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Paediatric non-transport re-call rates low

Repeat 9-1-1 Calls and Clinical Outcomes of Children After Non-Transport by Emergency Medical Services
Prehospital Emergency Care · Added 29 September 2026

US retrospective study of 1.85 million paediatric ambulance calls (40% not transported) — only 1% of non-transported children re-called and were transported within 72 hours and deaths were rare (0.1% dead on scene at re-call), with under-5s, neurologic impressions and disadvantaged areas over-represented among re-calls.

Study type

Cross-sectional

Design

Retrospective cross-sectional study of EMS data

Participants

1,849,925 paediatric 9-1-1 calls (732,525 not transported)

Main finding

1% of non-transported children had a repeat 9-1-1 call with transport within 72 hours; 11 (0.1%) deaths on scene at re-call; of 1,001 with hospital-linked data, 89% ED discharge, 16% hospitalised, 0.2% died.

Caveat

US retrospective data with only one third of records hospital-linked; not generalisable to Australian systems.

Bottom line

Context only

Learning goal

Recognise the risk factors that should prompt closer safety-netting when a child is not transported.

More

• Topic: Paediatrics
• Daily scan: 29 September 2026
• Podcast: Paramedic Papers Daily, 29 September 2026

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