Roberts K, Jewkes F, Whalley H, Hopkins D, Porter K
Walsall Manor Hospital, West Midlands, UK.
Emerg Med J. 2005 Aug;22(8):572-6. doi: 10.1136/emj.2004.022533.
In 1997 a review of paramedic practice upon adult patients in the UK found many inconsistencies and deficiencies in basic care. A follow up review in 2002 identified widespread improvement in provision of equipment and skills to provide basic and advanced life support.Paediatric care was not assessed in either review. The authors conducted this study to identify current standards of care in paediatric paramedic practice and areas of potential improvement.
A questionnaire designed to determine what equipment and skills were available to paramedics for the management of common or serious paediatric emergencies was sent to chief executives of the 32 NHS Ambulance Trusts in England and Wales.
The trend of expanding and standardising practice among adult patients has not extended to paediatric practice despite national guidelines from the Joint Royal Colleges Ambulance Liaison Committee (JRCALC). Furthermore there are some serious failings in the provision of care and skills. Many Trusts have not adopted JRCALC guidelines for the management of life threatening paediatric emergencies such as asthma, meningitis, and fluid replacement in hypovolaemia.
Ambulance Trusts not meeting standards set out in the JRCALC guidelines must address their areas of deficiency. Failure to do so endangers children's lives and leaves Trusts open to criticism.
1997年，一项针对英国成年患者的护理人员实践的审查发现，基础护理存在许多不一致和不足之处。2002年的一项后续审查发现，在提供用于基本和高级生命支持的设备和技能方面有广泛的改进。两项审查均未评估儿科护理。作者进行这项研究以确定儿科护理人员实践中的当前护理标准以及潜在的改进领域。
向英格兰和威尔士的32个国民保健服务救护车信托基金的首席执行官发送了一份问卷，旨在确定护理人员在处理常见或严重儿科紧急情况时可获得哪些设备和技能。
尽管联合皇家学院救护车联络委员会（JRCALC）发布了国家指南，但成年患者中实践扩展和标准化的趋势并未延伸至儿科实践。此外，在护理和技能提供方面存在一些严重缺陷。许多信托基金尚未采用JRCALC关于处理危及生命的儿科紧急情况（如哮喘、脑膜炎和低血容量时的液体补充）的指南。
未达到JRCALC指南规定标准的救护车信托基金必须解决其不足之处。不这样做会危及儿童生命，并使信托基金面临批评。
