Article Text

Download PDFPDF
From the prehospital literature
  1. From the British Paramedic Association Research and Audit Committee

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    edited by Malcolm Wollard

    Pre-hospital providers have little opportunity to use even basic paediatric critical-care skills ▸

    This Canadian prospective cohort study explored the types of interventions given to children by pre-hospital emergency medical services (EMS). It recruited a contiguous group of 1377 children under 16 years of age (mean 8.2 years) attended by EMS during a 6 month period. The most common presenting conditions were trauma (44.9%), seizure (11.8%) and respiratory distress (8.8%). The study showed that, despite EMS providers having a major role in treating these conditions, lifesaving interventions, particularly airway management skills, were rarely used. These included intravenous drug administration (1.4%), bag valve mask ventilation (0.3%) and endotracheal intubation (0.1%). This may be explained by the high rate of patients (28%) not transported and a low rate of urgent transports (7%) for admission to hospital. However, it demonstrates that EMS providers have very little opportunity to maintain their paediatric skills. The study found most pre-hospital practitioners would not have the opportunity to ventilate a single child in one year. This has important implications for pre-hospital education. While …

    View Full Text