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Emergency Medical Services Provider Perspectives on Pediatric Calls: A Qualitative Study
Prehospital Emergency Care
|November 29, 2018
Summary
Responding to pediatric emergencies is emotionally challenging for emergency medical services (EMS) clinicians. This study highlights the need for better support and training for EMS providers handling difficult pediatric calls.
Area of Science:
- Emergency Medical Services (EMS)
- Pediatric Emergency Care
- Qualitative Research Methods
Background:
- Previous research indicates significant distress among EMS clinicians responding to pediatric incidents.
- Understanding the specific challenges and support needs of EMS providers is crucial for improving care.
Purpose of the Study:
- To explore the difficulties EMS clinicians face when responding to pediatric calls.
- To identify organizational support strategies for managing these challenging calls.
Main Methods:
- Qualitative study involving focus groups with 17 paramedics and EMTs from diverse service regions.
- Semi-structured interviews explored call difficulties, preparation, coping, and support needs.
- NVivo software was used for coding, memoing, and content analysis of transcripts.
Main Results:
- Key challenges include the social value of children, clinical complexities, increased acuity, caregiver distress, and personal identification.
- Pre-arrival preparation involved mental rehearsal and emotional regulation.
- Existing support primarily social; desired resources include external feedback, frequent pediatric training, recovery time, and better equipment management.
Conclusions:
- This study offers critical qualitative insights into the unique stressors of pediatric emergency response.
- Findings can inform EMS leaders in developing targeted training and support initiatives for prehospital clinicians caring for children.
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