[Pediatric emergency patients in the air rescue service. Mission reality with special consideration to "invasive" measures].

Der Anaesthesist
M HelmM Bernhard

Abstract

In Germany only 2-9% of rescue missions performed by emergency physicians are pediatric emergencies. Therefore, an emergency physician has to deal with a pediatric emergency on average every 1.1-1.3 months. There are only a few studies in the literature evaluating the frequency of "invasive" techniques and procedures (e.g. vascular access, endotracheal intubation, alternative airway techniques and insertion of chest tube) in pediatric patients in the prehospital setting performed by German emergency physicians. The purpose of this study was to evaluate the frequency of these kinds of procedures in pediatric emergencies in the field of the Helicopter Emergency Medical Service (HEMS). Evaluation of pediatric emergencies (defined as <18 years of age) over a 4 year period at the Helicopter Emergency Medical Service (HEMS) was carried out retrospectively. During the study period 5,826 rescue missions (4,778 primary rescue missions, 571 inter-hospital transfers and 461 others) were completed. A total of 643 (11%) pediatric emergency patients were treated by the HEMS team. Out of this pediatric study group 16.3% had an initial Glasgow Coma Score (GCS) <9 and 59.3% were rated IV-VII on the National Advisory Committee of Aeronautics (NA...Continue Reading

References

Dec 3, 2005·Resuscitation·Jerry P NolanUNKNOWN European Resuscitation Council
Dec 3, 2005·Resuscitation·Dominique BiarentUNKNOWN European Resuscitation Council
Jun 23, 2006·Der Anaesthesist·A GriesT Schlechtriemen
Mar 11, 2008·Air Medical Journal·Christy L McCowanDiana L Handrahan
Dec 2, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Klaas A HartholtInger B Schipper

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