Emergency medical services (EMS) systems were initially developed in the United States during the late 1960s. Modeled from military experiences, EMS demonstrated that survival for prehospital patients could be improved with enhanced field triage, treatment, and transport protocols. Over the next few decades, it was identified that children and adolescents had poorer outcomes in similar acute medical situations as compared to adults. To address this, the emergency medical services for children (EMSC) program was established in 1985 as a federal initiative to ensure appropriate resources and adequately trained personnel are available to meet the emergency care needs of children who are critically ill and injured. In 1994, the Illinois EMSC program was established and a pediatric facility recognition program to improve the emergency care of pediatric patients was rolled out in 1998. This article reviews the development of EMSC facility recognition programs and discusses their unique characteristics and contributions to improved pediatric emergency care. [Pediatr Ann. 2021;50(4):e165-e171.].

中文翻译：

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儿科设施认可计划和伊利诺伊州 EMSC 体验。

紧急医疗服务 (EMS) 系统最初是在 1960 年代后期在美国开发的。EMS 以军事经验为模型，证明可以通过加强现场分类、治疗和运输协议来提高院前患者的生存率。在接下来的几十年里，与成人相比，儿童和青少年在类似的急性医疗情况下的结果更差。为了解决这个问题，儿童紧急医疗服务 (EMSC) 计划于 1985 年成立，作为一项联邦举措，以确保有适当的资源和经过充分培训的人员可以满足危重病和受伤儿童的紧急护理需求。1994 年，伊利诺伊州 EMSC 计划成立，并于 1998 年推出了改善儿科患者急诊护理的儿科设施认可计划。本文回顾了 EMSC 设施认可计划的发展，并讨论了它们的独特特征和对改善儿科急诊护理的贡献。[小儿安。2021;50(4):e165-e171.]。