OBJECTIVE: This study was done to describe an urban, Emergency Medical Service (EMS) system's experiences with pediatric patients and the rate and characteristics of non-transports in this setting. METHODS: A retrospective analysis of all pediatric patients responded to by the Detroit Fire Department Division of EMS between January 1, 2002 and August 30, 2002 was done. RESULTS: There were 5,976 pediatric EMS cases. Children 10 years of age or older accounted for 49.4% of transports, 53.8% of all patients had medical illness, and 38.8% of the patients belonged to the non-urgent category. A large percentage of patients were not transported (27.2%), most commonly secondary to parent/caregiver/patient refusals. The median number of minutes on-scene for refusals was longer than for transports (23.5 vs. 17.3, respectively)[difference = 6.2 minutes (95% CI: 5.6-6.9)]. The odds ratios (OR) for refusal was highest for assaults (2.09; 95% CI: 1.66-2.63), difficulty in breathing (1.38; 95% CI: 1.14-1.68), and motor vehicle accidents (1.19; 95% CI: 1.04-1.37). CONCLUSIONS: In this system, the majority of pediatric patients are not severely ill, and a large number are not transported. Non-transports are more likely to be young adolescents, have been involved in assaults, and have a longer on-scene time.
OBJECTIVE: This study was done to describe an urban, Emergency Medical Service (EMS) system's experiences with pediatric patients and the rate and characteristics of non-transports in this setting. METHODS: A retrospective analysis of all pediatric patients responded to by the Detroit Fire Department Division of EMS between January 1, 2002 and August 30, 2002 was done. RESULTS: There were 5,976 pediatric EMS cases. Children 10 years of age or older accounted for 49.4% of transports, 53.8% of all patients had medical illness, and 38.8% of the patients belonged to the non-urgent category. A large percentage of patients were not transported (27.2%), most commonly secondary to parent/caregiver/patient refusals. The median number of minutes on-scene for refusals was longer than for transports (23.5 vs. 17.3, respectively)[difference = 6.2 minutes (95% CI: 5.6-6.9)]. The odds ratios (OR) for refusal was highest for assaults (2.09; 95% CI: 1.66-2.63), difficulty in breathing (1.38; 95% CI: 1.14-1.68), and motor vehicle accidents (1.19; 95% CI: 1.04-1.37). CONCLUSIONS: In this system, the majority of pediatric patients are not severely ill, and a large number are not transported. Non-transports are more likely to be young adolescents, have been involved in assaults, and have a longer on-scene time.
Authors: Matthew Hansen; William Lambert; Jeanne-Marie Guise; Craig R Warden; N Clay Mann; Henry Wang Journal: Resuscitation Date: 2015-02-25 Impact factor: 5.262
Authors: Travis Whitfill; Marc Auerbach; Maria Carmen G Diaz; Barbara Walsh; Daniel J Scherzer; Isabel T Gross; Mark X Cicero Journal: BMJ Simul Technol Enhanc Learn Date: 2020-09-03
Authors: Remco H A Ebben; Lilian C M Vloet; Renate F Speijers; Nico W Tönjes; Jorik Loef; Thomas Pelgrim; Margreet Hoogeveen; Sivera A A Berben Journal: Scand J Trauma Resusc Emerg Med Date: 2017-07-17 Impact factor: 2.953