Pediatric pre-hospital emergencies in Belgium: a 2-year national descriptive study

Demaret, Paul; Lebrun, Frédéric; Devos, Philippe; Champagne, Caroline; Lemaire, Roland; Loeckx, Isabelle; Messens, Marie; Mulder, André

doi:10.1007/s00431-016-2723-9

Cited by 17 publications

(17 citation statements)

References 34 publications

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“…The dispatch codes presented in Additional file 2 suggest that many of the issues classified according to this category concerned breathing problems. This is consistent with previous findings, as respiratory problems seem to be a common cause for emergency medical service activation [ 15 – 17 , 20 ]. However, the prevalence of calls concerning breathing problems in our study seems slightly lower than previously reported.…”

Section: Discussionsupporting

confidence: 93%

“…Almost 7% of the calls managed by the EMDC during the study period concerned paediatric patients. This is comparable to findings in other studies [ 15 – 17 ].…”

Section: Discussionsupporting

confidence: 92%

“…A substantial proportion of the medical issues leading to these calls were classified as “seizures” and this was particularly the case for calls concerning patients aged 1–5 years. As has previously been suggested, this finding might reflect the age-peak of febrile seizures [ 17 , 18 ]. The results presented in Additional file 2 seem to support this notion, since many of assigned dispatch codes from the “seizures” symptom category appear to have concerned this condition.…”

Section: Discussionsupporting

confidence: 69%

“…Other studies have reported that traumatic injuries constitute 27–46% of all paediatric medical emergencies [ 15 – 17 ]. As such, we were surprised to find that only 15.2% of the medical issues reported in this study were classified according to one of the dispatch protocol’s trauma categories; “accidents”, “minor wound, fracture, injury”, “burn and electrical injuries” and “traffic accidents”.…”

Section: Discussionmentioning

confidence: 99%

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Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study

Andersen

Mikkelsen

Jørgensen

et al. 2018

Scand J Trauma Resusc Emerg Med

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Background: Little is known regarding paediatric medical emergency calls to Danish Emergency Medical Dispatch Centres (EMDC). This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies. Methods: We performed a retrospective, observational study on paediatric medical emergency calls managed by the EMDC in the Region of Southern Denmark in February 2016. We reviewed audio recordings of emergency calls and ambulance records to identify calls concerning patients ≤ 15 years. We examined EMDC dispatch records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies. We analysed the data using descriptive statistics. Results: Of a total of 7052 emergency calls in February 2016, 485 (6.9%) concerned patients ≤ 15 years. We excluded 19 and analysed the remaining 466. The reported medical issues were commonly classified as: "seizures" (22.1%), "sick child" (18.9%) and "unclear problem" (12.9%). The overall most common pre-hospital response was immediate dispatch of an ambulance with sirens and lights with a supporting physician-manned mobile emergency care unit (56.4%). The classification of medical issues and the dispatched pre-hospital units varied with patient age. Discussion: We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered medical issues, such as the symptoms and conditions pertaining to the symptom categories "seizures" and "sick child". Furthermore, the results could prove useful in hypothesis generation for future studies examining paediatric medical emergency calls. Conclusion: Almost 7% of all calls concerned patients ≤ 15 years. Medical issues pertaining to the symptom categories "seizures", "sick child" and "unclear problem" were common and the calls commonly resulted in urgent pre-hospital responses.

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Section: Discussionsupporting

confidence: 93%

“…Almost 7% of the calls managed by the EMDC during the study period concerned paediatric patients. This is comparable to findings in other studies [ 15 – 17 ].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study

Andersen

Mikkelsen

Jørgensen

et al. 2018

Scand J Trauma Resusc Emerg Med

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“…Reporting of airway training was too heterogeneous to support an analysis however. Some studies provided no description of training [19,21,24,26,39,44,45], and some reported pooled data from multiple agencies [3,28,32], whilst others described the studied teams simply as Advanced Life Support and/or Paediatric Advanced Life Support certified [5,20,[33][34][35].…”

Section: Discussionmentioning

confidence: 99%

Success and complications by team composition for prehospital paediatric intubation: a systematic review and meta-analysis

et al. 2020

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Background: Clinical team composition for prehospital paediatric intubation may affect success and complication rates. We performed a systematic review and meta-analysis to determine the success and complication rates by type of clinical team. Methods: We searched MEDLINE, EMBASE, and CINAHL for interventional and observational studies describing prehospital intubation attempts in children with overall success, first-pass success, and complication rates. Eligible studies, data extraction, and assessment of risk of bias were assessed independently by two reviewers. We performed a random-effects meta-analysis of proportions. Results: Forty studies (1989 to 2019) described three types of clinical teams: non-physician teams with no relaxants (22 studies, n = 7602), non-physician teams with relaxants (12 studies, n = 2185), and physician teams with relaxants (12 studies, n = 1780). Twenty-two (n = 3747) and 18 (n = 7820) studies were at low and moderate risk of bias, respectively. Non-physician teams without relaxants had lower overall intubation success rate (72%, 95% CI 67-76%) than non-physician teams with relaxants (95%, 95% CI 93-98%) and physician teams (99%, 95% CI 97-100%). Physician teams had higher first-pass success rate (91%, 95% CI 86-95%) than non-physicians with (75%, 95% CI 69-81%) and without (55%, 95% CI 48-63%) relaxants. Overall airway complication rate was lower in physician teams (10%, 95% CI 3-22%) than non-physicians with (30%, 95% CI 23-38%) and without (39%, 95% CI 28-51%) relaxants. Conclusion: Physician teams had higher rates of intubation success and lower rates of overall airway complications than other team types. Physician prehospital teams should be utilised wherever practicable for critically ill children requiring prehospital intubation.

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Etablierung einer Telenotarzt-Anwendung

Kuntosch

Brinkrolf

Metelmann

et al. 2020

Notfallversorgung Auf Dem Land

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Pediatric pre-hospital emergencies in Belgium: a 2-year national descriptive study

Cited by 17 publications

References 34 publications

Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study

Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study

Success and complications by team composition for prehospital paediatric intubation: a systematic review and meta-analysis

Etablierung einer Telenotarzt-Anwendung

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