated non-transport. Patients were designated non-transport after an initial EMS protocol driven, complaint-specific clinical assessment in conjunction with medical oversight affirmation. Telephone follow-up was completed on all consecutively enrolled non-transport patients to collect information about outcome ( safety) as well as overall satisfaction with the system. A five-point Likert scale was utilized to rate satisfaction. Results. There were 5,336 EMS requests during the study period. Seven hundred and four were designated non-transport, of which 74.8% completed phone follow-up. Categories of EMS request included minor; medical illness 43.4%, trauma 55.9%, and other 1.1%. There were 13 admissions (2.4%) to the hospital after EMS initiated non-transport designation. Admissions after non-transport had trends toward younger age ( p = 0.002) and medical etiology ( p = 0.006). There were no PICU admissions or deaths. Conclusion. Our EMS system provides an alternative to traditional protocols, allowing EMS initiated non-transport of pediatric patients, resulting in effective resource utilization with a high level of patient safety and family satisfaction. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1080/10903120500541308" target="_blank" rel="noreferrer noopener">10.1080/10903120500541308</a> Format The file format, physical medium, or dimensions of the resource Journal Article or Conference Abstract Publication 2006 Blaser M Children Christopher N C emergency medical-services Emergency Medicine EMS Environmental & Occupational Health Haines C J Journal Article or Conference Abstract Publication life Lutes R E non-transport Pediatrics physician pramedic triage Prehospital Emergency Care prehospital evaluation Public system