Pediatric emergency medicine trisk 0332 0332

discharge home from the hospital, by already having the child’s safety seat available Most critically ill patients are not appropriate candidates to be transported in a car seat FIGURE 11.9 A, B: Diagram of a car seat attached to an ambulance cot A: Recommended method for restraining children up to about 18 kg who can tolerate a semiupright seated position, showing belt attachment to the cot and routing through the convertible child restraint B: Recommended method for restraining infants who cannot tolerate a semiupright seated position, showing belt attachment to the cot and routing through the car bed loops (From Bull MJ, Weber K, Talty J, et al Crash protection for children in ambulances, recommendations and procedures In: Proceedings of the 45th Annual Association for the Advancement of Automotive Medicine 2001:353–367 Reprinted with permission from the Association for the Advancement of Automotive Medicine.) Transport providers and passengers must also be properly restrained in the ambulance Sixty percent of the fatalities in a study of ambulance crashes were ambulance personnel who were unrestrained in the patient compartment Additionally, all monitoring equipment must be secured to the frame of the ambulance, because even a low-speed collision can turn loose objects into fatal missiles for a child, provider, and/or passenger It is unacceptable to transport a