173706 Availability of Pediatric Equipment on Basic and Advanced Life Support Ambulances

Wednesday, October 29, 2008: 8:30 AM

Michael Ely, MHRM , National EMSC Data Analysis Resource Center, University of Utah, Salt Lake City, UT
Tasmeen Singh Weik, MPH, NREMTP , Emergency Medical Services for Children National Resource Center, Children's National Medical Center, Silver Spring, MD
Patricia Schmuhl , National EMSC Data Analysis Resource Center, University of Utah, Salt Lake City, UT
Andrea Genovesi, MA , National EMSC Data Analysis Resource Center, University of Utah, Salt Lake City, UT
J. Michael Dean, MD, MBA , Department of Pediatrics, University of Utah, Salt Lake City, UT
Lenora Olson, PhD , Intermountain Injury Control Center, University of Utah, Salt Lake City, UT
Introduction: Assuring that children receive appropriate care at the scene of injury or illness is critical for optimal patient outcomes. Having appropriately sized medical equipment is a key aspect of providing that care. This study looks at the availability of pediatric equipment on basic (BLS) and advanced (ALS) life support ambulances. Methods: Data were gathered by survey or ambulance inspection reports from local emergency medical service (EMS) agencies between December 2006 - February 2007 regarding the availability of pediatric equipment on their ambulances as recommended by the American College of Emergency Physicians (ACEP). Results: 9 states and 2 US territories provided data representing 800 BLS and 2,162 ALS ambulances. On average, BLS ambulances carry 92% of recommended pediatric equipment while ALS ambulances carry 90%. Least frequently carried items were backboards and thermal blankets (72% & 83%) for BLS, and nasogastric tubes and monitoring electrodes (60% & 77%) for ALS. Reasons cited for not carrying equipment include lack of funding or not having state/local equipment requirements for specific items. Discussion: The ACEP equipment list is currently under review and revision. Our study results will be used to aid in the revision of an equipment list and development of policy options to ensure that recommendations are appropriate for pediatric patients and responsive to local needs. These results can also be used to address funding and other issues that constrain EMS agencies from procuring pediatric equipment for ambulances so that optimal patient care is not compromised.

Learning Objectives:
1. List five pieces of essential pediatric equipment for a Basic or Advanced Life Support system. 2. Describe the EMSC Performance Measures 3. Recognize the necessity of evaluating the essential pediatric equipment list for basic and advanced life support.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: of the work I have done with states in gathering this information.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.