[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.
Abstract

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