Paediatric prehospital care: postal survey of paramedic training managers
P Gaffneya, G Johnsonb
a Accident and
Emergency Department, St James's University Hospital, Leeds, UK, b West Yorkshire Metropolitan
Ambulance Service, UK
Correspondence to: Dr P Gaffney, 21 Talbot Court, Roundhay, Leeds LS8 1LT, UK p.gaffney{at}ukgateway.net
Accepted 29 August
2000
BACKGROUND
The process of
prehospital care continues to develop in the UK.
AIMSTo evaluate the availability
of important paediatric resuscitation equipment in emergency ambulances
and the extent of paramedic training in paediatric emergency medicine.
METHODSPostal survey of paramedic
training managers.
RESULTSCompleted questionnaires
were returned by 41 (93%) training managers. No trust provided all of
the equipment listed. Facemasks and self inflating bags (of appropriate
sizes for all children) are provided by 32% and 42% of trusts
respectively. Less than one third carry paediatric oximeter probes. Of
the respondents, 16 (39%) trusts provide less than eight hours
training in paediatric emergency medicine and five (12%) offer no
training at all. Ongoing education varies from none to regular yearly updates.
CONCLUSIONSParamedics seem ill
prepared to deal with paediatric emergencies. Important deficiencies in
the provision of equipment and training are noted. The results of this
survey provide information against which improvements can be measured.
Keywords: paramedic; paediatric; prehospital care
© 2001 by Archives of Disease in Childhood
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