The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department

Fernandez, Antonio L.; Ares, Maria Isabel; Garcia, Sara; Martínez-Indart, Lorea; Mintegi, Santiago; Benito, Javier

doi:10.1097/pec.0000000000000717

Cited by 29 publications

(18 citation statements)

References 14 publications

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“…Das schnelle Erkennen eines gefährdeten Kindes (initiale Hands-off-Beurteilung in den ersten 5 s) wird unter Verwendung des pädiatrischen Beurteilungsdreiecks/Blickdiagnosedreiecks oder ähnlicher Modelle (Quick-Look-Tools) empfohlen [ 49 – 52 ]. Jede Auffälligkeit soll eine nachfolgende vollständige schrittweise pathophysiologische Beurteilung nach dem ABCDE -Schema auslösen.…”

Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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Die Leitlinien des European Resuscitation Council (ERC) zu den lebensrettenden Maßnahmen bei Kindern (Paediatric Life Support, PLS) basieren auf dem 2020 verfassten „International Consensus on Cardiopulmonary Resuscitation Science with Treatment Recommendations“ der ILCOR (International Liaison Committee on Resuscitation). Dieses Kapitel beinhaltet Leitlinien zur Behandlung kritisch kranker oder verletzter Säuglinge, von Kindern und Jugendlichen vor, während und nach einem Atem-Kreislauf-Stillstand.

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Section: Evidenzen Für Die Leitlinienunclassified

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Voorde

Turner

Djakow

et al. 2021

Notfall Rettungsmed

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“…The right-hand side of the screen displays a detailed and clickable list of drug doses and equipment size at user's disposal and intended as cognitive aids helping with decision making situation with the team, either with the support of Inter-FACE or conventional methods. According to PALS recommendations, the team will have to start the CPR by assessing the patient with the pediatric assessment triangle [41]. Because of the invariable absence of a pulse in an unconscious and non-breathing child, the team should follow the circulation-airway-breathing approach and start a 2-min cycle of chest compressions and ventilations (15:2 ratio) and use the resuscitation equipment.…”

Section: Intervention and Resuscitation Scenariosmentioning

confidence: 99%

Impact of a shared decision-making mHealth tool on caregivers’ team situational awareness, communication effectiveness, and performance during pediatric cardiopulmonary resuscitation: study protocol of a cluster randomized controlled trial

Ehrler

Sahyoun

Manzano

et al. 2021

Trials

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Background Effective team communication, coordination, and situational awareness (SA) by team members are critical components to deliver optimal cardiopulmonary resuscitation (CPR). Complexity of care during CPR, involvement of numerous providers, miscommunication, and other exogenous factors can all contribute to negatively influencing patient care, thus jeopardizing survival. We aim to investigate whether an mHealth supportive tool (the Interconnected and Focused Mobile Apps on patient Care Environment [InterFACE]) developed as a collaborative platform to support CPR providers in real-time and share patient-centered information would increase SA during pediatric CPR. Methods We will conduct a prospective, cluster randomized controlled trial by groups of 6 participants in a tertiary pediatric emergency department (33,000 consultations/year) with pediatric physicians and nurses. We will compare the impact of the InterFACE tool with conventional communication methods on SA and effective team communication during a standardized pediatric in-hospital cardiac arrest and a polytrauma high-fidelity simulations. Forty-eight participants will be randomized (1:1) to consecutively perform two 20-min video-recorded scenarios using either the mHealth tool or conventional methods. The primary endpoint is the SA score, measured with the Situation Awareness Global Assessment Technique (SAGAT) instrument. Enrollment will start in late 2020 and data analysis in early 2021. We anticipate that the intervention will be completed by early 2021 and study results will be submitted in mid 2021 for publication. Discussion This clinical trial will assess the impact of a collaborative mHealth tool on increasing situational awareness and effective team communication during in-hospital pediatric resuscitation. As research in this area is scarce, the results generated by this study may become of paramount importance in improving the care of children receiving in-hospital CPR, in the era of increasing communication technology. Trial registration ClinicalTrials.gov NCT04464603. Registered on 9 July 2020.

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“…The Pediatric Assessment Triangle describes a method of performing an initial assessment of an acutely ill or injured patient utilizing three components: appearance, work of breathing, and circulation of the skin (Fernandez et al, 2017). Appearance reflects the adequacy of ventilation, oxygenation, brain perfusion, and central nervous system function and assesses the patient's tone, interactiveness, consolability, look/gaze, and speech/cry.…”

Section: Extra Credit Point: What Is the Pediatric Assessment Triangle?mentioning

confidence: 99%

School Nurses on the Front Lines of Medicine: The Approach to a Student With Severe Traumatic Bleeding

Erdman¹,

Chardavoyne²,

Olympia

2019

NASN School Nurse

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With the continued threat of mass casualty incidents in schools and surrounding communities, it is essential for school nurses to be knowledgeable regarding the recognition of hemorrhagic shock due to massive bleeding and the acute management of these victims. In the past decade, increased interest and research in acute bleeding control have led to published evidence-based guidelines to reduce morbidity and mortality for victims of violent acts. It is essential that healthcare providers, including nurses who are the first responders in schools, are aware of methods to assess and control massive bleeding. This article summarizes the most up-to-date recommendations for the management of children with traumatic bleeding.

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The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department

Abstract: Abnormal findings in the PAT applied by trained nurses at triage identify patients with a higher risk of hospitalization. The PAT seems to be a valid tool for identifying the most severe patients as a first step in the triage process.

Cited by 29 publications

References 14 publications

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

Impact of a shared decision-making mHealth tool on caregivers’ team situational awareness, communication effectiveness, and performance during pediatric cardiopulmonary resuscitation: study protocol of a cluster randomized controlled trial

School Nurses on the Front Lines of Medicine: The Approach to a Student With Severe Traumatic Bleeding

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