Kaku Noriyuki, Nitta Masahiko, Muguruma Takashi, Hirata Yuichiro, Tsukahara Kohei, Knaup Emily, Nosaka Nobuyuki, Enomoto Yuki
Emergency and Critical Care Center, Kyushu University Hospital, Fukuoka, Japan.
Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Pediatr Int. 2018 Jan;60(1):93-95. doi: 10.1111/ped.13432.
The deployment status of pediatric emergency equipment in ambulances in Japan is unknown. To investigate the status of and issues associated with prehospital emergency medical care for pediatric patients, we conducted a descriptive epidemiological study. We carried out a Web-based survey of 767 fire defense headquarters in Japan, of which 671 responded (valid response rate, 88%). Most of the fire defense headquarters equipped all of their ambulances with oxygen masks (82%), bag-valve masks (for neonates, 83%; for children, 84%), straight laryngoscope blades (for neonates, 47%; for children 68%), blood pressure cuffs for children (91%), oximeter probes (78%), and stiff neck collars (91%); but despite the need for other equipment such as nasopharyngeal and oropharyngeal airways, and Magill forceps, they were insufficiently deployed. In Japan, prehospital emergency medical equipment deployment does not meet the needs of pediatric patients. Minimum equipment standards need to be established for pediatric prehospital care.
日本救护车中儿科急救设备的配备情况尚不清楚。为调查儿科患者院前急救医疗的现状及相关问题，我们开展了一项描述性流行病学研究。我们对日本767个消防总部进行了网络调查，其中671个作出回应（有效回应率为88%）。大多数消防总部为其所有救护车配备了氧气面罩（82%）、袋阀面罩（新生儿用，83%；儿童用，84%）、直喉镜叶片（新生儿用，47%；儿童用，68%）、儿童血压袖带（91%）、血氧饱和度探头（78%）和硬式颈托（91%）；但尽管需要其他设备，如鼻咽通气道、口咽通气道和麦吉利钳，这些设备的配备却不足。在日本，院前急救医疗设备的配备无法满足儿科患者的需求。需要制定儿科院前护理的最低设备标准。
