Intubation practices for children in emergency departments and intensive care units across Australia and New Zealand: A survey of medical staff

George, Shane; Long, Elliot; Gelbart, Ben; Dalziel, Stuart R; Babl, Franz E; Schibler, Andreas

doi:10.1111/1742-6723.13620

Cited by 1 publication

(1 citation statement)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 A 2020 study identified significant variation in clinical practice in Australian and New Zealand EDs and ICUs, with further research recommended to determine best practice in paediatric airway management. 21 Challenges in paediatric trauma care include low exposure and associated reduced confidence which impacts proficiency to delivery of appropriate care. 7 Clinical experience alone is not sufficient to maintain skill competence and there is a need to implement strategies, such as high fidelity simulation, to support maintenance of critical skills.…”

Section: Critical Interventionsmentioning

confidence: 99%

Emergency department management of severely injured children in New South Wales

Curtis

Kennedy

Lam

et al. 2021

Emerg Medicine Australasia

View full text Add to dashboard Cite

Objective: Presentations to EDs for major paediatric injury are considerably lower than for adults. International studies report lower levels of critical intervention, including intubation, required in injured children. A New South Wales study demonstrated an adverse event rate of 7.6% in children with major injury. Little is known about the care and interventions received by children presenting to Australian EDs with major injury. Methods: The ED care of injured children <16 years who ultimately received definitive care at a New South Wales Paediatric Trauma Centre between July 2015 and September 2016, and had an Injury Severity Score ≥9, required intensive care admission or died were included. Results: There were 491 injured children who received treatment at 64 EDs, half (49.4%, n = 243) were treated initially in a Paediatric Trauma Centre. One third (32.8%) sustained an Injury Severity Score >12, more than half (n = 251, 51.1%) of children were classified as a triage category 1 or 2, and 38.3% received trauma team activation. Critical intervention was infrequent. Intubation was documented in 9.2% (n = 45), needle thoracostomy and activation of massive transfusion protocol in two (0.4%) and eight (1.6%) had intraosseous access established. Only a small proportion (14.7%, n = 63) had two or more observations outside the normal range. Conclusion: A small proportion of children arriving in the ED postmajor trauma have deranged clinical observations and receive critical interventions. The limited exposure in the management of trauma in paediatric patients requires measures to ensure clinicians have adequate training, skills and confidence to manage these clinical presentations in all EDs.

show abstract

Section: Critical Interventionsmentioning

confidence: 99%