Use of Emergency Medical Service transport system in medical patients up to 36 months of age.


OBJECTIVES:To determine the frequency of inappropriate transport by Emergency Medical Service (EMS). DESIGN:A retrospective study. SUBJECTS:Patients up to 36 months of age with medical complaints transported by EMS to an urban pediatric emergency department (ED). INTERVENTIONS:None. MEASUREMENTS:Arbitrary criteria for appropriate use of EMS transport system were developed. The age, triage status, number of previous uses of EMS, health insurance status, time of calls, chief complaint, and clinical management of patients in the ED were determined. The frequency of inappropriate use of EMS was determined and also the percentage of patients up to 36 months of age who used EMS transport system on more than one occasion. RESULTS:Charts of 341 patients were reviewed of which 126 patients (37%) could have been transported by nonemergent vehicles according to our arbitrary criteria. In addition 97 (28%) of these patients had used the EMS transport system on at least one other occasion. CONCLUSIONS:EMS is utilized for inappropriate transportation in approximately 37% of our pediatric patients less than 36 months of age with medical complaints. In addition, 28% of these same patients utilized the EMS system on more than one occasion. It would appear that education of care providers in the appropriate use of EMS and use of alternate means of transportation would make the system more efficient and productive.


Pediatr Emerg Care


Pediatric emergency care


Rosenberg N,Knazik S,Cohen S,Simpson P




Has Abstract


1998-06-01 00:00:00












  • Leaving Without Being Seen From a Pediatric Emergency Department: Identifying Caregivers' Perspectives Using Q-methodology.

    abstract:OBJECTIVE:National rates of left (or leaving) without being seen (LWBS) in pediatric emergency departments (PED) are higher than general emergency departments. We investigated coexisting perspectives on LWBS. METHODS:Q-methodology was implemented through a mixed-methods design. Semistructured interviews elicited a con...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Moskalewicz RL,Pham PK,Liberman DB,Hall JE

    更新日期:2019-04-11 00:00:00

  • Clonidine Overdose in a Toddler Due to Accidental Ingestion of a Compounding Cream.

    abstract::A 22-month-old girl without any significant medical history accidentally consumed a small amount of a therapeutic compounding cream that contained camphor, gabapentin, clonidine, ketoprofen, and lidocaine. Upon presentation to the emergency department, the child exhibited immediate onset of altered mental status with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Cates AL,Wheatley SM,Katz KD

    更新日期:2018-04-01 00:00:00

  • Invasive Yersiniosis in a Pediatric Patient With β-Thalassemia Major: Acute Decompensation After Rapid Blood Transfusion.

    abstract::Yersinia enterocolitica infection, or yersiniosis, is a common cause of gastroenteritis in developing nations, but the disease is less common in the developed world. Yersiniosis typically presents as a self-limited gastroenteritis in an immunocompetent patient and rarely progresses to the more fulminant disseminated f...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Hsu G,Jones A,Thornton B

    更新日期:2019-07-01 00:00:00

  • Multiple seizures after bupropion overdose in a small child.

    abstract::Unintentional ingestion of bupropion in young children has generally resulted in limited toxicity. We report a case of pediatric bupropion ingestion resulting in multiple seizures. The patient experienced hallucinations, agitation, vomiting, tachycardia and seizures after ingestion of 1050 (48 mg/kg) of extended-relea...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Spiller HA,Schaeffer SE

    更新日期:2008-07-01 00:00:00

  • Elastic bands on the wrist: a not so "silly" complication.

    abstract::The recent popularity of elastic bands on the wrist may put children at risk for acute compartment syndrome. Acute compartment syndrome is a limb-threatening condition characterized by elevated interstitial pressure in a confined fascial compartment. If left untreated, it may result in tissue necrosis, irreversible ne...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: McIver MA,Gochman RF

    更新日期:2011-05-01 00:00:00

  • Association of Delay in Appendectomy With Perforation in Children With Appendicitis.

