Pediatric EMS transport: are we treating children in a system designed for adults only?

Abstract:

:Unlike adults, small children and infants do not require stretchers or ambulances for transport from a prehospital scene to the emergency department (ED). This study was designed to determine the importance of this difference in patient transport needs. A Macintosh Classic computer was programmed to compare the time to intubation (TTI) of a child with impending respiratory arrest treated in a standard paramedic/ambulance transport system versus that of a child treated in a system in which a patrolling police car transports the child directly to an ED. The dependent variable TTI was determined, with travel times from the scene to the ED and paramedic intubation success rates as the independent variables. Utilizing this model, police transports demonstrate shorter TTIs for brief scene-to-ED travel times or limited paramedic success rates, while paramedic intubations produced shorter TTIs for long scene-to-ED transports. These results suggest that nonambulance transport of pediatric patients be considered in the development of urban or suburban pediatric Emergency Medical Services.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Sacchetti A,Carraccio C,Feder M

doi

10.1097/00006565-199202000-00003

subject

Has Abstract

pub_date

1992-02-01 00:00:00

pages

4-8

issue

1

eissn

0749-5161

issn

1535-1815

journal_volume

8

pub_type

杂志文章
  • Derivation of the DIVA score: a clinical prediction rule for the identification of children with difficult intravenous access.

    abstract:OBJECTIVE:To develop a clinical prediction rule that would be easy to apply and be useful for predicting success or failure of peripheral intravenous line insertion in children. METHODS:This was a prospective cohort study of children aged 0 to 21 years undergoing peripheral intravenous placement by staff nurses in a p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181666f32

    authors: Yen K,Riegert A,Gorelick MH

    更新日期:2008-03-01 00:00:00

  • Use of restraints in ambulances: a state survey.

    abstract:PURPOSE:To determine the requirements in all states and the District of Columbia for use of restraints on patients in ambulances. MATERIALS AND METHODS:A structured telephone survey was conducted with all state Emergency Medical Services (EMS) agencies or the agency responsible for the regulation of ambulances. Questi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199806000-00014

    authors: Seidel JS,Greenlaw J

    更新日期:1998-06-01 00:00:00

  • Pediatric Conditions Requiring Interfacility Transport From Emergency Departments: A Statewide Study of Regionalization.

    abstract:OBJECTIVES:Pediatric care is increasingly regionalized, increasing rates of interfacility transport (IFT). However, it is unknown what conditions most frequently require IFT. This study's objective was to identify high-frequency pediatric conditions requiring IFT. METHODS:This is a statewide retrospective observationa...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001578

    authors: Aledhaim A,Fishe JN,Hirshon JM,Anders JF

    更新日期:2018-09-11 00:00:00

  • Tracheal Rupture: A Rare Complication of Endotracheal Intubation.

    abstract::There are numerous immediate and delayed complications associated with endotracheal intubation. Tracheal rupture is a rare complication whose diagnosis is often delayed. This can result in significant morbidity and mortality. We present a case of therapeutic misadventure resulting in a significant tracheal rupture in ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000279

    authors: Reichman EF,Lanan BJ

    更新日期:2015-11-01 00:00:00

  • Validation of a decision rule identifying febrile young girls at high risk for urinary tract infection.

    abstract:OBJECTIVE:To validate a previously published clinical decision rule to predict risk of urinary tract infection in febrile young girls. METHODS:We performed a retrospective case-control study at a children's hospital emergency department in a different city than that in which the original derivation study took place. G...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000081238.98249.40

    authors: Gorelick MH,Hoberman A,Kearney D,Wald E,Shaw KN

    更新日期:2003-06-01 00:00:00

  • Bilateral primary spontaneous pneumothorax: buffalo chest.

    abstract::A case of bilateral primary spontaneous pneumothorax ("buffalo chest") in a previously healthy man is described. The clinical presentation and treatment options are discussed. ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318191db2b

    authors: Bilavsky E,Yarden-Bilavsky H,Waisman Y,Marcus N

    更新日期:2009-01-01 00:00:00

  • Single-dose oral dexamethasone in the emergency management of children with exacerbations of mild to moderate asthma.

