紧急部门对患有胃肠炎的儿童进行评估和管理
Kimberley Robson1, Stéphane Bouchoucha2, Julie Considine3
1School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia; Emergency Department, Alice Springs Hospital, 6 Gap Road, Alice Springs, Northern Territory 0870, Australia.
Australasian emergency care
|September 22, 2023
概括
小孩急性胃肠炎的急诊室护理通常是有效的,尽管中度脱水和土著儿童管理需要进一步调查. 可以改进评估和文档.
科学领域:
- 儿科急救医学 儿科急救医学
- 传染性疾病 传染性疾病
背景情况:
- 急性胃肠炎是儿童疾病和死亡的重要原因之一.
- 紧急服务部门 (ED) 的有效管理至关重要.
研究的目的:
- 评估在ED中6-48个月的儿童急性胃肠炎的评估和管理.
- 确定儿童胃肠炎护理需要改进的领域.
主要方法:
- 对340名6至48个月龄的儿童进行了回顾性队列研究.
- 2019年1月1日至12月31日期间对ED演示的医疗记录审计.
主要成果:
- 一般评估是适当的;脱水评估,血压监测和液体平衡图表需要改进.
- 管理与重度/轻度脱水指南保持一致,在中度脱水病例中存在差异.
- 原住民和非原住民儿童之间脱水严重程度或病理学没有显著差异,但管理策略有所不同.
结论:
- 儿科胃肠炎的ED管理在很大程度上符合或超过基于证据的建议.
- 管理中度脱水和土著儿童的变化需要进一步研究,以确定护理是否低于最佳或患者特定.
- 该研究强调了在这种临床背景下未来研究的具体领域.
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