How well do General EMS 911 dispatch protocols predict ED resource utilization for pediatric patients?

American Journal of Emergency Medicine

Volumn 32, Issue 3, 2014, Pages 199-202

  Fessler, Stephanie J ^a   Simon, Harold K ^a,b   Yancey II, Arthur H ^b,c   Colman, Michael ^c   Hirsh, Daniel A ^a,b  

^a Pediatric Emergency Medicine   (United States)

^b EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Grady Health Systems   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; ANTIEMETIC AGENT; DIPHENHYDRAMINE; IBUPROFEN; NARCOTIC ANALGESIC AGENT; ONDANSETRON; PARACETAMOL;

ARTICLE; CHILD; CLINICAL PROTOCOL; CONSULTATION; CONTROLLED STUDY; EAR NOSE THROAT DISEASE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; FEMALE; FEVER; HEALTH CARE UTILIZATION; HOME; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INFANT; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; PATIENT TRANSPORT; PEDIATRIC WARD; PRESCHOOL CHILD; PRESCRIPTION; PRIORITY JOURNAL; SKIN INFECTION; SOFT TISSUE INFECTION; SUMMER; URINARY TRACT INFECTION; VOMITING; WINTER;

ADOLESCENT; CHILD; CHILD, PRESCHOOL; CLINICAL PROTOCOLS; EMERGENCY MEDICAL SERVICE COMMUNICATION SYSTEMS; EMERGENCY SERVICE, HOSPITAL; FEMALE; GEORGIA; HEALTH RESOURCES; HOSPITALS, PEDIATRIC; HOSPITALS, URBAN; HUMANS; INFANT; INFANT, NEWBORN; MALE; RETROSPECTIVE STUDIES; TRIAGE; YOUNG ADULT;

EID: 84896698369     PISSN: 07356757     EISSN: 15328171     Source Type: Journal    
DOI: 10.1016/j.ajem.2013.09.018     Document Type: Article

References (24)

1. Camasso-Richardson, J.A. Wilde, and E.M. Petrack Medically unnecessary pediatric ambulance transports: a medical taxi service? Acad Emerg Med 4 1997 1137 1141
2. S. Kost, and J. Arruda Appropriateness of ambulance transportation to a suburban pediatric emergency department Prehosp Emerg Care 3 1999 187 190
3. P.D. Patterson, E.G. Baxley, and J.C. Probst et al. Medically unnecessary Emergency Medical Services (EMS) transports among children ages 0 to 17 years Matern Child Health J 10 2006 527 536
4. J. Richard, and M.H. Osmond Management outcomes of pediatric patients transported by emergency medical services in a Canadian prehospital system Can J Emerg Med 8 1 2006 6 12
5. Reforming Emergency Care. Department of Public Health Publications. 2001 Oct. London, England. http://www.dh.gov.uk/prod-consum-dh/groups/dh- digitalassets/@dh/@en/documents/digitalasset/dh-4058836.pdf.
6. M.J. Feldman, P.R. Verbeek, and D.G. Lyons et al. Comparison of the medical priority dispatch system to an out-of-hospital patient acuity score Acad Emerg Med 13 9 2008 954 960
7. C.J. Haines Paramedic initiated non-transport of pediatric patients Prehosp Emerg Care 10 2 2006 213 219
8. M. Hauswald Can paramedics safely decide which patients do not need ambulance transport or emergency department care? Prehosp Emerg Care 6 2002 387 390
9. R.A. Schaefer, T.D. Rea, and M. Plorde et al. An Emergency Medical Services program of alternate destination of patient care Prehosp Emerg Care 6 3 2002 309 314
10. T.A. Schmidt, R. Atcheson, and C. Federiuk et al. Evaluation of protocols allowing emergency medical technicians to determine need for treatment and transport Acad Emerg Med 7 6 2000 663 669
11. R.P. Pringle, D.L. Carden, and F. Xiao et al. Outcomes of patients not transported after calling 911 J Emerg Med 28 4 2005 449 454
12. Foltin GF. Critical Issues in Urban Emergency Medical Services for Children. Pediatrics Supp:174-179.
13. P. Hinchey, B. Meyers, and J. Zalkin et al. Low acuity EMS dispatch criteria can reliably identify patients without high acuity illness or injury Prehosp Emerg Care 11 1 2007 42 48
14. L. Palumbo, J. Kubincanek, and C. Emerman et al. Performance of a system to determine EMS dispatch priorities Am J Emerg Med 14 1996 388 390
15. M.N. Shah, P. Bishop, and E.B. Lerner et al. Validation of using EMS dispatch codes to identify low acuity patients Prehosp Emerg Care 9 1 2005 24 31
16. H.K. Simon, D.A. Hirsh, and A.J. Rogers et al. Pediatric emergency department overcrowding: electronic medical record for identification of frequent, lower acuity visitors. can we effectively identify patients for enhanced resource utilization? J Emerg Med 36 3 2009 311 316
17. T.A. Schmidt, R. Atcheson, and C. Federiuk et al. Hospital follow up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols Prehosp Emerg Care 5 2001 366 370
18. L.M. Yarris, R. Moreno, and T.A. Schmidt et al. Reasons why patients choose an ambulance and willingness to consider alternatives Acad Emerg Med 13 4 2006 401 405
19. http://www.usatoday.com/news/health/2010-06-01-emsredirect01-ST-N.htm? csp=34news.
20. D.A. Hirsh, H.K. Simon, and R. Massey et al. The host hospital 24-hour underreferral rate: an automated measure of call-center safety Pediatrics 119 6 2007 1139 1144
21. H. Snooks, S. Williams, and R. Crouch et al. NHS emergency response to 999 calls: alternatives for cases that are neither threatening nor serious BMJ 325 7359 2002 330 333
22. W.R. Smith, I. Culley, and M. Plorde et al. Emergency medical services telephone referral program: an alternative approach to non-urgent 911 calls Prehosp Emerg Care 5 2001 174 180
23. D. Keatinge, and K. Rawlings Outcomes of nurse-led telephone triage service in Australia Int J Nurs Pract 11 1 2005 5 12
24. V.F. Turner, P.J. Bentley, and S.A. Hodgson et al. Telephone triage in Western Australia MJA 176 4 2002 100 103