Article Text

MANAGEMENT OF PEDIATRIC EMERGENCY PATIENTS TRANSPORTED BY MEDICAL SERVICES IN A PREHOSPITAL SYSTEM OF MOSCOW
  1. B M Blokhin1,
  2. I M Makrushin1,
  3. H C Loayza1,
  4. E Y Ovcharenko1
  1. 1Department of Emergency and Out-Patient Pediatrics of Russian State Medical University, Moscow, Russia

Abstract

There is uncertainty around the types of interventions that are provided by emergency medical services to children. This prospective study was conducted of all children under 16 years of age who were attend by ambulance services during 12-month period were enrolled. During the study period the were 3785 pediatric emergency calls. The most common diagnoses were trauma (54,7%), seizure (23,9%), and respiratory distress (13,6%). The ambulance return code was “Urgent” in 9%, “Prompt” in 63%, “Deferrable” in 12% and “Not transported” in 16%. Forty three percent received either an ALS or BLS prehospital intervention. Common procedures included cardiac monitoring (37%), oxygen administration (59,4%), spine board (23,7%), limb immobilization (32,5%). Uncommon procedures included IV (16,7%), bag-valve-mask ventilation (3,7%) and endotracheal intubation (1,6%). Eighty two percent of attempted IV lines were successful. 68% of emergency transported children were admitted to hospital, and 6.8% were admitted to the intensive care unit.

This study of Moscow pediatric prehospital interventions shows a low rate of “Urgent” transports and hospital admissions for children. Very few children receive prehospital airway management, ventilation, IV medications.

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