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This A5-sized 273-page book summarises a piece of work by the Institute of Medicine (IOM), USA, for which there is no exact UK equivalent. The IOM informs federal government, but is independent. A wide-ranging review of US emergency care provision was recently performed by the great and the good of US emergency medicine. This was mainly in response to emergency department overcrowding (no 4-h target!), diversity of prehospital care provision (for example a third of emergency medical systems (EMS) providers in the USA are volunteers) and a suspicion that paediatric emergency care (PEC) was not as good as it could be.
Three publications ensued in 2007. One about hospital emergency care, the second about EMS and this one: “Emergency care for children: growing pains”.
The methodology puts the …