Improving emergency medical services for children with special health care needs: Does training make a difference?****
Affiliations
- College of Public Health, University of Arizona
- Previously with the Arizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Tucson, AZ.
Affiliations
- Previously with the Arizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Tucson, AZ.
Affiliations
- Previously with the Arizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Tucson, AZ.
Affiliations
- Previously with the Arizona Emergency Medicine Research Center, College of Medicine, University of Arizona, Tucson, AZ.
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Abstract
This study evaluated the impact of a paramedic training program on emergency medical services (EMS) responses for children with special health care needs. EMS responses for children with a congenital or acquired condition or a chronic physical or mental illness, were reviewed. Responses, related to the child's special health care need, involving paramedics who had completed our training program were compared with responses with paramedics not participating in the training. There was significantly more advanced life support treatment for responses with paramedics completing the training program compared with other responses. However, there was no significant difference in transport to a hospital or in-hospital admission between these 2 groups. This finding suggests that existing EMS protocols may play a more important role in emergency treatment and transport of children with special health care needs than specialized training of already certified paramedics. (Am J Emerg Med 2001;19:474-478. Copyright © 2001 by W.B. Saunders Company)
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*Supported in part by The Robert Wood Johnson Foundation Grant no. 030671.
**Address reprint requests to Daniel W. Spaite, MD, FACEP, Arizona Emergency Medicine Research Center, University of Arizona, 245057 UA, Tucson, AZ 85724.
*0735-6757/01/1906-0004$35.00/0
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