Skip to main content Accessibility help
×
Home

Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study

  • Seth A. Brown (a1), Theresa C. Hayden (a2), Kimberly A. Randell (a3), Lara Rappaport (a4), Michelle D. Stevenson (a5) and In K. Kim (a5)...

Abstract

Objectives

Previous studies have illustrated pediatric knowledge deficits among Emergency Medical Services (EMS) providers. The purpose of this study was to identify perspectives of a diverse group of EMS providers regarding pediatric prehospital care educational deficits and proposed methods of training improvements.

Methods

Purposive sampling was used to recruit EMS providers in diverse settings for study participation. Two separate focus groups of EMS providers (administrative and non-administrative personnel) were held in three locations (urban, suburban, and rural). A professional moderator facilitated focus group discussion using a guide developed by the study team. A grounded theory approach was used to analyze data.

Results

Forty-two participants provided data. Four major themes were identified: (1) suboptimal previous pediatric training and training gaps in continuing pediatric education; (2) opportunities for improved interactions with emergency department (ED) staff, including case-based feedback on patient care; (3) barriers to optimal pediatric prehospital care; and (4) proposed pediatric training improvements.

Conclusion

Focus groups identified four themes surrounding preparation of EMS personnel for providing care to pediatric patients. These themes can guide future educational interventions for EMS to improve pediatric prehospital care.

Brown SA , Hayden TC , Randell KA , Rappaport L , Stevenson MD , Kim IK . Improving Pediatric Education for Emergency Medical Services Providers: A Qualitative Study. Prehosp Disaster Med. 2017;32(1):2026.

Copyright

Corresponding author

Correspondence: Seth A. Brown, MD East Tennessee State University Department of Pediatrics 400 N. State of Franklin Rd Johnson City, Tennessee 37604 USA E-mail: brownsa2@msha.com

