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Text
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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
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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
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Prehospital Emergency Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
2006-04
Subject
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children; emergency medical-services; Emergency Medicine; EMS; Environmental & Occupational Health; life; non-transport; Pediatrics; physician; pramedic triage; prehospital evaluation; Public; system
Creator
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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
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<a href="http://doi.org/10.1080/10903120500541308" target="_blank" rel="noreferrer noopener">10.1080/10903120500541308</a>
Format
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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