Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Emergency Medical Services Utilization by Children.

Parul Dayal1, Timothy Horeczko2, Cheryl Wraa3

  • 1From the Departments of Pediatrics, University of California, Davis.

Pediatric Emergency Care
|April 12, 2017
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Machine Learning to Identify Bacteremia and Meningitis in Febrile Infants: A Systematic Review.

Pediatrics·2026
Same author

PERC-Peds rule for bedside exclusion of pulmonary embolism without radiation in children in the USA (BEEPER): a multicentre, prospective, observational, diagnostic accuracy study.

The Lancet. Respiratory medicine·2026
Same author

IV bolus, maintenance and medication carrier fluid in children with community-acquired sepsis: a multicentre cohort study.

Archives of disease in childhood·2026
Same author

Guardian Presence in Research Conducted on Children With Blunt Abdominal Trauma in the Emergency Department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same author

Bacteremia and Bacterial Meningitis Among Low-Risk Febrile Infants Aged 29 to 60 Days.

JAMA pediatrics·2026
Same author

Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock.

The New England journal of medicine·2026

Children arriving at emergency departments by emergency medical services (EMS) are older, sicker, and require more resources than those arriving by other means. This highlights disparities in pediatric emergency care access and utilization in rural areas.

Area of Science:

  • Pediatric Emergency Medicine
  • Rural Health
  • Healthcare Access

Background:

  • Emergency medical services (EMS) play a critical role in transporting critically ill patients.
  • Understanding patient demographics and resource utilization is crucial for optimizing emergency department (ED) operations.

Purpose of the Study:

  • To compare demographic and clinical characteristics of pediatric patients arriving at rural EDs via EMS versus other transportation methods.
  • To analyze prehospital procedures and resource utilization based on mode of arrival.

Main Methods:

  • Retrospective review of 507 pediatric ED records (0-14 years) in a rural northern California region (2013).
  • Comparison of children arriving by EMS versus private vehicles/other means.
  • Analysis of prehospital procedures for EMS-transported children.

Related Experiment Videos

Main Results:

  • EMS-transported children were older (9.0 vs. 6.0 years), sicker (mean Severity Classification Score 2.9 vs. 2.4), and had longer ED stays (3.6 vs. 2.1 hours).
  • EMS patients received more subspecialty consultations, diagnostic testing (labs, radiography, CT scans), and had higher transfer rates (8.8% vs. 1.6%).
  • Higher Severity Classification Scores persisted after adjusting for age and sex (β = 0.48; P < 0.001).

Conclusions:

  • Children transported to rural EDs by EMS represent a sicker population with higher resource needs.
  • Mode of arrival significantly impacts ED resource utilization and patient outcomes in pediatric emergency care.
  • Targeted interventions may be needed to address disparities in rural pediatric emergency healthcare access.