Emergency Care for Children Growing Pains (2007) / Chapter Skim
Currently Skimming:
1 Introduction
1 Introduction
Pages 15-34
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 15... ...
State and local prevention laws, the training of prehospital emergency medical technicians (EMTs) , and the availability of hospitals and pediatric emergency medicine physicians are but a few examples of such variations -- key elements that have an important impact on the functioning of the emergency care system.
|
From page 16... ...
While data on pediatric emergency care outcomes are largely unavailable, data on practice patterns indicate shortcomings in the treatment and care of pediatric patients. Examples include high rates of pediatric medication errors (Selbst et al., 1999; Hubble and Paschal, 2000; Kozer et al., 2002; Fairbanks, 2004; Marcin et al., 2005)
|
From page 17... ...
. Providing quality pediatric emergency and trauma care is not just about having the right training and equipment.
|
From page 18... ...
As emergency care providers become increasingly stressed, timely access to quality emergency care is jeopardized for everyone. Overview of Pediatric Emergency Care Nearly 30 percent of all ED visits are made by children (see Figure 1-1)
|
From page 19... ...
. EDs that treat both children and adults are unlikely to have a pediatric emergency medicine physician on staff, and many lack basic pediatric equipment and supplies (Gausche-Hill et al., 2004; Middleton and Burt, 2006)
|
From page 20... ...
. NEED FOR A SEPARATE REPORT ON PEDIATRIC EMERGENCY CARE The statement "children are not little adults" is often used to convey the fact that children have unique medical needs relative to adults.
|
From page 21... ...
surface area devoted to the head relative to the lower extremities must be taken into account when determining the percentage of body surface area involved in burn injuries. Smaller airways; A right main stem Special equipment and tongue is large intubation can training are needed for relative to the lead to iatrogenic intubation; appropriately oropharynx; complications; sized endotracheal intubation larynx is more susceptible to tubes, stylettes, and higher and respiratory distress laryngoscope blades are more anterior due to airway swelling necessary.
|
From page 22... ...
age is required; normal vital signs differ for children and adults. An increased heart rate is often the first sign of shock in a pediatric patient, versus blood pressure in an adult.
|
From page 23... ...
Higher Age and developmental Providers must manage sensitivity to level of child, the mental health needs environmental characteristics of event, of pediatric patients and factors during and parental reactions parents' reactions. treatment.
|
From page 24... ...
At the federal and state levels, the current system is largely fragmented and uncoordinated. This fragmentation is a particularly critical problem for pediatric emergency care because EMS agencies and hospitals tend to vary in capability, commitment, and training standards for pediatric emergency care.
|
From page 25... ...
. Despite its importance, many emergency physicians have little formal training in pediatric emergency medicine (Moorhead et al., 2002)
|
From page 26... ...
However, many of the advances made in emergency care have not been appropriate or well designed for pediatric emergency care. For example, studies to determine the safety and efficacy of emergency care medications for children are rarely conducted; thus, as noted above, medication is often prescribed for children off label (Rapkin, 1999)
|
From page 27... ...
Altogether, 40 individuals served on one or more of the four committees.1 See Appendixes A and B, respectively, for a listing of all committee and subcommittee members and for biographical information on members of the main committee and the subcommittee on pediatric emergency care. Three reports covering each of the three subject areas were developed.
|
From page 28... ...
recommend strategies required to achieve that vision. In this context, the Subcommittee on Pediatric Emergency Care Services will examine the unique challenges associated with the provision of emer gency services to children and families, and evaluate progress since the publication of Emergency Medical Services for Children (IOM, 1993)
|
From page 29... ...
The term pediatric emergency medical serices denotes prehospital care for children, while pediatric emergency care refers to the full continuum of services involved in emergency medical care for children. Note that the terms emergency medical serices for children are used only in reference to the EMS-C program.
|
From page 30... ...
Chapter 4 examines workforce issues. It describes the training that emergency care workers receive in pediatric emergency care and notes deficiencies.
|
From page 31... ...
2001. Comparative practice patterns of emergency medicine physicians and pediatric emergency medicine physicians managing fever in young children.
|
From page 32... ...
Academic Emergency Medicine 9(5)
|
From page 33... ...
1999. Disturbing trends: The epidemiology of pediatric emergency medical services use.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.