    abstract:OBJECTIVE:The aim of this study was to assess whether increased time from emergency department (ED) triage to appendectomy is associated with a greater risk of children developing appendiceal perforation. METHODS:We performed a multicenter retrospective cohort study of children younger than 18 years hospitalized with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究


    authors: Meltzer JA,Kunkov S,Chao JH,Tay ET,George JP,Borukhov D,Alerhand S,Harrison PA,Hom J,Crain EF

    更新日期:2019-01-01 00:00:00

  • Optimizing patient/caregiver satisfaction through quality of communication in the pediatric emergency department.

    abstract:BACKGROUND:Optimizing patient/family caregiver satisfaction with emergency department (ED) encounters has advantages for improving patient health outcomes, adherence with medical plans, patient rights, and shared participation in care, provider satisfaction, improved health economics, institutional market share, and li...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Locke R,Stefano M,Koster A,Taylor B,Greenspan J

    更新日期:2011-11-01 00:00:00

  • Deadly proposal: a case of catecholaminergic polymorphic ventricular tachycardia.

    abstract::Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare adrenergically mediated arrhythmogenic disorder classically induced by exercise or emotional stress and found in structurally normal hearts. It is an important cause of cardiac syncope and sudden death in childhood. Catecholaminergic polymorphic ve...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Heiner JD,Bullard-Berent JH,Inbar S

    更新日期:2011-11-01 00:00:00

  • Holiday hazards.

    abstract::Presented is a selective review of the toxicities of various plants, decorations, and miscellaneous items popularly used during the holiday season. Particularly hazardous agents include mistletoe, holly, bubble lights, fireplace flame colors, alkaline batteries, and mothballs. Specific questions regarding management o...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Baker MD

    更新日期:1985-12-01 00:00:00

  • Which Clinical Features of Children on Initial Presentation to the Emergency Department With Head Injury Are Associated With Clinically Important Traumatic Brain Injury, Classification as Abuse, and Poor Prognosis?

    abstract:BACKGROUND:Pediatric traumatic brain injury (TBI) and abusive head trauma (AHT) are leading causes of morbidity and mortality. Clinicians may not be aware of AHT at presentation to the emergency department (ED). OBJECTIVE:The objective of this study was to determine which clinical features associated with head injury ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Burns J,Rohl S,Marth D,Proctor D,Amin R,Sekhon C

    更新日期:2020-09-10 00:00:00

  • The Effects of Pediatric Advanced Life Support Guidelines on Pediatric Trauma Airway Management.

    abstract:OBJECTIVE:Recent Pediatric Advanced Life Support (PALS) guidelines have deemphasized the use of advanced airways in short transport. It is unclear if guideline recommendations have altered practice. We sought to determine if a temporal change exists in the number of prehospital pediatric trauma intubations since the 20...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sperka J,Hanson SJ,Hoffmann RG,Dasgupta M,Meyer MT

    更新日期:2016-08-01 00:00:00

  • Pediatric Emergency Medicine Fellowship survey: 1991-1992.

    abstract::This study was designed to determine the general characteristics, training expectations, and career goals of those individuals entering Pediatric Emergency Medicine Fellowships in 1992 through the NRMP Pediatric Emergency Medicine Match. A 20-item questionnaire was developed and sent to those individuals who successfu...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Simon HK,Linakis JG

    更新日期:1992-12-01 00:00:00

  • Return visits to the emergency department among febrile children 3 to 36 months of age.

    abstract:OBJECTIVES AND METHODS:The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Klein-Kremer A,Goldman RD

    更新日期:2011-12-01 00:00:00

  • Electrical injuries in urban children in New Delhi.

    abstract:AIM:The objective of this study was to analyze the epidemiology, presentation, management, and complications of electrical burn injuries in urban children. METHODS:Data from records and clinical data were collected retrospectively and prospectively during 2008 to 2010. RESULTS:Of 41 children enrolled, the mean age of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Rai A,Khalil S,Batra P,Gupta SK,Bhattacharya S,Dubey NK,Mehra N,Saha A

