Dieckmann R A, Athey J, Bailey B, Michael J
Department of Emergency Services, San Francisco General Hospital, University of California, 94110, USA.
Prehosp Emerg Care. 2001 Jul-Sep;5(3):231-6. doi: 10.1080/10903120190939706.
Emergency medical services for children, or EMSC, is still a relatively underdeveloped component of most state and local EMS systems. Advocacy and funding for EMSC from the federal EMSC Program, availability of many useful EMSC products, and the rapidly enlarging literature in EMSC have created heightened awareness and interest in improving systems for pediatric emergency, trauma, and critical care. The new National Highway Traffic Safety Administration (NHTSA) EMS Technical Assistance (TA) re-assessment program, the second version of the successful original TA Program from 1988 to 1996, provides an ideal opportunity for state EMS professionals to evaluate EMSC capabilities and to integrate new EMSC products and services. The history of the TA Program reflects the evolution of EMS itself and indicates a historical inattention to children's issues, but re-assessment TA teams now have much useful intervening EMSC history to draw upon and a clear philosophical mandate to integrate children more fully in EMS system planning and management. In order to facilitate state-of-theart reviews of EMSC within state EMS systems, a pediatric survey for the NHTSA re-assessments is presented. The survey, developed with the input of EMS administrators and physicians and approved by the National Association of State EMS Directors, follows the original ten-component model for EMS system review. It is intended for optional use within the overall EMS review process.
儿童紧急医疗服务（EMSC）在大多数州和地方的紧急医疗服务（EMS）系统中仍然是一个相对不发达的组成部分。联邦EMSC项目对EMSC的倡导和资金支持、众多实用EMSC产品的可得性以及EMSC领域迅速增多的文献，提高了人们对改善儿科急诊、创伤和重症监护系统的认识和兴趣。新的国家公路交通安全管理局（NHTSA）紧急医疗服务技术援助（TA）重新评估项目，是1988年至1996年成功的原始TA项目的第二版，为州紧急医疗服务专业人员评估EMSC能力以及整合新的EMSC产品和服务提供了一个理想机会。TA项目的历史反映了紧急医疗服务本身的发展历程，表明过去对儿童问题缺乏关注，但重新评估TA团队现在有许多有用的EMSC干预历史可供借鉴，并且有明确的理念要求在紧急医疗服务系统规划和管理中更全面地纳入儿童。为了便于在州紧急医疗服务系统内对EMSC进行最新评估，本文给出了一份用于NHTSA重新评估的儿科调查问卷。该调查问卷在紧急医疗服务管理人员和医生的参与下制定，并经国家州紧急医疗服务主任协会批准，遵循紧急医疗服务系统评估的原始十部分模型。它旨在供紧急医疗服务总体评估过程中选择性使用。
