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Rural paediatric interfacility transfers: US picture

Pediatric Rural Interfacility Transfers by Emergency Medical Services
Prehospital Emergency Care · 2026-10-06 · Added 7 October 2026

Analysis of 29,992 rural US paediatric interfacility transfers in 2023 found clear age gradients — infants needed specialty critical-care transport most often (32.1%), while teenagers predominated in psychiatric presentations and received more pain and sedation medications.

Study type
Registry
Design
Retrospective national EMS registry analysis
Participants
29,992 rural paediatric interfacility transfers (2023)
Main finding
79.4% ground transport; advanced life support units in 62.7%; infants had the highest specialty critical-care transport proportion (32.1%) and longest intervals; teenagers most often psychiatric/behavioural
Caveat
US single-year registry data; transfer models and crew scopes differ from Australian practice
Bottom line
Context only

Why it matters in Australia (Medium relevance). A US tiered interfacility-transfer model, but Australian rural services do equivalent paediatric transfers with the same workforce questions — the age-group differences are the transferable part.

Learning goal

Understand how crew scope and transport mode shape safe rural paediatric interfacility transfers in Australia.

Open in dashboard Read the paper (DOI) PubMed

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