2015 Pediatric Research Priorities in Prehospital Care

Browne, Lorin R.; Shah, Manish I.; Studnek, Jonathan R.; Farrell, Brittany M; Mattrisch, Linda M; Reynolds, Stacy; Ostermayer, Daniel; Brousseau, David C.; Lerner, E. Brooke

doi:10.3109/10903127.2015.1102997

Cited by 42 publications

(27 citation statements)

References 9 publications

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“…Despite these findings, endotracheal tube (ETT) intubation is still the practiced norm in many emergency services [1]. Therefore, research into the optimal form of pediatric prehospital airway management still remains a top research priority [6].…”

Section: Introductionmentioning

confidence: 99%

Radiological evaluation of tube depth and complications of prehospital endotracheal intubation in pediatric trauma: a descriptive study

Simons

Söderlund

Handolin

2017

Eur J Trauma Emerg Surg

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Section: Introductionmentioning

confidence: 99%

Radiological evaluation of tube depth and complications of prehospital endotracheal intubation in pediatric trauma: a descriptive study

Simons

Söderlund

Handolin

2017

Eur J Trauma Emerg Surg

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“…Medical providers, however, inconsistently apply these tools to injured children and evidence is lacking for their accuracy in this population. Therefore, there is a pressing need for evidence‐based decision support for assessment of CSI risk in children …”

mentioning

confidence: 99%

Interobserver Agreement in Pediatric Cervical Spine Injury Assessment Between Prehospital and Emergency Department Providers

Browne

Schwartz

Ahmad

et al. 2017

Academic Emergency Medicine

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Emergency medical services and ED providers achieved at least moderate agreement in the assessment of CSI risk factors in children after blunt trauma. However, EMS and ED providers did not achieve moderate agreement on gestalt for CSI and some risk factors went unassessed by providers. These findings support the development of a pediatric CSI risk assessment tool for EMS and ED providers to reduce interventions for those children at very low risk for CSIs while still identifying all children with injury.

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“…Other than traumatic injury, there is a paucity of evidence to inform clinical guidelines that would assist prehospital identification of those patients who would benefit most from direct transport to the pediatric centre instead of the nearest hospital. This knowledge gap has recently been identified as a priority study objective for pediatric prehospital research [2]. Children brought by paramedics to a community emergency department (ED) and subsequently transferred to a tertiary care pediatric hospital may benefit from direct transport from the scene to a pediatric specialty centre.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Secondary Transfer Percentages: A Retrospective Observational Study

Leroux

Cook

Goldstein

et al. 2020

Cureus

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Introduction: Certain adult conditions treated by paramedics, such as myocardial infarction or stroke, have better outcomes if transported to a specialty centre, bypassing local generalist facilities when necessary. Little evidence exists to inform guidelines to identify pediatric patients who would benefit from direct transport to a pediatric centre. This study describes the characteristics of children brought to community emergency departments (ED) who subsequently required transfer to pediatric specialty care. Methods: A retrospective observational cohort study was performed in a metropolitan area with one tertiary pediatric specialty centre and four community EDs. The patient care record database was queried for patients under 16 years old transported by paramedics to a community ED during a five-year period. Secondary transfer to the pediatric specialty centre within 24 hours was identified. The primary outcome was percentage of transfers to specialty care. Descriptive statistics were used to characterize the whole group as well as stratified by age category, chief complaint and Canadian Triage Acuity Scale (CTAS). Results: A total of 872 pediatric patients were transported to community EDs with 95 (10.9%) requiring secondary transfer to the pediatric specialty centre. CTAS 1 and 2 were associated with increased secondary transfer (p<0.001). There were also differences in transfer proportion by chief complaint. There was no association between age or gender and transfer to pediatric specialty care. Conclusions: This retrospective study shows an association between acuity and certain chief complaints and percentage of secondary transfer to pediatric specialty care.

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2015 Pediatric Research Priorities in Prehospital Care

Abstract: emergency medical technician; research; emergency medical services; priorities.

Cited by 42 publications

References 9 publications

Radiological evaluation of tube depth and complications of prehospital endotracheal intubation in pediatric trauma: a descriptive study

Radiological evaluation of tube depth and complications of prehospital endotracheal intubation in pediatric trauma: a descriptive study

Interobserver Agreement in Pediatric Cervical Spine Injury Assessment Between Prehospital and Emergency Department Providers

Pediatric Secondary Transfer Percentages: A Retrospective Observational Study

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