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Prehospital interventions in children

E J Reisdorff¹, K A Howell, J Saul

¹Michigan State University Emergency Medicine Residency, Lansing, USA.

Prehospital Emergency Care

|July 22, 1998

Summary

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Pediatric emergency medical services (EMS) interventions were analyzed, finding advanced procedures were rare. Children receiving interventions were older and required longer on-scene times.

Area of Science:

Emergency Medicine
Pediatric Care
Prehospital Services

Background:

Skill maintenance in emergency medical services (EMS) relies on frequent procedure performance.
Characterizing pediatric prehospital interventions is crucial for understanding care delivery.

Purpose of the Study:

To determine the frequency and types of basic and advanced prehospital interventions performed on children.
To analyze factors associated with intervention delivery in pediatric emergency care.

Main Methods:

A retrospective review of 535 emergency medical services (EMS) runs involving children in central Michigan over three months.
Data collected included patient demographics, procedure types (basic and advanced), at-scene time, and total run time.

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Main Results:

Of 424 pediatric cases, 287 received interventions. Advanced procedures were performed on only 19.3% of children.
Basic procedures included spinal immobilization and oxygen administration; advanced procedures included venous access and medication administration.
Children receiving interventions were older and had significantly longer at-scene and total run times compared to those who did not.

Conclusions:

Advanced prehospital procedures for children are infrequently performed.
Opportunities for critical interventions like intubation were rare in this pediatric EMS population.
Interventions in pediatric emergencies are associated with older children and extended prehospital times.