    abstract:OBJECTIVE:To compare the efficacy of a single dose of oral dexamethasone (Dex) versus 5 days of twice-daily prednisolone (Pred) in the management of mild to moderate asthma exacerbations in children. STUDY DESIGN:A prospective, randomized, double-blinded trial of children 2 to 16 years of age who presented to the emer...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.pec.0000248683.09895.08

    authors: Altamimi S,Robertson G,Jastaniah W,Davey A,Dehghani N,Chen R,Leung K,Colbourne M

    更新日期:2006-12-01 00:00:00

  • Planning emergency medical services for children in Bolivia: part 1-the use of rapid assessment procedures.

    abstract:OBJECTIVES:To describe an expedited process for collecting social and cultural data before program planning to develop emergency medical services for children in La Paz, Bolivia. The overall goal was to understand the relevant issues from the point of view of those most affected. METHODS:An interdisciplinary collabora...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000139737.08474.b0

    authors: Chin NP,Goepp JG,Malia T,Poordabbagh A

    更新日期:2004-09-01 00:00:00

  • Diagnosing abdominal pain in a pediatric emergency department.

    abstract::We undertook a prospective study of 377 children (two to 16 years old) presenting with abdominal pain to determine: 1) common discharge diagnoses; 2) what signs and symptoms are associated with appendicitis; and 3) follow-up of patients discharged from the emergency department (ED). Nine diagnoses accounted for 86% of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199206000-00003

    authors: Reynolds SL,Jaffe DM

    更新日期:1992-06-01 00:00:00

  • Precision Medicine With Point-of-Care Ultrasound: The Future of Personalized Pediatric Emergency Care.

    abstract::The Precision Medicine Initiative spearheaded by the National Institute of Health has pioneered a new model of health care focused on health care delivery that is tailored to an individual. Medical advances have already provided clinicians with the tools to better predict treatment outcomes based on the individual nee...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001050

    authors: Kessler D,Ng L,Tessaro M,Fischer J

    更新日期:2017-03-01 00:00:00

  • When choosing injectable penicillin for the treatment of group A beta-hemolytic streptococcal pharyngitis, there is a less painful choice.

    abstract:OBJECTIVE:To determine whether injection of patients with Bicillin CR is less painful than injection with Bicillin LA. To discover if Bicillin CR with the addition of procaine, which doubles the volume, causes the injection to be less painful. DESIGN:An experimental, double-blinded crossover design was used for this s...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00006565-200012000-00004

    authors: Bycroft TC,O'Connor T,Hoff C,Bohannon A

    更新日期:2000-12-01 00:00:00

  • The cause of gait disturbance in 425 pediatric patients.

    abstract::Children who seek attention for painful or painless alteration of gait provide a challenge to the emergency department physician who confronts such cases. Children with acute onset of limp or refusal to walk may become the center of diagnostic and therapeutic concern in approximately 4 percent of pediatric patient enc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198503000-00003

    authors: Singer JI

    更新日期:1985-03-01 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

    doi:10.1097/PEC.0b013e31823b412d

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

    更新日期:2011-12-01 00:00:00

  • Meningococcal group A sepsis associated with rare manifestations and complicated by Kawasaki-like disease.

    abstract::Neisseria meningitidis serogroup A septicemia and the development of Kawasaki disease in a 10-month-old male infant are described. The patient also experienced a number of primary/septic manifestations as consequences of the direct infectious assault and secondary/hypersensitivity immune-mediated complications. The pr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31819a8bab

    authors: Fretzayas A,Stabouli S,Alexaki A,Moustaki M

    更新日期:2009-03-01 00:00:00

  • HIV-infected children in the pediatric emergency department.

