||Pediatric Equipment in Ambulances
Moreland, J. E., Sanddal, N. D., Sanddal, T. L., & Pickert, C. B.
(1998). Self-reported compliance with pediatric equipment guidelines for
ambulance services prior to an emergency medical service for children
program (Abstract). Pediatric Emergency Care, 14 (1), 84.
OBJECTIVE: To determine compliance with consensus guidelines published
in Ann Emerg Med (28:669-701, 1996) for pediatric equipment by Kansas
ambulance services prior to an emergency medical services for children
(EMSC) program. METHODS: A questionnaire was mailed to all 189 licensed
ground ambulance services. Questions were asked concerning the
availability of essential pediatric equipment. An incentive was offered
for responses. The data were entered into SPSS by a single abstractor.
Basic life support (BLS) and advanced life support (ALS) responses were
compared to their respective guidelines. Analysis was descriptive in
RESULTS: Ninety-two (48.7%) of the services responded to the
questionnaire. Six responses were excluded. Of 86 inclusions, 12 (13.9%)
were ALS and 74 (86%) were BLS. Four services (4.7%) reported compliance
with essential equipment on all vehicles. Six (7.0%) reported compliance
on their primary and secondary units. Seven (8.1%) reported compliance
on the primary response vehicle (PRV) only. Seventy-nine (91.9%) failed
to achieve compliance on any vehicle. All seven respondents reporting
PRV compliance were BLS services. No ALS services met the required
compliance of both BLS and ALS equipment although two met BLS only and
one met ALS only. The most frequently missing pediatric BLS items were
stethoscope (58%), traction splint (53%), and nonrebreather mask (45%).
The most frequently missing pediatric ALS items were nasogastric tubes
(75%), monitor electrodes (50%), and Magill forceps (41.7%).
CONCLUSIONS: While limited by the self-reporting nature of the
questionnaire, deficiencies in pediatric equipment are present among
ambulance services in Kansas when measured against published guidelines.
Compliance rates appear similar between ALS and BLS services. A repeated
measure after the EMSC program has been implemented is warranted.