丹麦急救医疗调度中心接到的儿科医疗急救电话：一项回顾性观察研究。
Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study.
机构信息
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Anaesthesiology & Intensive Care, Odense University Hospital, Odense, Denmark.
出版信息
Scand J Trauma Resusc Emerg Med. 2018 Jan 5;26(1):2. doi: 10.1186/s13049-017-0470-1.
BACKGROUND
Little is known regarding paediatric medical emergency calls to Danish Emergency Medical Dispatch Centres (EMDC). This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies.
METHODS
We performed a retrospective, observational study on paediatric medical emergency calls managed by the EMDC in the Region of Southern Denmark in February 2016. We reviewed audio recordings of emergency calls and ambulance records to identify calls concerning patients ≤ 15 years. We examined EMDC dispatch records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies. We analysed the data using descriptive statistics.
RESULTS
Of a total of 7052 emergency calls in February 2016, 485 (6.9%) concerned patients ≤ 15 years. We excluded 19 and analysed the remaining 466. The reported medical issues were commonly classified as: "seizures" (22.1%), "sick child" (18.9%) and "unclear problem" (12.9%). The overall most common pre-hospital response was immediate dispatch of an ambulance with sirens and lights with a supporting physician-manned mobile emergency care unit (56.4%). The classification of medical issues and the dispatched pre-hospital units varied with patient age.
DISCUSSION
We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered medical issues, such as the symptoms and conditions pertaining to the symptom categories "seizures" and "sick child". Furthermore, the results could prove useful in hypothesis generation for future studies examining paediatric medical emergency calls.
CONCLUSION
Almost 7% of all calls concerned patients ≤ 15 years. Medical issues pertaining to the symptom categories "seizures", "sick child" and "unclear problem" were common and the calls commonly resulted in urgent pre-hospital responses.
背景
关于丹麦急救医疗调度中心（EMDC）接到的儿科医疗急救电话，人们知之甚少。本研究旨在调查这些电话，特别是导致这些电话的医疗问题以及派往儿科急救的院前单位。
方法
我们对 2016 年 2 月丹麦南丹麦地区由 EMDC 管理的儿科医疗急救电话进行了回顾性、观察性研究。我们审查了急救电话的录音和救护车记录，以确定涉及≤15 岁患者的电话。我们检查了 EMDC 调度记录，以确定导致这些电话的医疗问题如何分类，以及向儿科急救派遣了哪些院前单位。我们使用描述性统计方法分析数据。
结果
在 2016 年 2 月的总共 7052 个紧急电话中，有 485 个（6.9%）涉及≤15 岁的患者。我们排除了 19 个电话，分析了其余 466 个电话。报告的医疗问题通常归类为：“癫痫发作”（22.1%）、“生病的孩子”（18.9%）和“问题不清”（12.9%）。最常见的院前反应是立即派出配备警笛和灯光的救护车，并配有一名医生操作的移动急救护理单元（56.4%）。医疗问题的分类和派遣的院前单位随患者年龄而变化。
讨论
我们相信我们的结果可以帮助集中培训急救医疗调度人员处理常见的医疗问题，例如与症状类别“癫痫发作”和“生病的孩子”相关的症状和病情。此外，这些结果对于未来研究儿科医疗急救电话可能会有用。
结论
近 7%的电话涉及≤15 岁的患者。常见的医疗问题与症状类别“癫痫发作”、“生病的孩子”和“问题不清”有关，这些电话通常导致紧急的院前反应。
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