LEADING ARTICLE
Prehospital management
Prehospital management of the acutely ill child
Correspondence to:
Correspondence to:
Dr Fiona Jewkes
Wiltshire Ambulance Service NHS Trust, Dorman House, Malmesbury Rd, Chippenham, Wilts SN15 5LN, UK; fiona.jewkes@wiltsambs.nhs.uk
Accepted 3 March 2006
The face of primary care is changing fast
Abbreviations: ECP, emergency care practitioner; EMT, emergency medical technician
Keywords: children; NHS; emergency care practitioner; prehospital care
| The first 150 words of the full text of this article appear below. |
The delivery of unscheduled care outside hospital is hugely different from even 5 years ago, with a government initiative of taking the care to the patient1,2 rather than the opposite. The organisation of emergency care for children (and adults) outside hospital and the professionals involved has changed considerably, so the experience an ill child and family may have nowadays may be quite different from "seeing your own doctor".
The difficulties of the prehospital environment in an acute emergency setting are diverse and have been described elsewhere.3 Most ill children, however, (as opposed to injured children) will at least be examined in a relatively controlled environment, although siblings, washing machines, televisions, and large dogs mean that a gentle "command and control" attitude may have to be exerted on arrival. Lighting may be remarkably poor even inside a house, sometimes removing the capability to assess the child’s colour. Although most
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This article has been cited by other articles:
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Duncan, R., Wyatt, J.
(2006). Sophia. Emerg. Med. J.
23: 741-741
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