Toida Chiaki, Muguruma Takashi
Department of Disaster Medical Management The University of Tokyo Tokyo Japan.
Department of Emergency Medicine Yokohama City University Graduate School of Medicine Yokohama Japan.
Acute Med Surg. 2020 Dec 21;7(1):e605. doi: 10.1002/ams2.605. eCollection 2020 Jan-Dec.
We evaluated the status of the allocation of medical emergency equipment suitable for pediatric patients of all ages.
In 2019, we surveyed the emergency medical officers from 728 fire defense headquarters around Japan. The questionnaire was designed to evaluate the kind and size of equipment available to ambulance crews for prehospital emergency care of injured pediatric patients. A complete pediatric equipment set was defined as a set containing equipment suitable for children aged 0-14 years.
Overall, 599 (82%) fire defense headquarters responded to our survey. Of these, 596 (99.5%) declared that pediatric equipment was available to ambulance crews. The allocation rates of complete pediatric sets were considerably low: blood pressure cuff, 5%; nasopharyngeal airway, 1%; oropharyngeal airway, 7%; laryngoscope, 6%; supraglottic airway device, 13%; endotracheal tube, 0.2%; and bag-valve-mask, 23%. Moreover, none of these fire defense headquarters had complete pediatric equipment sets for all 14 devices assessed in this study.
Although most Japanese ambulances can provide prehospital emergency care to pediatric patients, this survey revealed the dispersion and deficiencies in the availability of complete pediatric equipment sets.
我们评估了适合各年龄段儿科患者的医疗急救设备的配备情况。
2019年，我们对日本各地728个消防总部的急救医疗人员进行了调查。调查问卷旨在评估救护人员在院前对受伤儿科患者进行急救时可使用的设备种类和尺寸。一套完整的儿科设备被定义为包含适合0至14岁儿童的设备。
总体而言，599个（82%）消防总部回复了我们的调查。其中，596个（99.5%）表示救护人员可使用儿科设备。完整儿科设备套装的配备率相当低：血压袖带为5%；鼻咽气道为1%；口咽气道为7%；喉镜为6%；声门上气道装置为13%；气管内导管为0.2%；球囊面罩为23%。此外，这些消防总部中没有一个拥有本研究评估的所有14种设备的完整儿科设备套装。
尽管大多数日本救护车能够为儿科患者提供院前急救，但本次调查揭示了完整儿科设备套装配备的分散性和不足。
