Hi group, I've been invited to participate in a project that is attempting to define standards and requirements for different "tiers" of emergency departments serving children.
The project distinguishes among 4 tiers ranging from small isolated rural community facilities without specialists (Tier 1) to quaternary care children's hospitals (Tier 4).
We are trying to distinguish standards across the spectrum.
When it comes to expected service capabilities does anyone have any criteria that might be useful, particularly thinking about distinctions between tier 2 and 3?
Off the top of my head, I would expect any emergency room to be able to provide BLS and ALS stabilization of children. Are there types of specific services and procedures IN THE ED that might be expected to vary? Sedation, casting, complex lacerations come to mind, but are there others?
Thanks for your input
Garth Meckler, MD, MSHS
Division Head, Pediatric Emergency Medicine
BC Children's Hospital / UBC
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