    abstract::Forty-three nonhemophiliac, confirmed HIV-positive children followed by the Children's Hospital AIDS Program made 184 visits to the children's Emergency Department (ED) during 1988 and 1989. The mean age was 30 +/- 28 months with a median of 25 months, a mode of 10 months, and a range from two days to 19 years. CD4 co...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199310000-00002

    authors: Pinkert H,Harper MB,Cooper T,Fleisher GR

    更新日期:1993-10-01 00:00:00

  • Sudden Collapse of a Preschool-Aged Child on the Playground.

    abstract:PURPOSE:Primary cardiac events are rare in children. There is little information in the literature regarding the most appropriate emergency department (ED) management of this type of pediatric patient, especially with regard to medication use. SUMMARY:This case highlights the pediatric ED evaluation and treatment of s...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000547

    authors: Scheller RL,Johnson LH,Caruso MC,Lorts A

    更新日期:2017-02-01 00:00:00

  • Clinical significance of scalp abnormalities in asymptomatic head-injured infants.

    abstract:OBJECTIVES:1) To identify clinical features indicating a high risk of skull fracture (SF) and associated intracranial injury (ICI) in asymptomatic head-injured infants. 2) To develop a clinical decision rule to determine which asymptomatic head-injured infants require head imaging. METHODS:We performed a prospective c...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200104000-00002

    authors: Greenes DS,Schutzman SA

    更新日期:2001-04-01 00:00:00

  • Acute disseminated encephalomyelitis: an unusual cause of encephalitic syndrome in childhood.

    abstract::Acute disseminated encephalomyelitis is a rare central nervous system demyelinating disease that occurs most frequently in children. It usually runs a monophasic course, beginning with fever, headache, and meningeal signs and rapidly progressing to coma when appropriate diagnosis and treatment are not provided. We rep...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Sztajnbok J,Lignani L Jr,Bresolin AU,Marotto PC,Seguro AC

    更新日期:1998-02-01 00:00:00

  • Prevalence of occult anemia in an urban pediatric emergency department: what is our response?

    abstract:OBJECTIVE:Treating or referring patients who are found to be anemic during pediatric emergency department (ED) encounters should lead to improved health in children and young adults. Before establishing guidelines how to approach the anemic in the pediatric ED, it is essential to determine the prevalence of anemia in t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31824d8a2f

    authors: Kristinsson G,Shtivelman S,Hom J,Tunik MG

    更新日期:2012-04-01 00:00:00

  • Two-Thumb Encircling Technique Over the Head of Patients in the Setting of Lone Rescuer Infant CPR Occurred During Ambulance Transfer: A Crossover Simulation Study.

    abstract:OBJECTIVE:The purpose of this study was to determine if the over-the-head 2-thumb encircling technique (OTTT) provides better overall quality of cardiopulmonary resuscitation compared with conventional 2-finger technique (TFT) for a lone rescuer in the setting of infant cardiac arrest in ambulance. METHODS:Fifty medic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000833

    authors: Jo CH,Cho GC,Lee CH

    更新日期:2017-07-01 00:00:00

  • Rhabdomyolysis without detectable myoglobulinuria due to severe hypophosphatemia in diabetic ketoacidosis.

    abstract::Clinical signs of hypophosphatemia, even when severe, are rare in diabetic ketoacidosis despite their high frequency in this condition. This article presents a patient with rhabdomyolysis due to severe hypophosphatemia, where the level of serum phosphorus was observed to be as low as 0.42 mg/dL on the 16th hour of ket...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31821dc68a

    authors: Kutlu AO,Kara C,Cetinkaya S

    更新日期:2011-06-01 00:00:00

  • Toxicological Emergencies in the Resuscitation Area of a Pediatric Emergency Department: A 12-Month Review.

    abstract:OBJECTIVE:Few studies of children with toxicological emergencies describe those undergoing acute resuscitation, and most describe exposures to single agents. We describe a 12-month sample of patients evaluated in the resuscitation area of a pediatric emergency department (ED) for a toxicological emergency. METHODS:We ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000858

    authors: Beauchamp GA,Kerrey BT,Mittiga MR,Rinderknecht AS,Yin S

    更新日期:2017-10-01 00:00:00

  • A randomized controlled trial of 2 methods of immobilizing torus fractures of the distal forearm.

