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首页> 外文期刊>Canadian Journal of Emergency Medicine >Resuscitation interventions in a tertiary level pediatric emergency department: implications for maintenance of skills
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Resuscitation interventions in a tertiary level pediatric emergency department: implications for maintenance of skills

机译：第三级儿科急诊科的复苏干预措施：对维持技能的影响

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Objective:To describe the frequency and proportion of successful resuscitation interventions in a pediatric emergency department (PED).Methods and Material:This was a retrospective chart review of children at the BC Children's Hospital (BCCH) PED who were admitted to the BCCH pediatric intensive care unit (PICU) in 2004 and 2005. Demographic data, diagnosis, and resuscitation interventions in the PED and within the first 24 hours of PICU admission were recorded. The training of the operator and the number of attempts needed were also recorded.Results:There were 75,133 PED visits; 304 of 329 (92.4%) who met inclusion criteria were reviewed. Diagnoses included respiratory distress (n = 115, 35%), trauma (n = 50, 15%), sepsis (n = 36, 11%), seizures (n = 37, 11%), and cardiac disease (n = 22, 7%). Ninety-nine patients required intubation. Intubations in the PED were performed by residents (20%), pediatric emergency medicine (PEM) fellows (15%), PEM attending staff (29%), and PICU fellows (12%); 81% of these were successful on the first attempt. In the PED, seven central lines were placed, seven intraosseous needles were inserted, 15 patients required inotropes, and 9 patients required chest compressions.Conclusion:Critical illness in our emergency department is a rare event; hence, opportunities to resuscitate, secure airways, and place central venous catheters are limited. Additional training, close working relationships between the PED and the PICU teams, and resuscitation protocols for early PICU involvement may be needed.
机译：目的：描述在儿科急诊科（PED）成功进行复苏干预的频率和比例。方法和材料：这是对BC儿童医院（BCCH）PED中入院BCCH儿科重症儿童的回顾性图表回顾。护理单位（PICU）在2004年和2005年。记录了PED中以及入院前24小时内的人口统计学数据，诊断和复苏干预措施。结果：共进行了75,133次PED访问;记录了操作员的培训和所需的尝试次数。符合纳入标准的329人中有304人（92.4％）进行了审查。诊断包括呼吸窘迫（n = 115，35％），外伤（n = 50，15％），败血症（n = 36，11％），癫痫发作（n = 37，11％）和心脏病（n = 22 ，则为7％）。九十九名患者需要插管。 PED的插管由居民（20％），小儿急诊医学（PEM）研究员（15％），PEM随诊人员（29％）和PICU研究员（12％）进行;其中有81％在第一次尝试时就成功了。在PED中，放置7条中心线，插入7根骨内针，需要15名患者进行正性肌力和9名患者进行胸外按压。因此，复苏，固定气道和放置中央静脉导管的机会有限。可能需要额外的培训，PED和PICU团队之间的紧密工作关系以及PICU早期介入的复苏方案。

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