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首页> 外文期刊>The Australian journal of rural health >Paediatric aeromedical retrievals in the 'Top End' of the Northern Territory
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Paediatric aeromedical retrievals in the 'Top End' of the Northern Territory

机译：儿科航空医学的“高端”的检索北部地区的

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Objective: The primary objective of this study was to describe the remote paediatric aeromedical population of the 'Top End' of the Northern Territory. The secondary objective was to identify children requiring high-dependency care by the transport team. Design: Retrospective case review. Setting: Aeromedical service in the remote Northern Territory. Participants: All patients under the age of 16 years transported over a one-year period between February 2012 and February 2013. Outcome measures: Age, gestation if newborn, diagnosis at referral, requirement for high-dependency care and transport team members. Results: Seven hundred eighty-nine children were transported with an average age of 4.4 years (range 0 days to 16 years). Nursing staff transferred 646 (82%). Respiratory problems (bronchiolitis and pneumonia) were the predominant illness type (31%). Other frequent diagnoses were trauma (11%), gastroenteritis (10%), cellulitis or abscess (9%) and the sequelae of streptococcal infection (8%). Thirty preterm infants including seven below 31 weeks gestation were transferred. Twenty-five children required high-dependency care, 15 of these on day 0 of life. Twenty-five required respiratory support, seven central venous access, four surfactant, two inotropes and one chest tubes. Conclusions: The majority of paediatric aeromedical patients have an infective cause for their illness. Respiratory disease is the most common indication for aeromedical transport. The majority of patients are transferred by a flight nurse and do not require high-dependency care. The main risk factor identified for requiring high-dependency care during transport is respiratory distress in a newborn infant.
机译：目的:本研究的主要目的描述远程儿科航空医学的人口的“高端”的北部领土。确定儿童需要高度依赖护理的运输团队。审查。偏远的北部地区。岁以下的患者16年运输2012年2月之间的一段2013年2月。如果新生儿,诊断推荐,要求高度依赖保健和运输团队成员。孩子们平均年龄4.4年(范围0天16年)。人员转移646例(82%)。(细支气管炎和肺炎)主要疾病类型(31%)。诊断是外伤(11%)、肠胃炎(10%)、蜂窝织炎或脓肿(9%)和后遗症的链球菌感染(8%)。早产儿包括下面七31周妊娠被转移。需要高度依赖护理,15天0的生活。支持,7中央静脉通道,4表面活性剂、两个inotropes和一个胸管。结论:大多数儿科航空医学的病人有感染的原因他们的疾病。常见的指示航空医学的运输。大多数病人转移的飞行护士,不需要高度依赖护理。的主要风险因子识别要求在运输是高度依赖护理在新生儿呼吸窘迫。

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