    更新日期:2013-03-01 00:00:00

  • Teaching Point-of-Care Lung Ultrasound to Novice Pediatric Learners: Web-Based E-Learning Versus Traditional Classroom Didactic.

    abstract:OBJECTIVE:To assess whether Web-based teaching is at least as effective as traditional classroom didactic in improving the proficiency of pediatric novice learners in the image acquisition and interpretation of pneumothorax and pleural effusion using point-of-care ultrasound (POCUS). METHODS:We conducted a randomized ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Soon AW,Toney AG,Stidham T,Kendall J,Roosevelt G

    更新日期:2020-07-01 00:00:00

  • Rhabdomyolysis associated with olanzapine treatment in a child with Autism.

    abstract::Children with autism often display difficult behaviors including tantrums, extreme irritability, and physical aggression. There is emerging evidence that olanzapine is useful in decreasing these disruptive behaviors. The most common adverse effects are weight gain and short-term sedation. On the other hand, olanzapine...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Karakaya P,Yiş U,Kurul SH,Türkmen MA

    更新日期:2010-01-01 00:00:00

  • Isolated torsion of the fallopian tube in a menarchal 11-year-old girl.

    abstract::Isolated torsion of the fallopian tube is a rare cause of an acute lower abdominopelvic pain in adolescent females that is difficult to recognize preoperatively. This is a case report of an 11-year-old girl who presented with a right lower quadrant abdominal pain, nausea, and vomiting secondary to isolated torsion of ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Markhardt BK,Jones L,Drugas GT

    更新日期:2008-06-01 00:00:00

  • Acute liver failure, autoimmune hepatitis, and leptospirosis: a case report.

    abstract::The etiology of acute liver failure varies widely in children, but the most common causes are viral hepatitis, drugs, and toxins. We report herein a case of autoimmune hepatitis and acute liver failure caused by leptospirosis, which is involved rarely in etiology. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Urganci N,Kalyoncu D,Cayonu N,Erdem E,Yildirmak Y,Yilmaz B

    更新日期:2011-10-01 00:00:00

  • Gluconeogenesis defect presenting with resistant hyperglycemia and acidosis mimicking diabetic ketoacidosis.

    abstract::Fructose-1,6-diphosphatase (FDPase) enzyme deficiency is a rare inherited metabolic disease. Affected patients usually present with metabolic crisis including hypoglycemia, acidosis, ketonuria, and hyperuricemia. A previously healthy 8-month-old male infant presented with fever, vomiting, and hypoactivity. He had tach...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Paksu MŞ,Kalkan G,Asilioglu N,Paksu S,Dinler G

    更新日期:2011-12-01 00:00:00

  • Sodium channel blockade with QRS widening after an escitalopram overdose.

    abstract:INTRODUCTION:Escitalopram is rarely associated with prolongation of the QTc interval; however, there are no reported cases of QRS complex widening associated with escitalopram overdose. We report a case of a patient who presented with both QRS complex widening and QTc interval prolongation after an escitalopram overdos...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Schreffler SM,Marraffa JM,Stork CM,Mackey J

    更新日期:2013-09-01 00:00:00

  • Anomalous Left Coronary Artery From the Pulmonary Artery in Infants and Toddlers Misdiagnosed as Myocarditis.

    abstract:OBJECTIVES:Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart defect. Children with this anomaly are usually asymptomatic at birth and develop symptoms later on in life, which may mimic myocarditis. We sought to delineate clinical, laboratory, and epidemiological aspects of thi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Levitas A,Krymko H,Ioffe V,Zalzstein E,Broides A

    更新日期:2016-04-01 00:00:00

  • Pediatric rapid sequence intubation: a review.

    abstract::Pediatric rapid sequence intubation is a skill of great importance to emergency medicine physicians. Developing a systematic strategy for approaching an emergent airway aids in the proper handling of this event. This paper is a review of the current recommendations for pediatric rapid sequence intubation including cur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Bledsoe GH,Schexnayder SM

