A Survey of Restraint Methods for the Safe Transport of Children in Ground Ambulances

Pediatric Emergency Care
Rashida H WoodsAnthony Gilchrest

Abstract

The National Highway Traffic Safety Administration (NHTSA) released draft recommendations in 2010 on the safe transport of children in ground ambulances. The purpose of this study was to assess awareness of these guidelines among emergency medical service (EMS) agencies and to identify implementation barriers. We conducted a cross-sectional, anonymous online survey of 911-responding, ground transport EMS agencies in Texas. Demographics, modes of transport based on case scenarios, and barriers to implementation were assessed. Of 62 eligible EMS agencies that took the survey, 35.7% were aware of the NHTSA guidelines, 62.5% agreed they would improve safety, and 41.1% planned to implement them. Seventy-five percent of EMS agencies used the ideal or acceptable alternative to transport children requiring continuous monitoring, and 69.5% chose ideal or acceptable alternatives for children requiring spinal immobilization. The ideal or acceptable alternative was not chosen for children who were not injured or ill (93.2%), ill or injured but not requiring continuous monitoring (53.3%), and situations when multiple patients required transport (57.6%). The main requirements for implementation were provider education, ambulance interior mod...Continue Reading

References

Oct 31, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·UNKNOWN American Academy of PediatricsUNKNOWN National Association of State EMS Officials

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Citations

Nov 22, 2019·BMJ Paediatrics Open·Jelena OulasvirtaHeini Harve-Rytsälä
Sep 22, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Eveline A J van ReinMark van Heijl

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