Volume : 11, Issue : 12, December – 2024
Title:
ASSESSING THE OUTCOMES OF PREHOSPITAL CARE FOR PEDIATRIC PATIENTS: A COMPREHENSIVE REVIEW
Authors :
Ibrahim Saleh Zuheer Alzahrani, Wafi Salem Alonduil Alzahrani, Khatim Ali Mohammed Alzahrani, Eidan Saeed Saleh Al-Ghamdi, Rami Abdullah Al Zahrani, Hassan Saleh Alzahrani, Abdullah Mohammed Azib Alzahrani, Salim Ahmed Mohammed Al Awaji, Hilal Ahmed Al-Ghamdi, Sultan Ahmed Alghamdi
Abstract :
This comprehensive review evaluates the outcomes of prehospital care for pediatric patients, emphasizing the unique challenges faced by emergency medical services (EMS) when managing acutely ill or injured children. Despite representing a small percentage of EMS calls, pediatric patients often present complex medical needs, particularly in trauma cases, which account for nearly 45% of pediatric EMS responses. The review synthesizes findings from various studies to assess current interventions and their effectiveness, highlighting significant variability in the care provided. Key issues identified include inadequate documentation of vital signs, infrequent use of advanced life support techniques, and the challenges of non-transport decisions. The study underscores the necessity for enhanced training for EMS personnel, improved protocols tailored to pediatric care, and the implementation of evidence-based practices. Recommendations for future research and policy shifts are proposed to improve service delivery and health outcomes for pediatric patients. By addressing existing gaps in training and intervention strategies, this review aims to inform stakeholders and improve the quality of prehospital care for children.
Keywords: Pediatric Emergency Medical Services, Prehospital Care, Trauma Management, EMS Interventions, Patient Outcomes
Cite This Article:
Please cite this article in press Ibrahim Saleh Zuheer Alzahrani et al., Assessing The Outcomes Of Prehospital Care For Pediatrics Patients: A Comprehensive Review.,Indo Am. J. P. Sci, 2024; 11 (12).
Number of Downloads : 10
References:
1. Allen, C. J., Teisch, L. F., Meizoso, J. P., Ray, J. J., Schulman, C. I., Namias, N., … & Proctor, K. G. (2015). Prehospital care and transportation of pediatric trauma patients. journal of surgical research, 197(2), 240-246.
2. Aluisio, A. R., Umuhire, O. F., Mbanjumucyo, G., George, N., Kearney, A., Karim, N., … & Levine, A. C. (2019). Epidemiologic characteristics of pediatric trauma patients receiving prehospital care in Kigali, Rwanda. Pediatric emergency care, 35(9), 630-636.
3. Brindis, S. L., Gausche-Hill, M., Young, K. D., & Putnam, B. (2011). Universally poor outcomes of pediatric traumatic arrest: a prospective case series and review of the literature. Pediatric emergency care, 27(7), 616-621.
4. Cottrell, E. K., O’Brien, K., Curry, M., Meckler, G. D., Engle, P. P., Jui, J., … & Guise, J. M. (2014). Understanding safety in prehospital emergency medical services for children. Prehospital Emergency Care, 18(3), 350-358.
5. Cunningham, A., Auerbach, M., Cicero, M., & Jafri, M. (2018). Tourniquet usage in prehospital care and resuscitation of pediatric trauma patients—Pediatric Trauma Society position statement. Journal of Trauma and Acute Care Surgery, 85(4), 665-667.
6. Dante, N. J., Salvatore, R. J., Carayannopoulos, N. L., & Burjonrappa, S. C. (2024). Prehospital Reverse Shock Index Times Glasgow Coma Scale as a Predictor for Trauma Intervention in Paediatric Trauma Patients. Journal of Pediatric Surgery, 162018.
7. Engum, S. A., Mitchell, M. K., Scherer, L. R., Gomez, G., Jacobson, L., Solotkin, K., & Grosfeld, J. L. (2000). Prehospital triage in the injured pediatric patient. Journal of pediatric surgery, 35(1), 82-87.
