Optimal emergency care of the child requires a well-developed EMS-C system. The components are easy to identify. We need macroregions with institutions acknowledging their institutional capabilities for pediatric emergency care and supporting field triage and transfer agreements. We need highly educated and skilled prehospital care providers, from emergency medical technicians in the field to air and ground transport services with specialized pediatric transport teams. In addition to having an appropriate hospital emergency department attending physician staff, hospitals must develop networks of cooperation between emergency departments appropriate for pediatrics and children's emergency care centers. These centers strive for quality care through systematic record keeping, chart reviews, and audits identifying care deficiencies and appropriate remedies. Subsequent reviews document improved care. There are meetings of prehospital and hospital-based providers to discuss the management of challenging cases. Comprehensive pediatric emergency care involves integration of emergency stabilization patient care with community and hospital social services, patient education programs (such as Child Life), and comprehensive rehabilitation programs, as well as community accident prevention and basic life support programs. As we strive to develop optimal emergency medical services for our country to best serve our people, comprehensive emergency care of children must have separate consideration from comprehensive emergency care of adults. If we are to assure optimal outcome for the life-threatened child, we need to continuously assess regional needs and capabilities and encourage optimal involvement of health care providers and institutions.
为儿童提供最佳的急诊护理需要一个完善的儿科急诊医疗服务（EMS-C）系统。其组成部分很容易识别。我们需要一些大区域，区内的机构要认可自身在儿科急诊护理方面的能力，并支持现场分诊和转运协议。我们需要受过高等教育且技术熟练的院前护理人员，从现场的急救医疗技术人员到配备专业儿科转运团队的空中和地面运输服务人员。除了要有合适的医院急诊科主治医师团队外，医院还必须建立适合儿科的急诊科与儿童急诊护理中心之间的合作网络。这些中心通过系统的记录保存、病历审查和审计来找出护理缺陷及合适的补救措施，从而追求高质量护理。后续审查记录了护理的改善情况。院前和医院护理人员会召开会议，讨论疑难病例的管理。全面的儿科急诊护理包括将急诊稳定患者护理与社区及医院社会服务、患者教育项目（如儿童生活项目）、全面康复项目，以及社区事故预防和基本生命支持项目整合起来。在我们努力为我国发展最佳的急诊医疗服务以更好地服务人民时，儿童的全面急诊护理必须与成人的全面急诊护理分开考虑。如果我们要确保受到生命威胁的儿童能获得最佳治疗效果，就需要持续评估区域需求和能力，并鼓励医疗保健人员和机构的最佳参与。
