LEADER 06936nam 2200733Ia 450 001 9910960964103321 005 20251116140438.0 010 $a9786610196593 010 $a9781280196591 010 $a1280196599 010 $a9780309585446 010 $a0309585449 010 $a9780585002408 010 $a0585002401 035 $a(CKB)110986584751290 035 $a(EBL)3376048 035 $a(SSID)ssj0000145834 035 $a(PQKBManifestationID)11163916 035 $a(PQKBTitleCode)TC0000145834 035 $a(PQKBWorkID)10181897 035 $a(PQKB)11046536 035 $a(MiAaPQ)EBC3376048 035 $a(Au-PeEL)EBL3376048 035 $a(CaPaEBR)ebr10055041 035 $a(CaONFJC)MIL19659 035 $a(OCoLC)923260669 035 $a(Perlego)4740022 035 $a(BIP)485018 035 $a(EXLCZ)99110986584751290 100 $a19930415d1993 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 00$aEmergency medical services for children /$fJane S. Durch and Kathleen N. Lohr, editors 205 $a1st ed. 210 $aWashington, D.C. $cNational Academy Press$d1993 215 $a1 online resource (xvi, 396 pages) 300 $a"Committee on Pediatric Emergency Medical Services, Division of Health Care Services, Institute of Medicine." 311 0 $a9780309048880 311 0 $a0309048885 320 $aIncludes bibliographical references and index. 327 $a""Emergency Medical Services for Children""; ""Copyright""; ""Preface""; ""Acknowledgments""; ""Contents""; ""Summary""; ""RECOGNIZING A NEED FOR EMERGENCY MEDICAL SERVICES FOR CHILDREN""; ""Origins of the Study and Report""; ""A Vision of Emergency Medical Services for Children""; ""Children and Why They Need Special Attention""; ""Epidemiological Considerations""; ""Key Historical Developments""; ""PRIORITY ISSUES IN IMPROVING EMERGENCY MEDICAL SERVICES FOR CHILDREN""; ""Education and Training""; ""Programs for the Public""; ""Programs for Health Care Professionals"" 327 $a""Putting Essential Tools in Place"" ""Communication""; ""Public Access to Emergency Services""; ""Communication Within EMS Systems""; ""Communication About EMS-C""; ""Planning, Evaluation, and Research""; ""Meeting Data Needs for Planning and Evaluation""; ""Research""; ""Leadership at the Federal and State Levels""; ""Agencies and Advisory Councils""; ""Funding""; ""LOOKING TO THE FUTURE""; ""Issues of Benefits and Costs""; ""A Changing Health Care Environment""; ""Health Care Reform""; ""Special Challenges to EMS and EMS-C""; ""FINAL THOUGHTS""; ""1 Introduction "" 327 $a""THE ISSUE: ENSURING EMERGENCY MEDICAL CARE FOR CHILDREN WHO NEED IT"" ""THE INSTITUTE OF MEDICINE STUDY""; ""Origins of the Study""; ""Conduct of the Study""; ""A VISION OF THE IDEAL SYSTEM: ESTABLISHING CRITICAL LINKAGES""; ""Linking Components of EMS-C""; ""Linking Children to EMS""; ""Linking Emergency Care to Children's Health Care""; ""GUIDING PRINCIPLES""; ""ORGANIZATION OF THE REPORT""; ""AUDIENCE FOR THIS REPORT""; ""THE COMMITTEE'S GOAL""; ""NOTE""; ""2 Risking Our Children's Health: A Need for Emergency Care ""; ""DEFINITIONS""; ""Children""; ""Emergency Medical Services"" 327 $a""WHY CHILDREN NEED SPECIAL ATTENTION" """Children Differ from Adults""; ""Anatomy and Physiology""; ""Emotional and Behavioral Development""; ""Patterns of Morbidity and Mortality""; ""Special Concerns in Caring for Children""; ""Recognizing Serious Illness and Injury""; ""Treating Children""; ""Helping Children with Special Health Care Needs""; ""EPIDEMIOLOGY OF CHILDHOOD EMERGENCIES""; ""Injury""; ""Illness""; ""Other Aspects of Pediatric Emergencies""; ""Settings for Emergency Care""; ""Emergencies Encountered in the Pediatrician's Office""; ""Prehospital Care""; ""ED Care"" 327 $a""General Inpatient Settings"" ""Intensive or Specialized Inpatient Care""; ""Rehabilitation Services""; ""COSTS OF INJURY AND ILLNESS""; ""Injury""; ""Illness""; ""Nonmonetary Costs""; ""SUMMARY""; ""NOTES""; ""3 Emergency Medical Services Systems: Origins and Operations ""; ""DEVELOPMENT OF EMS AND EMS SYSTEMS""; ""The 1960's and Earlier""; ""Recognizing a Need""; ""Initial Responses""; ""Other Activities""; ""The 1970's""; ""EMS in General""; ""Children and EMS""; ""The 1980's to the Present""; ""The Federal Role in EMS""; ""Other Developments into the 1980's""; ""Concerns Emerging in the 1980's"" 330 $aHow 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. 606 $aPediatric emergency services$zUnited States$xPlanning 606 $aPediatric emergencies 615 0$aPediatric emergency services$xPlanning. 615 0$aPediatric emergencies. 676 $a362.1/8/083 701 $aDurch$b Jane$01092318 701 $aLohr$b Kathleen N.$f1941-$01806075 712 02$aInstitute of Medicine (U.S.).$bCommittee on Pediatric Emergency Medical Services. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910960964103321 996 $aEmergency medical services for children$94359139 997 $aUNINA