    更新日期:2004-05-01 00:00:00

  • Pediatric elbow trauma.

    abstract::Acute pediatric elbow trauma is commonly seen in the emergency department (ED). Reports confirm that, compared to other fractures, children's elbow fractures are commonly misdiagnosed in the ED. In addition, missed orthopedic injuries are one of the leading causes of malpractice claims in emergency medicine. Radiologi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审


    authors: Skaggs D,Pershad J

    更新日期:1997-12-01 00:00:00

  • An Unusual Pediatric Case of Seronegative Systemic Lupus Erythematosus Presented With Acute Abdominal Pain and Gross Hematuria.

    abstract:ABSTRACT:A child with acute abdomen with gross hematuria occasionally visits the emergency department (ED). Usually, such a condition is subject to differential diagnosis for stones, injuries, or sometimes malignancies in the urinary tract. Here we introduce an unusual case of a 9-year-old girl who presented to ED with...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Lee E,Yeo MK,You SK,Kim YK,Ryu S,Lee JM

    更新日期:2021-01-01 00:00:00

  • Ceftriaxone use in the emergency department: are we doing it right?

    abstract:OBJECTIVE:To evaluate the patterns of ceftriaxone use in an urban pediatric emergency department (PED) and to determine if overuse exists based on published guidelines for management of febrile infants. METHODS:We conducted a retrospective study of 229 young febrile patients who received ceftriaxone between January 1 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Jain S,Sullivan K

    更新日期:2002-08-01 00:00:00

  • Occult Pneumothorax Identification on Extended Focused Assessment with Sonography for Trauma Examination in Children.

    abstract:OBJECTIVE:Occult pneumothoraces (OPTXs) are defined by air within the pleural space that is not visible on conventional chest radiographs (CXR). The aim of this study was to understand how frequently the Extended Focused Assessment with Sonography for Trauma (eFAST) examination identifies occult PTX in a pediatric blun...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Malek D,Santillanes G,Hsiao V,Mailhot T,Claudius I

    更新日期:2020-12-01 00:00:00

  • Pediatric critical care transport survey: team composition and training, mobilization time, and mode of transportation.

    abstract::A survey was conducted to determine the current standard of care with regard to team composition and training, mobilization time, and vehicle use for pediatric critical care transport. An evaluation of 30 pediatric referral centers revealed that 60% provide a critical care transport team. Of those teams, the mean numb...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: McCloskey KA,Johnston C

    更新日期:1990-03-01 00:00:00

  • Family member presence during pediatric emergency department procedures.

    abstract:OBJECTIVE:Exclusion of family members (FM) during pediatric procedures in the emergency department (ED) is an accepted practice. This study questions the validity of such a practice. SUBJECTS:FM of ED pediatric patients undergoing procedures and ED staff performing procedures. SITES: ED of a tertiary care university-a...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Sacchetti A,Lichenstein R,Carraccio CA,Harris RH

    更新日期:1996-08-01 00:00:00

  • Alkalosis-induced respiratory depression from infantile hypertrophic pyloric stenosis.

    abstract::We report an infant with apnea due to infantile hypertrophic pyloric stenosis. The distinct mechanism of compensatory respiratory depression of severe metabolic acidosis is implicated. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Pappano D

    更新日期:2011-02-01 00:00:00

  • Simulation-Based Curricula for Enhanced Retention of Pediatric Resuscitation Skills: A Randomized Controlled Study.

    abstract:INTRODUCTION:Resuscitation skills decay as early as 4 months after course acquisition. Gaps in research remain regarding ideal educational modalities, timing, and frequency of curricula required to optimize skills retention. Our objective was to evaluate the impact on retention of resuscitation skills 8 months after th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章


    authors: Jani P,Blood AD,Park YS,Xing K,Mitchell D

    更新日期:2019-07-11 00:00:00