276
Walton, Maio, and Hill
Table 1. Medical conditions reported, CHO training, and CHO physician, hospital, and EMS support*
CHO, N
CHO, n
CHO, %
95% CI
Medical conditions reported
61
Asthma
Diabetes
Attention-deficit/hyperactivity disorder
Cerebral palsy
Seizure disorder
Developmental delay
Miscellaneous
43
33
22
14
8
6
34
70
54
36
23
13
10
56
5982
4267
2448
1234
522
217
4368
(eg, behavioral disorders, depression, vision loss, hearing loss, cystic
fibrosis, spina bifida, sickle cell)
CHO medical training
128
First aid
Licensed first responder
Licensed emergency medical technician
Licensed paramedic
Licensed practical nurse
Registered nurse
Physician
58
25
9
4
6
58
8
14
20
7
3
5
45
6
820
1326
311
06
16
3754
210
CHOs who have identified relationship with camp physician
129
98
76
6783
CHOs who have report review of protocols by physician
129
122
97
94100
Type of ambulance crew
129
Full time
Part-time volunteer
Don't know
66
35
28
51
27
22
4260
2035
1529
Ambulance staffing
128
Paramedics only
Paramedic and emergency medical technician team
Emergency medical technician only
Don't know
2
55
11
60
2
43
9
47
04
3452
413
3856
Receiving hospital
127
Small or rural
Larger facility
90
37
71
29
6378
2137
Automated external defibrillators
129
Own
Plan to purchase
2
25
2
22
04
1426
*CHO indicates camp health officer; EMS, emergency medical services.
The last column indicates the 95% CI of the percentage of CHOs.
age of the youngest camper was 7 years; the mean age of
the oldest camper was 16 years. Thirteen camps reported
having campers older than 22 years, with a maximum of
99 years. Five of the facilities with adults served campers
with cognitive impairments or cerebral palsy.
CAMP HEALTH OFFICERS
Nearly half (47% [61/129]) of the CHOs reported taking
care of a camper with a significant medical condition
(Table 1). Two thirds of those reporting a significant
medical condition reported caring for persons with asth-
ma (70%), half reported caring for persons with diabetes
(54%), and one third (36%) reported caring for persons
with attention-deficit/hyperactivity disorder. The remain-
ing reported illnesses are presented in Table 1.
Training for the CHOs was quite variable (Table 1).
When grouped by training, 44% (95% CI, 35%52%)
had paramedic training or less, with the majority of these
having only first aid or licensed first responder training.