8. Fahy, A. S., Thiels, C. A., Polites, S. F., Parker, M., Ishitani, M. B., Moir, C. R., … & Zielinski, M. D. (2017). Prehospital blood transfusions in pediatric trauma and nontrauma patients: a single-center review of safety and outcomes. Pediatric Surgery International, 33, 787-792.
9. Kahalé, J., Osmond, M. H., Nesbitt, L., & Stiell, I. G. (2006). What are the characteristics andoutcomes of nontransported pediatric patients?. Prehospital Emergency Care, 10(1), 28-34.
10. Marlor, D., Juang, D., Pruitt, L., Cruz-Centeno, N., Stewart, S., Senna, J., & Flint, J. (2024). Factors associated with early discharge in pediatric trauma patients transported by rotor: a retrospective analysis. Air medical journal, 43(1), 37-41.
11. Nesiama, J. A. O., Pirallo, R. G., Lerner, E. B., & Hennes, H. (2012). Does a prehospital Glasgow Coma Scale score predict pediatric outcomes?. Pediatric emergency care, 28(10), 1027-1032.
12. Oude Alink, M. B., Moors, X. R. J., Karrar, S., Houmes, R. J., Hartog, D. D., & Stolker, R. J. (2021). Characteristics, management and outcome of prehospital pediatric emergencies by a Dutch HEMS. European Journal of Trauma and Emergency Surgery, 1-10.
13. Prekker, M. E., Delgado, F., Shin, J., Kwok, H., Johnson, N. J., Carlbom, D., … & Rea, T. D. (2016). Pediatric intubation by paramedics in a large emergency medical services system: process, challenges, and outcomes. Annals of Emergency Medicine, 67(1), 20-29.
14. Ramgopal, S., Elmer, J., Escajeda, J., & Martin-Gill, C. (2018). Differences in prehospital patient assessments for pediatric versus adult patients. The Journal of pediatrics, 199, 200-205.
15. Richard, J., Osmond, M. H., Nesbitt, L., & Stiell, I. G. (2006). Management and outcomes of pediatric patients transported by emergency medical services in a Canadian prehospital system. Canadian Journal of Emergency Medicine, 8(1), 6-12.
16. Robinson, N., Delorenzo, A., Howell, S., Smith, K., Cameron, P., Stock, A., & Eastwood, K. (2023). Pediatric Distraction Tools for Prehospital Care of Pain and Distress: A Systematic Review. Pediatrics, 152(1), e2022059910.
17. Seid, T., Ramaiah, R., & Grabinsky, A. (2012). Pre–hospital care of pediatric patients with trauma. International journal of critical illness and injury science, 2(3), 114-120.
18. Shah, M. I. (2010). Prehospital management of pediatric trauma. Clinical Pediatric Emergency Medicine, 11(1), 10-17.
19. Sokol, K. K., Black, G. E., Azarow, K. S., Long, W., Martin, M. J., & Eckert, M. J. (2015). Prehospital interventions in severely injured pediatric patients: rethinking the ABCs. Journal of trauma and acute care surgery, 79(6), 983-990.
20. Turan, C., Yurtseven, A., Basa, E. G., Gökşen, D., & Saz, E. U. (2020). The effects of prehospital care on outcome in pediatric diabetic ketoacidosis. Journal of Clinical Research in Pediatric Endocrinology, 12(2), 189.
21. Tweed, J., George, T., Greenwell, C., & Vinson, L. (2018). Prehospital airway management examined at two pediatric emergency centers. Prehospital and disaster medicine, 33(5), 532-538.
22. Weihing, V. K., Crowe, E. H., Wang, H. E., & Ugalde, I. T. (2022). Prehospital airway management in the pediatric patient: A systematic review. Academic Emergency Medicine, 29(6), 765-771.
23. Yamamoto, R., Liao, L., Yajima, K., Endo, A., Yamakawa, K., & Sasaki, J. (2024). Functional Outcomes Following Injury in Pediatric Patients without Traumatic Brain Injury. Journal of Pediatric Surgery Open, 100183.