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[Pediatric management by mobile intensive care units in the northern French Alps emergency network]
M Tesnière1, A Matonnier2, G Courtiol3
1Clinique universitaire des urgences pédiatriques, hôpital couple-enfant, CHU de Grenoble, CS10217, 38043 Grenoble cedex 09, France; Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
Insights
Mobile intensive care units (MICUs) in the French Alps manage significant pediatric emergency care, including trauma and mountain rescues. Emergency physicians require specialized training and equipment for effective pediatric prehospital care.
Area of Science:
- Emergency Medicine
- Pediatric Critical Care
- Prehospital Care
Context:
- The northern French Alps emergency network (RENAU) coordinates emergent care across a three-county region.
- Mobile intensive care units (MICUs) are integral to this network's patient treatment pathways.
Purpose:
- To describe the scope and nature of pediatric activity within RENAU's MICUs.
- To evaluate the interventions and patient outcomes for pediatric cases managed by MICUs.
Summary:
- A retrospective study analyzed data from seven MICUs between January and December 2012, enrolling 1325 pediatric patients (1 month to 18 years).
- MICUs performed 11,951 primary transports and 3,087 secondary transfers, with 1087 and 238 pediatric patients respectively. Trauma was the primary reason for intervention (48.9%).
- Key interventions included intravenous cannulation (39.9%) and on-scene intubation (2.5%). Pediatricians managed 26.9% of secondary transfers. Mountain rescues involved 18.7% children.
Impact:
- Highlights the substantial involvement of MICUs in pediatric prehospital care.
- Underscores the need for specialized equipment and training for emergency physicians managing pediatric emergencies in prehospital settings.
Introduction:
The northern French Alps emergency network (RENAU) manages emergent care and patient treatment pathways in a three-county area in the French Alps. The aim of the study was to describe the pediatric activity in mobile intensive care units (MICUs).
Method:
This retrospective observational study was conducted from 1 January to 31 December 2012. Data were obtained from patients' medical records in seven representative MICUs of the RENAU. Consecutive patients between 1 month and 18 years of age were enrolled.
Results:
During the study period, MICUs carried out 11,951 primary transports and 3087 secondary transfers. A total of 1325 patients were enrolled: 1087 primary transports and 238 secondary transfers. In primary interventions, 531 (48.9%) patients were managed for a trauma, 118 (11%) children were discharged and stayed home, 427 (39.9%) underwent an intravenous cannulation and 27 (2.5%) on-scene intubation. A pediatrician was in charge of 64 (26.9%) secondary transfers. Among 1649 (18%) mountain rescues, 296 (18.7%) involved a child.
Conclusion:
Emergency physicians in MICUs are involved with children's prehospital care and need dedicated materiel and special training.
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