    abstract:OBJECTIVES:Immobilization of torus fractures of the distal forearm, for 1 to 4 weeks in a slab, cast, or splint, produces good radiological and functional outcomes. This study assesses the pain associated with 2 forms of immobilization used for these injuries. METHODS:A randomized controlled trial comparing fiberglass...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PEC.0b013e318163db13

    authors: Oakley EA,Ooi KS,Barnett PL

    更新日期:2008-02-01 00:00:00

  • Utility of an immunization registry in a pediatric emergency department.

    abstract:OBJECTIVES:Determine prevalence of participation and underimmunization rate in a regional immunization registry (IR) among patients presenting to a university pediatric emergency department (PED). Rate of agreement between parental report and documented immunization status was also measured. METHODS:A convenience samp...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000125657.05196.55

    authors: Callahan JM,Reed D,Meguid V,Wojcik S,Reed K

    更新日期:2004-05-01 00:00:00

  • Aeromedical Transport in Children: A Descriptive Analysis of 96 Cases.

    abstract:OBJECTIVE:Pediatric aeromedical transport (AT) is highly challenging. We aim to describe a series of 96 cases of children requiring medical transport in terms of the indication, modalities, and related adverse events. METHODS:In this single-center retrospective study, we included air-transported patients less than 18 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001308

    authors: Mortamet G,Harrington K,Raffin H,Menat Y,Oualha M,Renolleau S

    更新日期:2020-01-01 00:00:00

  • Pediatric Carbon Monoxide Poisoning in Southern Israel: A Cross-Sectional Study.

    abstract:OBJECTIVES:This study aimed to describe the epidemiology and clinical burden of unintended carbon monoxide (CO) poisoning among children in the Negev region of southern Israel. METHODS:This was a cross-sectional retrospective study of CO poisoning patients admitted to Soroka University Medical Center in 2011 through 2...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001484

    authors: Fruchtman Y,Perry ZH,Leibson T,Vered Cohen L,Lifshitz M,Leibovitz E

    更新日期:2020-11-01 00:00:00

  • Crural amputation of a newborn as a consequence of intraosseous needle insertion and calcium infusion.

    abstract::Intraosseous needle insertion and infusion is considered an easy and reliable method of achieving a vascular access in acute circulatory collapse where other methods have not been successful within reasonable time. Complications are considered few but may be serious. We present a case of a newborn girl, where intraoss...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000150

    authors: Oesterlie GE,Petersen KK,Knudsen L,Henriksen TB

    更新日期:2014-06-01 00:00:00

  • A deep-tissue hemangioma presenting as a rapidly progressive expanding mass and thrombocytopenia in an infant.

    abstract:OBJECTIVE:We present a case of Kasabach-Merritt syndrome with discussion of hemangiomas of childhood relevant to the emergency physician. DESIGN:This is a case report. SETTING:The case is described in the setting of a tertiary care hospital level I pediatric emergency department. PATIENTS:A single case is discussed....

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199612000-00009

    authors: Ward DG,Wang W,Fesmire W,Salhab W

    更新日期:1996-12-01 00:00:00

  • The missing "Bratz" doll: a case of vaginal foreign body.

    abstract::Young female patients with gynecologic complaints, including vaginal discharge, commonly seek care in the emergency department. Prepubertal vaginal discharges have various potential etiologies including nonspecific vulvovaginitis, infections, inflammatory or dermatologic processes, precocious puberty, malignancy, anat...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/pec.0b013e31815c9dd2

    authors: Someshwar J,Lutfi R,Nield LS

    更新日期:2007-12-01 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

    doi:10.1097/PEC.0000000000001527

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

    更新日期:2021-01-01 00:00:00