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A tale of two populations: addressing pediatric needs in the continuum of emergency care
Ellen Schenk1, Elizabeth A Edgerton1
1Division of Child, Adolescent and Family Health, Maternal and Child Health Bureau, Health Resources and Services Administration, Department of Health and Human Services, Rockville, MD.
Insights
The Emergency Medical Services for Children (EMSC) program improves pediatric emergency care by ensuring facilities have resources and training. This federal initiative integrates specialized pediatric care into the wider emergency medical services system for children nationwide.
Area of Science:
- Emergency Medicine
- Pediatric Healthcare
- Public Health Policy
Background:
- Pediatric patients constitute a significant portion of emergency department visits, often receiving care in non-pediatric facilities.
- Children have unique clinical needs distinct from adult patients requiring specialized emergency care.
- The existing emergency medical services system faces challenges in providing consistent, high-quality pediatric care.
Purpose of the Study:
- To describe the role and impact of the Emergency Medical Services for Children (EMSC) program.
- To highlight the EMSC program's strategies for enhancing pediatric emergency care.
- To inform stakeholders about the development of a comprehensive pediatric emergency care system.
Main Methods:
- The article reviews the initiatives and grants administered by the EMSC program.
- It examines performance measures for state partnerships focusing on pediatric readiness.
- The National Pediatric Readiness project and regionalization grants are discussed as key strategies.
Main Results:
- EMSC State Partnership grants assess pediatric care capabilities in various settings.
- The National Pediatric Readiness project ensures emergency departments have essential pediatric resources.
- Regionalization and targeted grants address geographic isolation and evidence-based practices.
Conclusions:
- The EMSC program is crucial for integrating and improving pediatric emergency care across the nation.
- Federal initiatives like EMSC are vital for ensuring timely and appropriate care for children in emergency situations.
- Continued focus on resources, training, and evidence-based practices is essential for advancing pediatric emergency medical services.
Abstract:
Nearly 27% of all annual emergency department (ED) visits are pediatric related, a relatively small percentage in comparison to the number of visits from the adult population. The majority of the 31 million children and adolescents access care in nonpediatric facilities and have different clinical presentations and needs than adults. Administered by the Health Resources and Services Administration within the Department of Health and Human Services, the Emergency Medical Services for Children (EMSC) program is a federal entity that aims to ensure that pediatric care is well integrated into the entire emergency medical services system so that no matter where a child lives or travels, he or she can receive appropriate and timely care. The objective of this article is to describe the role of the EMSC program in the development of the pediatric emergency care system. The program is striving to improve pediatric emergency care in a number of ways: EMSC State Partnership grant performance measures address the ability of the out-of-hospital and hospital settings to care for children; the National Pediatric Readiness project works with EDs to ensure that essential resources are present to care for children; regionalization grants focus on the challenges of geographic isolation, access to specialty care, and limited resources; and the targeted issue grants focus on the care of the child in the out-of-hospital setting in which there is a paucity of evidence-based knowledge.
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