Current topic
Prehospital emergency care for children
F JewkesDepartment
of Child Health, Cardiff Royal Infirmary, Newport Road, Cardiff, UK
Correspondence to: Dr Jewkes f.jewkes@btinternet.com
Accepted 21 September
2000
| The first 150 words of the full text of this article appear below. |
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Introduction |
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The greatest mortality in children occurs before the first birthday. The highest rate of all is in the first month of life and is related mainly to perinatal events. From 1 month to 1 year of age the commonest cause of death is cot death and between 1 and 4 years congenital abnormality and trauma are about equal. After that age children die predominantly because of trauma.1 It can be seen therefore that most life threatening events leading to cardiac arrest are likely to commence outside hospital. The provision of an effective prehospital emergency service is an important element in reducing childhood mortality.
Most cardiac arrests are secondary to hypoxia or less commonly
circulatory failure (shock), rather than primary cardiac
arrest.2 Early attention to adequate oxygenation and
correcting shock may therefore be life saving if instituted early
enough. Children who arrive at the hospital pulseless and apnoeic have
a poor chance of survival
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Arch. Dis. Child. 2001 84: 0.[Extract] [Full Text] [PDF]
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