I would be interested to hear the opinion of others on the desrirability
of setting up a regionalized system of pediatric emergency care along the
lines established for trauma care in many cities. Only children's
hospitals or those specifically designated as 'approved for pediatrics'
would then recieve pediatric ALS runs.
I am particularly interested in the opinion of those who have chosen to
specialize in the emergency care of children by virtue of working in a
children's hospital, having done a peds EM fellowship or of being double
boarded in peds and EM. (The opinion of those whose pediatric training
consisted solely of what they recieved in a conventional EM residency has
already been made abundantly clear to me. Many of them are also
subscribed to this list and it is not my intent to precipitate a
firestorm of controversy here as well.)
I am interested in what you perceive, if indeed you do at all, what the
advantages TO THE PATIENT are of this type of specialty training and
whether any hard evidence, in the way of improved outcomes, has ever been
demonstrated with this approach.
If this subject has already been discussed please point me in the direction
of how I may retrieve this information from the archives.
You may respond to me by private e-mail or, if you feel that your
comments would be of general interest, to the list.
H. Louzon MD
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