Buss P W, McCabe M, Evans R J, Davies A, Jenkins H
Department of Child Health, College of Medicine, Cardiff Royal Infirmary, University of Wales.
Arch Dis Child. 1993 Jan;68(1):75-8. doi: 10.1136/adc.68.1.75.
A telephone questionnaire was undertaken to evaluate the knowledge of resident paediatricians on the subject of the basic resuscitation of the acutely sick child. The questionnaire was targeted at 88 resident paediatricians in hospitals accepting paediatric emergencies in four health regions. Outcome was measured as a correct response to questions based on several emergency scenarios and on the confidence expressed of basic resuscitation knowledge. The subject of emergency management of the child with a compromised upper airway was poorly answered with 40/73 (55%) resident paediatricians suggesting an incorrect endotracheal tube size for an 8 year old child. Fluid management was also deemed unsatisfactory with only 36/73 (49%) providing adequate transfusion secondary to haemorrhagic shock. In addition only 19/73 (26%) mentioned the intraosseous route as a means of obtaining vascular access in a child in extremis. Confidence of the knowledge of basic resuscitation of children was low among resident paediatricians with only 30/73 (41%) expressing confidence and 69/73 (94%) expressing a desire for more formal training in paediatric resuscitation. Resident paediatricians are usually the key personnel in the management of very sick children. This survey demonstrates a low level of basic resuscitation knowledge among resident paediatricians of all grades that must be remedied at a local and national level.
开展了一项电话问卷调查，以评估住院儿科医生对急重症儿童基本复苏主题的了解情况。该问卷针对四个卫生区域中接收儿科急诊的医院里的88名住院儿科医生。结果通过对基于几种紧急情况的问题的正确回答以及对基本复苏知识所表达的信心来衡量。上呼吸道受损儿童的急诊管理这一主题回答情况不佳，73名住院儿科医生中有40名（55%）为8岁儿童建议了错误的气管插管尺寸。液体管理也被认为不令人满意，只有36名（49%）在失血性休克继发时提供了足够的输血。此外，只有19名（26%）提到骨内途径是在处于危急状态的儿童中获得血管通路的一种方法。住院儿科医生对儿童基本复苏知识的信心较低，只有30名（41%）表示有信心，69名（94%）表示希望接受更多关于儿科复苏的正规培训。住院儿科医生通常是管理重病儿童的关键人员。这项调查表明，各级住院儿科医生的基本复苏知识水平较低，必须在地方和国家层面加以纠正。
