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EMSC RECOMMENDATIONS FOR PEDIATRIC TRAUMA CARE WITHIN
GENERAL TRAUMA CENTERS WITH PEDIATRIC CAPABILITIES
EMSA #194
Prepared by:
The Steering Committee of the California EMSC Project
Maureen McNeil
EMSC Project Director
California EMS Authority
Ronald A. Dieckmann, M.D., M.P.H.
EMSC Project Medical Consultant
San Francisco General Hospital
Erni Crowder
EMSC Project Coordinator
California EMS Authority
Sandra Salaber
Support Staff
California EMS Authority
STEERING COMMITTEE OF THE CALIFORNIA EMSC PROJECT
Judith Brill, M.D. Chair
Division of Pediatric Critical Care,
Director PICU, UCLA Medical
James Betts, M.D., Co-Chair
Division of Pediatric Surgery,
Director Trauma Services,
Oakland Children's Hospital
Sylvia Micik, M.D.,M.S.
American Academy of Pediatrics
San Diego State University
Ann Pettigrew, M.D.
Executive Director,
Pediatric Intensive Care Network of Northern and Central California
James Seidel, M.D.
Co-Director National EMSC Resource Alliance,
Harbor UCLA Medical Center
Ronald Dieckmann, M.D., M.P.H.
Medical Consultant, EMSC Project; Director of Pediatric Emergency Medicine,
San Francisco General Hospital
Timothy Yeh, M.D.
Director, Pediatric Critical Care
Children's Hospital, Oakland
Ramon Johnson, M.D.
Chair, Pediatric Emergency Medicine Subcommittee,
California Chapter of the American College
Angelo Salvucci, M.D.
Medical Director, Santa Barbara County
Patricia Murrin, R.N., M.P.H.
Assistant EMS Administrator,
San Diego County EMS;
Emergency Medical Services Administrators Association of California
EMSC Recommendations for Pediatric Trauma Care within General Trauma Centers with
Pediatric Capabilities
- General Trauma Centers (GTCs) that receive children should have well developed
pediatric capabilities.
- System planning for EMSC at the local and regional EMS levels should identify GTCs
with pediatric capabilities (GTC-PC) in policies for pediatric triage and transport.
- The capabilities should be specifically described by written guidelines from the
California EMS Authority. These guidelines should be developed by a multi-
disciplinary committee, in cooperation with the California Pediatric Trauma Care
Coalition.
- Local EMS Agencies should use such guidelines to establish performance standards for
pediatrics in the GTC that are consistent with local needs and resources.
- The guidelines for GTC-PC should address at least the following issues: medical
direction, information management, quality improvement, personnel education,
staffing, ED and ICU care, rehabilitation, public education, consultation and referral.
- Within regional trauma plans, the GTC-PC should be linked to community hospitals
for consultation and transfer of pediatric patients, ideally with written transfer
agreements.
- The GTC-PC should also be linked to PCCCs and PTCs for optimal care of pediatric
trauma in every geographical region.
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