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Durch, Kathleen N. Lohr 210 1$aWashington, D.C. :$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 $a0-309-04888-5 320 $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""; 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