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Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine

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Repeat ambulance use by pediatric patients.

K Broxterman¹, R Sapien, L Fullerton

¹Department of Pediatrics, University of New Mexico, Albuquerque, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine

|July 14, 2000

Summary

Repeat pediatric ambulance transports disproportionately involve older adolescents and females with non-traumatic complaints like seizures or respiratory issues. These patients are also more likely to have public insurance, suggesting a need for targeted interventions.

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Area of Science:

Emergency medical services research
Pediatric transport analysis
Public health interventions

Background:

Understanding patterns in pediatric ambulance use is crucial for resource allocation and targeted interventions.
Previous studies have not extensively compared characteristics of single versus repeat pediatric transports.

Purpose of the Study:

To compare the characteristics of pediatric patients requiring single ambulance transports versus those requiring repeat transports.
To identify demographic, clinical, and financial factors associated with repeat pediatric ambulance use.

Main Methods:

Analysis of pediatric patient (< 21 years) ambulance transports from 1992-1995 in a metropolitan area.
Comparison of repeat transports with single transports based on age, gender, chief complaint, and payment source.

Main Results:

Repeat transports were more common in older adolescents (17-20.9 years) and females compared to single transports.
Traumatic complaints were less frequent in repeat transports (33.0%) versus single transports (51.1%).
Repeat transports were significantly associated with chief complaints of seizure, assault, abdominal pain, or respiratory problems, and funded by Medicaid (39.0% vs 19.8%).

Conclusions:

Repeat pediatric ambulance transports are more likely to involve older adolescents, females, and patients with specific non-traumatic complaints, often funded by public insurance.
Findings suggest repeat pediatric transports warrant further investigation for targeted intervention strategies.
This data can inform the design of programs aimed at reducing emergency situations and subsequent ambulance utilization in pediatric populations.