COMPONENTS OF A COMPREHENSIVE EMSC SYSTEM
1.PATIENT EDUCATION Anticipatory Prevention Injury Control by Pediatrician/Family Physician
2. MODES OF ENTRY Physician’s office Parents (911 system) HMO Community ER’s
3. EMT’S & PARAMEDICS On-line Control Field protocols
4. COMMUNICATIONS To designated EMSC center To on-line responder – Emergency-medicine Pediatrician – Pediatric nurse-specialist Physician to Physician
5. ACUTE STABILIZATION Appropriate EDAP Facility – Airway – Breathing – Circulation
6. TRANSPORT Air / Ground – On line input from EMSC Physician
7. PATIENT MANAGEMENT AT EMSC CENTER Management Protocols QA M&M Composite Care Team – Trauma – Illness
8. PEDIATRIC ICU Team Leader – Determined by team – Most experienced physician in primary condition
9. INTERMEDIATE CARE Management leadership decided by primary-condition physician
10. REHABILITATION Physical Psychologic Dental
12. PATIENT DATA Results of Rehabilitation Final Status
11. PATIENT FOLLOW-UP Follow-up by Primary Care Pediatrician. Family Physician