References

Hide All
1. Tsai, A, Kallsen, G. Epidemiology of pediatric prehospital care. Ann Emerg Med. 1987;16(3):284-292.
2. Fleischman, R, Yarris, LM, Curry, MT, Yuen, SC, Breon, AR, Meckler, GD. Pediatric educational needs assessment for urban and rural emergency medical technicians. Pediatr Emerg Care. 2011;27(12):1130-1135.
3. National EMS Core Content, 2005. http://www.ems.gov/education/EMSCoreContent.pdf. Accessed May 17, 2014.
4. National EMS Scope of Practice Model, 2006. http://www.ems.gov/education/EMSScope.pdf. Accessed May 17, 2014.
5. National EMS Education Standards, 2009. http://www.ems.gov/pdf/811077a.pdf. Accessed May 17, 2014.
6. Baker, T, King, W, Soto, W, Asher, C, Stolfi, A, Rowin, ME. The efficacy of pediatric Advanced Life Support training in Emergency Medical Service providers. Pediatr Emerg Care. 2009;25(8):508-512.
7. Losek, J, Szewczuga, D, Glaeser, PW. Improved prehospital pediatric ALS care after an EMT-paramedic clinic training course. Am J of Emerg Med. 1994;12(4):429-432.
8. Wyatt, J. When to use web based surveys. J Am Med Inform Assoc. 2000;7(4):426-429.
9. Grudzen, CR, Timmermans, S, Koenig, WJ, et al. Paramedic and emergency medical technician’s views on opportunities and challenges when forgoing and halting resuscitation in the field. Acad Emerg Med. 2009;16(6):532-538.
10. Butterfoss, F, Major, DA, Clarke, SM, et al. What providers from general emergency departments say about implementing a pediatric asthma pathway. Clin Pediatr. 2006;45(4):325-333.
11. Cooper, S. Contemporary UK paramedical training and education. How do we train? How should we educate? Emerg Med J. 2005;22(5):375-379.
12. Miles, D. Quality indicators for out-of-hospital Emergency Medical Services: the paramedics’ perspective. Prehosp Emerg Care. 1997;(1):23-27.
13. Thomas, J, Abo, BM, Wang, HE. Paramedic perceptions of challenges in out-of-hospital endotracheal intubation. Prehosp Emerg Care. 2007;(2):219-223.
14. Kitzinger, J. Qualitative research: introducing focus groups. BMJ. 1995;311:299-302.
15. Patton, MQ. Qualitative Evaluation and Research Methods. (2nd edition). Thousand Oaks, California USA: Sage Publications; 1990.
16. Denzin, N, Lincoln, Y. Handbook of Qualitative Research. Second Edition. Thousand Oaks, California USA: Sage Publications; 2000.
17. Mathison, S. Why triangulate? Educational Researcher. 1988;17(2):13-17.
18. ATLAS qualitative software informational website. http://www.atlasti.com/index.html. Accessed April 7, 2014.
19. Seidel, JS, Hornbein, M, Yoshiyama, K, Kuznets, D, Finklestein, JZ, St Geme, JW Jr. Emergency Medical Services and the pediatric patient: are the needs being met? Pediatrics. 1984;73(6):769-772.
20. Seidel, JS, Henderson, DP, Ward, P, Wayland, BW, Ness, B. Pediatric prehospital care in urban and rural areas. Pediatrics. 1991;88(4):681-690.
21. Kumar, VR, Bachman, DT, Kiskaddon, RT. Children and adults in cardiopulmonary arrest: are advanced life support guidelines followed in the prehospital setting? Ann Emerg Med. 1997;29(6):743-747.
22. Su, E, Schmidt, TA, Mann, NC, Zechnich, AD. A randomized controlled trial to assess decay in acquired knowledge among paramedics completing a pediatric resuscitation course. Acad Emerg Med. 2000;7(7):779-786.
23. Youngquist, ST, Henderson, DP, Gausche-Hill, M, Goodrich, SM, Poore, PD, Lewis, RJ. Paramedic self-efficacy and skill retention in pediatric airway management. Acad Emerg Med. 2008;15(12):1295-1303.
24. Hoyle, JD, Davis, AT, Putman, KK, Trytko, JA, Fales, WD. Medication dosing errors in pediatric patients treated by emergency medical services. Prehosp Emerg Care. 2012;16(1):59-66.
25. Lammers, RL, Byrwa, MJ, Fales, WD, Hale, RA. Simulation based assessment of paramedic pediatric resuscitation skills. Prehosp Emerg Care. 2009;13(3):345-356.
26. Cushman, JT, Fairbanks, RJ, O’Gara, KG, et al. Ambulance personnel perceptions of near misses and adverse events in pediatric patients. Prehosp Emerg Care. 2010;14(4):477-484.
27. Glaeser, P, Linzer, J, Tunik, MG, Henderson, DP, Ball, J. Survey of nationally registered Emergency Medical Services providers: pediatric education. Ann Emerg Med. 2000;36(1):33-38.
28. Institute of Medicine. Emergency Care for Children: Growing Pains. Washington, DC USA: National Academies Press; 2006.
29. Stevens, S, Alexander, JL. The impact of training and experience on EMS providers’ feelings toward pediatric emergencies in a rural state. Pediatr Emerg Care. 2005;21(1):12-17.
30. Ngo, T, Belli, K, Shah, MI. EMS-C program manager survey on education of prehospital providers. Prehosp Emerg Care. 2014;18(3):424-428.
31. Cottrell, EK, O’Brien, K, Curry, M, et al. Understanding safety in prehospital Emergency Medical Services for children. Prehosp Emerg Care. 2014;18(3):350-358.
32. Breon, AR, Yarris, L, Law, J, Meckler, G. Determining the pediatric educational needs of prehospital providers, part 1. J Paramedic Practice. 2011;3(8):450-456.
33. Breon, AR, Yarris, L, Law, J, Meckler, G. Determining the pediatric educational needs of prehospital providers, part 2. J Paramedic Practice. 2011;3(9):510-514.
34. 2011 National EMS Assessment. http://ems.gov/pdf/2011/ National_EMS_Assessment_Final_Draft_12202011.pdf. Accessed January 19, 2012.
35. Foltin, G, Dayan, P, Tunik, M, et al. Priorities for pediatric prehospital research. Pediatr Emerg Care. 2010;26(10):773-777.

Keywords

Type Description Title
WORD
Supplementary materials

Brown supplementary material
Supplemental Table

 Word (16 KB)
16 KB

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed