Published online June 29, 2009
PEDIATRICS Vol. 124 No. 1 July 2009, pp. e166-e171 (doi:10.1542/peds.2009-1094)
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POLICY STATEMENT

Equipment for Ambulances

American College of Surgeons Committee on Trauma, American College of Emergency Physicians, National Association of EMS Physicians, Pediatric Equipment Guidelines Committee—Emergency Medical Services for Children (EMSC) Partnership for Children Stakeholder Group and American Academy of Pediatrics

Abbreviations: ACS—American College of Surgeons • ACEP—American College of Emergency Physicians • NAEMSP—National Association of EMS Physicians • EMS—emergency medical services • EMSC—Emergency Medical Services for Children • BLS—basic life support • ALS—advanced life support • LMA—laryngeal mask airway

The first 300 words of the full text of this article appear below.

Almost 4 decades ago, the Committee on Trauma of the American College of Surgeons (ACS) developed a list of standardized equipment for ambulances. Beginning in 1988, the American College of Emergency Physicians (ACEP) published a similar list. The 2 organizations collaborated on a joint document published in 2000, and the National Association of EMS Physicians (NAEMSP) participated in the 2005 revision. The 2005 revision included resources needed on ambulances for appropriate homeland security. All 3 organizations adhere to the principle that emergency medical services (EMS) providers at all levels must have the appropriate equipment and supplies to optimize prehospital delivery of care. The document was written to serve as a standard for the equipment needs of emergency ambulance services in both the United States and Canada.

EMS providers care for patients of all ages, who have a wide variety of medical and traumatic conditions. With permission from the ACS Committee on Trauma, ACEP, and NAEMSP, the current revision includes updated pediatric recommendations developed by members of the federal Emergency Medical Services for Children (EMSC) Stakeholder Group. The EMSC Program has developed several performance measures for the program's state partnership grantees. One of the performance measures evaluates the availability of essential pediatric equipment and supplies for basic life support (BLS) and advanced life support (ALS) patient care units. This document will be used as the standard for this performance measure. The American Academy of Pediatrics (AAP) has also officially endorsed this list.

For purposes of this document, the following definitions have been used: a neonate is 0 to 28 days old, an infant is 29 days to 1 year old, and a child is >1 through 11 years old with delineation into the following developmental stages:

  • Toddlers (1–3 years old)
  • Preschoolers (3–5 years old)
  • Middle childhood (6–11 years old)
  • Adolescents (12–18 . . . [Full Text of this Article]


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