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48; 95% confidence interval, 0.26-0.88; P = 0.01) compared with GEMS. The rate of HEMS in pediatric trauma has decreased. However, there is room for improvement as 14% of those with minor trauma are transported by HEMS. Given the similar risk of mortality compared with GEMS, further development of guidelines that avoid the unnecessary use of HEMS appears warranted. However, utilization of HEMS for transport of pediatric major trauma should continue. The rate of HEMS in pediatric trauma has decreased. However, there is room for improveme
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