Meyer S, Grundmann U, Reinert J, Gortner L
Klinik für Allgemeine Pädiatrie und Neonatologie; Bereich Pädiatrische und Neonatologische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrberger Straße, Gebäude 9, 66421, Homburg, Deutschland.
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, 66421, Homburg, Deutschland.
Med Klin Intensivmed Notfmed. 2015 Nov;110(8):633-41; quiz 642-3. doi: 10.1007/s00063-015-0104-1. Epub 2015 Oct 30.
Life-threatening pediatric emergencies are relatively rare in the prehospital setting. Thus, the treating emergency physician may not always be familiar with and well trained in these situations. However, pediatric emergencies require early recognition and initiation of specific diagnostic and therapeutic interventions to prevent further damage. The treatment of pediatric emergencies follows current recommendations as detailed in published international guidelines. The aim of this review is to familiarize the emergency physician with general aspects pertinent to this topic-most importantly anatomical and physiological characteristics in this cohort. Also, specific information with regard to analgesia and sedation, which may be warranted in the prehospital setting, will be provided.
危及生命的儿科急症在院前环境中相对少见。因此，进行治疗的急诊医生可能并不总是熟悉这些情况，也未接受过充分的相关培训。然而，儿科急症需要早期识别并启动特定的诊断和治疗干预措施，以防止进一步损伤。儿科急症的治疗遵循已发表的国际指南中详述的现行建议。本综述的目的是让急诊医生熟悉与该主题相关的一般方面——最重要的是该群体的解剖和生理特征。此外，还将提供有关院前环境中可能需要的镇痛和镇静的具体信息。
