1. COMPONENTS OF A COMPREHENSIVE EMSC SYSTEM

2. 1.PATIENT EDUCATION Anticipatory Prevention Injury Control by Pediatrician/Family Physician

3. 2. MODES OF ENTRY Physician’s office Parents (911 system) HMO Community ER’s

4. 3. EMT’S & PARAMEDICS On-line Control Field protocols

5. 4. COMMUNICATIONS To designated EMSC center To on-line responder – Emergency-medicine Pediatrician – Pediatric nurse-specialist Physician to Physician

6. 5. ACUTE STABILIZATION Appropriate EDAP Facility – Airway – Breathing – Circulation

7. 6. TRANSPORT Air / Ground – On line input from EMSC Physician

8. 7. PATIENT MANAGEMENT AT EMSC CENTER Management Protocols QA M&M Composite Care Team – Trauma – Illness

9. 8. PEDIATRIC ICU Team Leader – Determined by team – Most experienced physician in primary condition

10. 9. INTERMEDIATE CARE Management leadership decided by primary-condition physician

11. 10. REHABILITATION Physical Psychologic Dental

12. 12. PATIENT DATA Results of Rehabilitation Final Status

13. 11. PATIENT FOLLOW-UP Follow-up by Primary Care Pediatrician. Family Physician