Applebaum D
Ann Emerg Med. 1985 Jul;14(7):656-9. doi: 10.1016/s0196-0644(85)80882-9.
During an 18-month study period, the mobile intensive care unit (MICU) in Jerusalem responded to 307 pediatric emergencies, representing 5% of the total MICU case load. The most common medical problems were seizures, diagnosed in 100 cases (32%), and conditions related to trauma, diagnosed in 77 cases (23%). Forty-one cases (13%) were cardiac arrests. Nineteen patients were pronounced dead with a resuscitation attempt; resuscitation was attempted in 22 patients. Four patients were stabilized for admission to the hospital, but there were no long-term survivors. Eighteen cardiac arrest patients (82%) were found in asystole, and most had previous serious medical problems. Based on our experience children are less likely to require or benefit from advanced levels of prehospital care compared to the adult population. When resources for advanced care are limited, priority should be given to adult emergencies.
在为期18个月的研究期间，耶路撒冷的移动重症监护病房（MICU）对307起儿科急诊作出了响应，占MICU总病例数的5%。最常见的医疗问题是癫痫发作，有100例（32%）确诊，以及与创伤相关的病症，有77例（23%）确诊。41例（13%）为心脏骤停。19名患者在尝试复苏后被宣告死亡；22名患者接受了复苏尝试。4名患者病情稳定可入院治疗，但无一长期存活。18名心脏骤停患者（82%）被发现处于心搏停止状态，且大多数先前有严重的医疗问题。根据我们的经验，与成人相比，儿童需要高级别院前护理或从中受益的可能性较小。当高级护理资源有限时，应优先处理成人急诊。
