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Related Experiment Video

Updated: Jul 12, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Pediatric Primary Care Provider Perspectives on Including Children in Alternative Emergency Medical Services

Caleb E Ward, Judith Singletary, Justin Zaslavsky

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |October 28, 2023
    PubMed
    Summary

    Pediatric primary care providers see benefits in alternative emergency medical services (EMS) disposition programs, like improved care continuity. However, they also raised concerns about patient safety and equitable implementation for these EMS programs.

    Keywords:
    Emergency medical servicespediatricstransport

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    Area of Science:

    • Pediatric Emergency Medicine
    • Healthcare Systems Research
    • Primary Care Integration

    Background:

    • Emergency medical services (EMS) increasingly use alternative disposition programs for low-acuity cases.
    • Transportation to clinics is one such alternative disposition strategy.

    Purpose of the Study:

    • To explore pediatric primary care providers' perspectives on alternative EMS disposition programs.
    • To understand potential benefits and challenges of integrating clinics into EMS care pathways.

    Main Methods:

    • Virtual focus groups were conducted with pediatric primary care providers.
    • A hybrid inductive and deductive analytical approach was employed.
    • Thematic analysis was used to identify key themes by consensus.

    Main Results:

    • Providers recognized benefits such as enhanced continuity of care and better use of emergency resources.
    • Concerns included potential undertriage, challenges with unfamiliar patients, and inequitable program rollout.
    • Logistical barriers identified were inadequate equipment, scheduling capacity, and triage coordination.

    Conclusions:

    • Pediatric primary care providers acknowledge significant potential benefits of incorporating clinics into EMS disposition programs.
    • Logistical constraints, patient safety, and equitable implementation are critical considerations for program design.
    • Provider insights are essential for developing effective pediatric alternative EMS disposition programs.