Emergency Care of the Technology-Assisted Child

Posner, Jill C.; Cronan, Kathleen; Badaki, Oluwakemi; Fein, Joel A.

doi:10.1016/j.cpem.2006.01.003

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…The investigators also published a resource template for the development of local emergency medical service protocols implementing the SCOPE program [ 26 ]. Similarly, two reports in the medical literature address the emergency medical management of technology-assisted children [ 27 , 28 ]. Technologies reviewed in these reports include tracheostomies, apnea monitors, home ventilators, central venous catheters, enteral feeding tubes, colostomies/ileostomies, artificial pacemakers, and cerebrospinal fluid shunts.…”

Section: Resultsmentioning

confidence: 99%

“…In the prehospital setting, participation of the family (and, if available, the home health nurse) in the evaluation and management of the medically complex child has been recommended as the key to quality care [ 25 , 27 , 28 ]. In our experience at the Pediatric Medical Home Program at UCLA [ 35 ], the principal caregiver for the child is typically best suited to describe the child's baseline vital signs, to evaluate mental status and abilities, to assess the changes from baseline and the severity of the child's condition, to assist with manipulating and troubleshooting medical technology devices, and to suggest a course of treatment.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Medical Transport of Children with Complex Chronic Conditions

Lerner

Kelly

Hamilton

et al. 2012

Emergency Medicine International

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One of the most notable trends in child health has been the increase in the number of children with special health care needs, including those with complex chronic conditions. Care of these children accounts for a growing fraction of health care resources. We examine recent developments in health care, especially with regard to medical transport and prehospital care, that have emerged to adapt to this remarkable demographic trend. One such development is the focus on care coordination, including the dissemination of the patient-centered medical home concept. In the prehospital setting, the need for greater coordination has catalyzed the development of the emergency information form. Training programs for prehospital providers now incorporate specific modules for children with complex conditions. Another notable trend is the shift to a family-centered model of care. We explore efforts toward regionalization of care, including the development of specialized pediatric transport teams, and conclude with recommendations for a research agenda.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%