In the provision of appropriate services for children as close to home as possible, there is an important balance between proximity of access and the concentrated expertise of specialist children’s hospitals. The Surgery for Children Framework focuses on surgical presentations and limits initial recommendations to metropolitan Sydney. That deliberate priority was driven by challenging trends and identified risk factors. The domains of emergency and planned surgery required different and specific approaches within that spectrum, resulting in particular recommendations and plans. While there are opportunities for increasing planned surgery for selected children in Level 4 facilities, for emergency presentations the emphasis is on safety, with timely review and escalation of care leading to determination of appropriateness and site of surgery.
The ED Algorithm Template is available sperately. An editable version of the ED Algorithm Template is available in MS Visio and MS Word. For access to the editable versions of the algorithm contact Paediatric Healthcare.