Mansfield C J, Price J, Frush K S, Dallara J
Department of Family Medicine, Brody School of Medicine, Center for Health Services Research and Development, East Carolina University, Building "N", Physicians Quadrangle, Greenville, NC, 27858, USA.
J Fam Pract. 2001 Sep;50(9):757-61.
Our objective was to assess the occurrence of pediatric emergencies in the offices of family physicians and pediatricians, the preparedness to respond, and the perceived importance of being prepared.
We performed a cross-sectional random mail survey of physicians.
Surveys were sent to 187 family physicians and 129 pediatricians practicing in North Carolina with 75% and 86% response rates, respectively. The 169 total respondents were in community practices regularly treating children and were included for analysis.
We measured the incidence of 8 types of pediatric emergencies, the availability of 11 items for resuscitation and stabilization, whether the physician had Pediatric Advanced Life Support (PALS) training in the previous 2 years, whether the office ever conducted a mock emergency, and beliefs about the importance of preparing for and providing emergency care to children.
Six types of pediatric emergencies were seen in one third or more of all practices during the year. The average practice saw 4 or more pediatric emergencies in a year (family physicians = 3.8 vs pediatricians = 4.9, P <.001). Family physicians had fewer resuscitation and stabilization items than pediatricians (5.7 vs 8.6 items, P <.001) and were less prepared in terms of PALS training (19% vs 51%, P <.001). Those with PALS training were more likely to have an intraosseous needle and Broselow tape and to have conducted a mock code. Family physicians considered it is less important than pediatricians to provide such care or to be prepared to do so.
Pediatric emergencies in the office are likely for either specialty. Family physicians may be less prepared, and they discount the importance of the problem and need for preparation.
我们的目的是评估家庭医生和儿科医生办公室中儿科急症的发生情况、应对准备情况以及对做好准备的重要性的认知。
我们对医生进行了一项横断面随机邮件调查。
向在北卡罗来纳州执业的187名家庭医生和129名儿科医生发送了调查问卷，回复率分别为75%和86%。总共169名受访者从事定期诊治儿童的社区医疗工作，并纳入分析。
我们测量了8种儿科急症的发生率、11种复苏和稳定病情所需物品的可用性、医生在过去2年是否接受过儿科高级生命支持（PALS）培训、办公室是否曾进行过模拟急救，以及对为儿童准备和提供急救护理重要性的看法。
在一年中，三分之一或更多的诊所出现了6种儿科急症。平均每个诊所一年会遇到4起或更多的儿科急症（家庭医生为3.8起，儿科医生为4.9起，P<.001）。家庭医生拥有的复苏和稳定病情所需物品比儿科医生少（5.7件对8.6件，P<.001），在PALS培训方面准备也不足（19%对51%，P<.001）。接受过PALS培训的医生更有可能配备骨髓穿刺针和 Broselow 带，并进行过模拟急救。家庭医生认为提供此类护理或为此做好准备的重要性低于儿科医生。
无论是哪个专科，办公室里都可能出现儿科急症。家庭医生的准备可能较少，他们低估了这个问题的重要性以及做好准备的必要性。
