Preferences for emergency medical service transport after childhood injury: An emergency department-based multi-methods study

Thinnes, Rob; Wetjen, Kristel; Harland, Karisa K.; Mohr, Nicholas M.

doi:10.1016/j.injury.2020.04.036

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…We defined the research questions presented in Appendix A a priori but allowed for new themes and questions to emerge as the data collection and analysis progressed. Grounded Theory has been used previously in qualitative EMS systems research including both protocol implementation and pediatric-specific clinical research [25][26][27]. The Johns Hopkins Medicine Institutional Review Board (IRB) approved this study.…”

Section: Methodsmentioning

confidence: 99%

Emergency Medical Services Clinicians’ Pediatric Destination Decision-Making: A Qualitative Study

Fratta¹,

Fishe²,

Schenk³

et al. 2021

Cureus

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Objective This study sought to identify factors that influence emergency medical services (EMS) clinicians’ destination decision-making for pediatric patients. We also sought EMS clinicians’ opinions on potential systems improvements, such as protocol changes and the use of evidence-based transport guidelines. Methods Thirty-six in-depth phone interviews were conducted using a semi-structured format. We utilized a modified Grounded Theory approach to understand the complicated decision-making processes of EMS personnel. Memo writing was used throughout the data collection and analysis processes in order to identify emerging themes. The research team utilized hierarchical coding of interview transcripts to organize data into sub-categories for final analysis. Results EMS clinicians cited the perceived need for specialty care, the presence of a medical home, a desire for improved continuity of care, and the availability of aeromedical transport as factors that promoted transport to a pediatric specialty center. They voiced that children with emergent stabilization needs should be transported to the closest facility, however, they did not identify any specific medical conditions suitable for transport to non-specialty centers. EMS clinicians recommended improvements in pediatric-specific education, improved clarity of hospitals’ pediatric capabilities, and the creation of a pediatric-specific destination decision-making tool. Conclusion This study describes specific factors that influence EMS clinicians’ transport destination decision-making for pediatric patients. It also describes potential systems and educational improvements that may increase pediatric transport directly to definitive care. EMS clinicians are in support of specific designations for hospitals’ pediatric capabilities and were in favor of the creation of a formal destination decision-making tool.

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Section: Methodsmentioning

confidence: 99%

Emergency Medical Services Clinicians’ Pediatric Destination Decision-Making: A Qualitative Study

Fratta¹,

Fishe²,

Schenk³

et al. 2021

Cureus

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show abstract

“…Collectively, those factors could influence the guardians' choice of transportation. 20 Concerning ER disposition, most patients were admitted to the surgical ward (75.7%). Only 5.3% needed admission to the ICU, as compared with two regional retrospective analyses demonstrating that almost half of the children were admitted to the ICU.…”

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confidence: 99%

Epidemiology of pediatric trauma in Makkah, Kingdom of Saudi Arabia

Almalki,

Alsulaimani

et al. 2023

SMJ

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Objectives: To explore the epidemiology and patterns of pediatric trauma in addition to length of hospital stay and outcome. Methods:A single-center retrospective study of 605 patients aged 14 years and younger was carried out from January to December 2022. The study included all patients who experienced intentional or unintentional trauma aged 14 years or below in 2022 and excluded trauma that did not prompt an emergency room visit. Original ArticleResults: Most pediatric trauma cases involved boys (69.1%, n=418), and girls comprised only 30.9% (n=187). Trauma was most common in children one to 5 years old (41.5%, n=251). Falling from a height was the most common mode of injury in both girls and boys (n=253, 41.8%). The most common body parts involved were the extremities (n=357, 59%), followed by the head (n=210, 34.7%). Most children were transferred to hospital via emergency medical services (n=234, 38.7%). In most cases, the child was admitted to the surgical ward (n=458, 75.7%), while others were managed in the emergency department without admission (n=93, 15.4%). Most patients were stable after receiving standard care (n=558, 92.2%). Conclusion:To reduce health care expenses and improve public health outcomes, prioritizing preventive measures is crucial. This includes increasing public awareness, implementing safety protocols, and enacting government regulations to prevent avoidable injuries.

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Optimizing locations of emergency medical stations for rural areas: A case study in Iran

Ahmadi,

Jelokhani-Niaraki,

Argany

et al. 2024

International Journal of Disaster Risk Reduction

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Preferences for emergency medical service transport after childhood injury: An emergency department-based multi-methods study

Cited by 4 publications

References 25 publications

Emergency Medical Services Clinicians’ Pediatric Destination Decision-Making: A Qualitative Study

Emergency Medical Services Clinicians’ Pediatric Destination Decision-Making: A Qualitative Study

Epidemiology of pediatric trauma in Makkah, Kingdom of Saudi Arabia

Optimizing locations of emergency medical stations for rural areas: A case study in Iran

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