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Prevalence and severity of pediatric emergencies in a German helicopter emergency service: implications for training and service configuration
- This study primarily aims to determine the frequency of life-threatening conditions among pediatric patients served by the DRF, a German helicopter emergency service (HEMS) provider. It also seeks to explore the necessity of invasive procedures in this population, discussing the implications for HEMS crew training and service configuration based on current literature. We analyzed the mission registry from 31 DRF helicopter bases in Germany, focusing on 7954 children aged 10 or younger over a 5-year period (2014–2018). Out of 7954 identified children (6.2% of all primary missions), 2081 (26.2%) had critical conditions. Endotracheal intubation was needed in 6.5% of cases, while alternative airway management methods were rare (n = 14). Half of the children required intravenous access, and 3.6% needed intraosseous access. Thoracostomy thoracentesis and sonography were only performed in isolated cases. Conclusions: Critically ill or injured children are infrequent in German HEMS operations. Our findings suggest that the likelihood of HEMS teams encountering such cases is remarkably low. Besides endotracheal intubation, life-saving invasive procedures are seldom necessary. Consequently, we conclude that on-the-job training and mission experience alone are insufficient for acquiring and maintaining the competencies needed to care for critically ill or injured children.
Author: | Stefan Mockler, Camilla Metelmann, Bibiana Metelmann, Karl Christian Thies |
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URN: | urn:nbn:de:gbv:9-opus-108548 |
DOI: | https://doi.org/10.1007/s00431-023-05178-8 |
ISSN: | 1432-1076 |
Parent Title (English): | European Journal of Pediatrics |
Publisher: | Springer Nature |
Place of publication: | Berlin |
Document Type: | Article |
Language: | English |
Date of Publication (online): | 2023/09/01 |
Date of first Publication: | 2023/11/01 |
Release Date: | 2024/03/11 |
Tag: | Emergency medical service; Epidemiology of pediatric emergencies; Pediatric airway management; Pediatric emergency medicine; Pediatric emergency treatment |
Volume: | 182 |
Issue: | 11 |
First Page: | 5057 |
Last Page: | 5065 |
Faculties: | Universitätsmedizin / Klinik für Anästhesiologie und Intensivmedizin |
Collections: | weitere DFG-förderfähige Artikel |
Licence (German): | Creative Commons - Namensnennung 4.0 International |