Brodsky Richard, Merlin Mark A, Leva Ernest G, Levy Robert S, Leva Joseph, Shaible Jason
Department of Pediatrics, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
Pediatr Emerg Care. 2009 May;25(5):317-20. doi: 10.1097/PEC.0b013e3181a34192.
In the state of New Jersey, all pediatric patients who are transported to the hospital by emergency medical services for seizures are evaluated by both advanced life support (ALS) and basic life support (BLS) units. The state triage protocol mandates that a paramedic unit be dispatched. The purpose of this study is establish that the subset of those patients who experience simple febrile seizures could be safely transported by BLS, subsequently freeing much needed ALS resources.
This study was performed using a retrospective chart review. Seventy-one consecutive patients who experienced febrile seizures and were transported to the Bristol-Meyers-Squib Children's Hospital/Robert Wood Johnson University Hospital via ALS were included. These patients were risk stratified into groups which were analyzed for interventions, including inpatient admission, medication delivery, intubation, or respiratory support.
From this analysis, we are identified factors in the history and physical examination of patients in the field that would help to classify the patient as having a "simple febrile seizure" and thus significantly lowering the risk of any potential negative outcome.
Simple febrile seizure patients are suitable for transport via BLS. Further studies should be done to confirm this conclusion.
在新泽西州，所有通过紧急医疗服务被送往医院治疗癫痫发作的儿科患者均由高级生命支持（ALS）和基础生命支持（BLS）单位进行评估。该州的分诊协议规定必须派遣护理人员单位。本研究的目的是确定那些经历简单热性惊厥的患者子集可以由BLS安全运送，从而释放急需的ALS资源。
本研究采用回顾性病历审查。纳入了71例连续经历热性惊厥并通过ALS被送往布里斯托尔-迈尔斯-施贵宝儿童医院/罗伯特·伍德·约翰逊大学医院的患者。这些患者被进行风险分层分组，并对包括住院、药物输送、插管或呼吸支持在内的干预措施进行分析。
通过该分析，我们确定了现场患者病史和体格检查中的因素，这些因素有助于将患者分类为患有“简单热性惊厥”，从而显著降低任何潜在负面结果的风险。
简单热性惊厥患者适合通过BLS运送。应进行进一步研究以证实这一结论。
