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Frédéric Lemoine1, Hugues Lefort1, Sabine Lemoine1
1Service médical d'urgence, Brigade de sapeurs-pompiers de Paris, 1 place Jules-Renard, 75017 Paris, France.
Insights
Establishing paediatric perfusion in emergencies is challenging. Adult mobile emergency and intensive care service (Smur) teams rarely have specific paediatric protocols, though nursing practices are improving with new devices.
Area of Science:
- Emergency Medicine
- Paediatric Care
- Pre-hospital Services
Context:
- Paediatric perfusion during pre-hospital care presents significant challenges in life-threatening emergencies.
- Limited access to specialized paediatric backup necessitates established protocols for adult mobile emergency and intensive care services (Smur) working with paediatricians.
- Assessing current paediatric perfusion practices within these adult Smur teams is crucial.
Purpose:
- To evaluate the existing paediatric perfusion protocols and nursing practices within adult Smur teams.
- To identify the commonality of specific paediatric protocols in non-specialized emergency services.
- To understand the impact of technological advancements on paediatric perfusion techniques.
Summary:
- The study found that specific paediatric protocols are uncommon in adult Smur teams.
- Nursing practices in paediatric perfusion are gradually aligning with recommendations.
- Technological advancements, like the intraosseous device, are contributing to improved practices.
Impact:
- Highlights the need for better paediatric preparedness in pre-hospital emergency care.
- Suggests that technological adoption can bridge protocol gaps in paediatric emergencies.
- Informs the development of more effective paediatric emergency care strategies.
Paediatric Venous Access Being Established By Adult Smur Teams:
Paediatric perfusion during pre-hospital care is a major issue in the event of life-threatening emergencies. Access, often restricted, to backup specialising in paediatrics, implies the existence of practices on protocols for the adult mobile emergency and intensive care service (Smur) in partnership with paediatricians. Paediatric perfusion practices were assessed in these teams. The results show the presence of a paediatric protocol in the adult Smur teams is not very common. Nursing practices seem to be evolving towards the recommendations, thanks to technological advances such as the use of the intraosseous device.