How can we meet the special needs of children for emergency medical services (EMS) when today's EMS systems are often unprepared for the challenge? This comprehensive overview of EMS for children (EMS-C) provides an answer by presenting a vision for tomorrow's EMS-C system and practical recommendations for attaining it. Drawing on many studies and examples, the volume explores why emergency care for children--from infants through adolescents--must differ from that for adults and describes what seriously ill or injured children generally experience in today's EMS systems. The book points the way to integrating EMS-C into current emergency programs and into broader aspects of health care for children. It gives recommendations for ensuring access to emergency care through the 9-1-1 system; training health professionals, from paramedics to physicians; educating the public; providing proper equipment, protocols, and referral systems; improving communications among EMS-C providers; enhancing data resources and expanding research efforts; and stimulating and supporting leadership in EMS-C at the federal and state levels.For those already deeply involved in EMS efforts, this volume is a convenient, up-to-date, and comprehensive source of information and ideas. More importantly, for anyone interested in improving the emergency services available to children--emergency care professionals from emergency medical technicians to nurses to physicians, hospital and EMS administrators, public officials, health educators, children's advocacy groups, concerned parents and other responsible adults--this timely volume provides a realistic plan for action to link EMS-C system components into a workable structure that will better serve all of the nation's children.
Jane S. Durch and Kathleen N. Lohr, Editors; Committee on Pediatric Emergency Medical Services, Institute of Medicine
1 FRONT MATTER; 2 SUMMARY; 3 1 INTRODUCTION; 4 2 RISKING OUR CHILDREN; 5 3 EMERGENCY MEDICAL SERVICES SYSTEMS: ORIGINS AND OPERATIONS; 6 4 LEARNING HOW TO PROVIDE GOOD CARE: EDUCATION AND TRAINING; 7 5 BEING READY TO DELIVER GOOD CARE: PUTTING ESSENTIAL TOOLS IN PLACE; 8 6 CONNECTING THE PIECES: COMMUNICATION; 9 7 KNOWING WHAT IS HAPPENING AND WHAT IS NEEDED: PLANNING, EVALUATION, AND RESEARCH; 10 8 LEADERSHIP FOR DEVELOPING EMERGENCY MEDICAL SERVICES FOR CHILDREN; 11 9 IMPROVING EMERGENCY MEDICAL SERVICES FOR CHILDREN: LOOKING TO THE FUTURE; 12 REFERENCES; 13 APPENDIXES; 14 A ACRONYMS; 15 B BIOGRAPHIES OF COMMITTEE MEMBERS; 16 INDEX
National Research Council, Division of Behavioral and Social Sciences and Education, Institute of Medicine, and Families Board on Children, Youth, Steve Olson
Institute of Medicine, Board on the Health of Select Populations, and Transgender Health Issues and Research Gaps and Opportunities Committee on Lesbian, Gay, Bisexual
Institute of Medicine, Board on Population Health and Public Health Practice, Division of Health Promotion and Disease Prevention, Division of International Health
Institute of Medicine, Committee to Develop Methods Useful to the Department of Veteran Affairs in Estimating Its Physician Requirements, Joseph Lipscomb
Institute of Medicine, Medical Follow-up Agency, Committee on Noise-Induced Hearing Loss and Tinnitus Associated with Military Service from World War II to the Present, Jane S. Durch, Lois M. Joellenbeck, Larry E. Humes
Institute of Medicine, Division of Health Promotion and Disease Prevention, Committee to Study Priorities for Vaccine Development, Robert S. Lawrence, Jane S. Durch, Kathleen R. Stratton
National Research Council, Institute of Medicine, Board on Life Sciences, Medical Follow-up Agency, and Acquisition of Medical Countermeasures Against Biological Warfare Agents Committee on Accelerating the Research, Development, Leslie Z. Benet, Jane S. Durch, Lois M. Joellenbeck
National Research Council, Division of Behavioral and Social Sciences and Education, Commission on Behavioral and Social Sciences and Education, Panel on Performance Measures and Data for Public Health Performance Partnership Grants, Susan M. Skillman, Jane S. Durch, Edward B. Perrin
Institute of Medicine, Medical Follow-up Agency, Committee to Assess the Safety and Efficacy of the Anthrax Vaccine, Brian L. Strom, Jane S. Durch, Lee L. Zwanziger, Lois M. Joellenbeck