Recommandations concernant la mise en place, la gestion, l’utilisation et l’évaluation d’une salle d’accueil des urgences vitales pédiatriques

Chéron, G.; Chabernaud, J.-L.; Dalmas, Sylvie Lefebvre; Floret, D.; Leveau, Philippe; Mardegan, P.; Martinot, A.; Massol, V; Minguet, Joan; Orliaguet, Gilles; Pedespan, L.; Wodey, Éric

doi:10.1016/j.arcped.2003.09.031

Cited by 11 publications

(8 citation statements)

References 3 publications

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“…In some situations, care is provided without the supervision of the senior pediatrician. This is similar to the inequity of care described by Chabernaud [28]. This inequity is not the exclusive characteristic of the less fortunate countries insofar as a study, carried out in the pediatric emergency department of the CHU of Lyon, revealed that senior management by an emergency physician and a resuscitator was involved in 47% of cases [30].…”

Section: Discussionsupporting

confidence: 61%

“…Therapeutic Attitude in the Emergency Department of the CHUPB Hospital emergency departments play a vital role in the health care system and are an indicator of the quality of care. It is the place of first resort in case of vital distress [28]. The CHUPB medical emergency department is a structure that operates 7 days a week and 24 hours a day.…”

Section: Discussionmentioning

confidence: 99%

“…This inequity is not the exclusive characteristic of the less fortunate countries insofar as a study, carried out in the pediatric emergency department of the CHU of Lyon, revealed that senior management by an emergency physician and a resuscitator was involved in 47% of cases [30]. Far from accepting this discrepancy, which shows that there is room for improvement from one region to another, it should be remembered that the implementation and management of pediatric life-saving emergencies should be based on the specific skills of both medical and paramedical personnel [28]. With this in mind, what were the particularities of the initial management of cases of non-traumatic coma; with regard to the main vital disorders observed on arrival of patients at the CHUPB emergency department?…”

Section: Discussionmentioning

confidence: 99%

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2022

JPNB

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IntroductionNon-traumatic coma is the most common pediatric medical emergency. Their therapeutic and evolutionary profile remains controversial in resource-limited countries. We report our experience with 370 children. ObjectiveTo evaluate the management and evolution of nontraumatic comas in the intensive care unit of the Pediatric Hospital Complex of Bangui (CHUPB). Materials and methods: This was a descriptive and analytical cross-sectional study conducted between January 1 and June 31, 2021 at the CHUPB. Children aged 1 month to 15 years, admitted to the intensive care unit of CHUPB with a Glasgow score less than or equal to 8 in a trauma-free setting were included. Data were entered and analyzed using SPSS 20.0 statistical software. The statistical test used was Pearson's chi-square. Any p-value <0.05 was considered statistically significant. ResultDuring the study period, 370 children were admitted to the intensive care unit of CHUPB for non-traumatic coma. The sex ratio was 1.35 and the mean age was 35.95±27.21 months. Neuromalaria (29.72%), meningitis-meningoencephalitis-encephalitis (30%), septic states (19.72%) and acidotic coma (5.40%) were the main etiologies. The children had received emergency drug treatment based on anticonvulsants in 59.18% of cases, antipyretics in 91.35% of cases and dopamine 18.1% of cases. Drug treatment was adapted to the etiology in 44.60% of cases and probabilistic in 55.40% (n=205) of cases. Neurological sequelae were noted in 8.93% of cases and death in 36.48%, 57.77% of which occurred within the first 48 hours. ConclusionInfectious diseases are the predominant cause of biologically documented non-traumatic comas and are also the cause of non-documented clinical situations. This reality has induced the use of anti-infectives beyond the rational with an outcome marked by high mortality and sequelae. The transformation of these outcomes requires the reinforcement of the technical platform of the CHUPB.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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2022

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“…Notre étude soulève également le problème de la disponibilité du matériel médical pédiatrique. La prise en charge des urgences vitales nécessite un matériel adapté au gabarit des enfants [22]. L'intubation pédiatrique impose d'avoir tous les diamètres de sonde à disposition, alors que le geste est rare en médecine pré-hospitalière.…”

Section: Discussionunclassified

Activité pédiatrique des SMUR du réseau nord-alpin des urgences

Tesnière¹,

Matonnier²,

Courtiol³

et al. 2015

Archives de Pédiatrie

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“…Elles devraient être accueillies au sein de salles d'accueil d'urgences vitales (SAUV) communément appelées déchocage. Ces dernières ont fait l'objet de recommandations en 2004 pour leur implantation, leur gestion et leur utilisation [1]. Mettre en adéquation tous les SAU avec de telles recommandations n'est pas facile et prend du temps, il nous a semblé intéressant d'étudier l'application de ces mesures.…”

Section: Introductionunclassified

Préparation des services d’accueil d’urgences (SAU) français à la prise en charge des urgences vitales de l’enfant

Claudet

Grouteau

2011

Ann. Fr. Med. Urgence

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Recommandations concernant la mise en place, la gestion, l’utilisation et l’évaluation d’une salle d’accueil des urgences vitales pédiatriques

Cited by 11 publications

References 3 publications

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Activité pédiatrique des SMUR du réseau nord-alpin des urgences

Préparation des services d’accueil d’urgences (SAU) français à la prise en charge des urgences vitales de l’enfant

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