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Published on: January 15, 2017
New opportunity to improve pediatric emergency preparedness: pediatric emergency assessment, recognition, and
Mark E Ralston1, Arno L Zaritsky
1Department of Pediatrics, Naval Hospital Oak Harbor, Oak Harbor, WA 98278, USA. mark.ralston@med.navy.mil
Insights
Healthcare providers often lack pediatric resuscitation training. The Pediatric Emergency Assessment, Recognition, and Stabilization course aims to improve early recognition and success in pediatric emergencies.
Area of Science:
- Pediatric Emergency Medicine
- Cardiopulmonary Resuscitation Training
Background:
- Effective response to pediatric emergencies requires early recognition, prompt system activation, and skilled basic and advanced life support.
- Current resuscitation training often overlooks healthcare providers who are first on the scene for critically ill children.
- Existing advanced life support courses primarily target specialized providers, leaving a gap in training for a broader range of first responders.
Purpose of the Study:
- To introduce the Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) course, developed by the American Heart Association.
- To address the deficiency in resuscitation training among healthcare providers likely to encounter pediatric emergencies.
- To enhance the recognition and initial management of critically ill or injured children.
Main Methods:
- Development of the Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) course by the American Heart Association.
- Targeting a broad spectrum of healthcare providers, not limited to advanced practitioners.
- Focusing on the initial assessment, recognition, and stabilization phases of pediatric resuscitation.
Main Results:
- The PEARS course aims to equip a wider range of healthcare professionals with essential pediatric resuscitation skills.
- Improved provider confidence and competence in managing pediatric emergencies is anticipated.
- Successful implementation is expected to lead to earlier identification of critical conditions in children.
Conclusions:
- The PEARS course represents a significant step in broadening access to vital pediatric resuscitation education.
- Effective training is crucial for improving outcomes in life-threatening pediatric emergencies.
- Sustained skill maintenance and widespread availability of instruction are key to maximizing the impact of the PEARS program.
Abstract:
The ideal first response to a life-threatening pediatric emergency includes early recognition of the emergency, activation of the appropriate emergency response system, performance of basic life support (cardiopulmonary resuscitation/automated external defibrillator treatment), and initiation of advanced life support, but the extent of resuscitation training among health care providers likely to be first at the side of a critically ill or injured child is often deficient. In the past, resuscitation courses beyond basic life support focused on training advanced providers. The Pediatric Emergency Assessment, Recognition, and Stabilization course was developed by the American Heart Association to target a broad range of health care providers who are likely to be first at the side of a child requiring resuscitation. It is hoped that training of health care providers through the Pediatric Emergency Assessment, Recognition, and Stabilization course will translate into early recognition of life-threatening pediatric emergencies and greater resuscitation success, but results will depend on the availability of instruction and the maintenance of skills.
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Introduction Cardiac Emergencies
