Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance
Introduction: In this study, clinical and demographic characteristics of cases brought to pediatric emergency department by ambulance were examined. We aimed to determine interventions and diagnoses of the patients, classify cases according to transfer place and type, evaluate appropriateness of ref...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2024-04-01
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| Series: | Journal of Pediatric Emergency and Intensive Care Medicine |
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http://www.caybdergi.com/archives/archive-detail/article-preview/clinical-and-demographic-characteristics-of-patien/65001
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| author | Gülüzar Gürhan Fatih Akın Abdullah Yazar Esra Türe Ahmet Osman Kılıç Abdullah Akkuş |
| author_facet | Gülüzar Gürhan Fatih Akın Abdullah Yazar Esra Türe Ahmet Osman Kılıç Abdullah Akkuş |
| author_sort | Gülüzar Gürhan |
| collection | DOAJ |
| description | Introduction: In this study, clinical and demographic characteristics of cases brought to pediatric emergency department by ambulance were examined. We aimed to determine interventions and diagnoses of the patients, classify cases according to transfer place and type, evaluate appropriateness of referral, and contribute to the efficiency of the referral chain. Methods: Five hundred forty two cases brought to pediatric emergency department by ambulance were followed up prospectively. Characteristics of cases were recorded from ambulance intervention form, automation system of our hospital, pediatric emergency service examination records and nurse observation records. Results: 2.54% (n=542) of the cases came to our pediatric emergency department by ambulance. Green field applications were the highest in all months. 4.7% of the patients came from outside the city. 49.4% of the patients were taken from home, 48.8% from another hospital or health institution. 53.2% of the cases were primary cases, the cases brought although the referral was not accepted were 10.5%. The diagnoses of patients were compatible in 79.2%. Body temperature of most of the patients was not measured by the ambulance teams and the respiratory rate was not recorded. Four patients who underwent endotracheal intubation in the emergency department did not undergo endotracheal intubation in the ambulance. While 15.5% of the patients were discharged without need of any observation, the majority (55.7%) were followed up in the emergency observation unit. 89.9% of the patients were discharged with recovery, 1.5% referred, and 0.9% died. Conclusion: Ambulances use is frequent in our city, emergency care in our hospital is provided to patients coming from within the city and from outside the city. Ambulance teams sometimes do not apply appropriate and necessary intervention to pediatric patients. Recording and interpretation of vital signs is important for timely and effective intervention. Real emergencies should also be recognized and inappropriate ambulance use should be prevented. |
| format | Article |
| id | doaj-art-8a53695b66a3440893c235f54db3a2b1 |
| institution | Kabale University |
| issn | 2146-2399 2148-7332 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Journal of Pediatric Emergency and Intensive Care Medicine |
| spelling | doaj-art-8a53695b66a3440893c235f54db3a2b12025-08-20T03:37:50ZengGalenos Publishing HouseJournal of Pediatric Emergency and Intensive Care Medicine2146-23992148-73322024-04-0111161410.4274/cayd.galenos.2023.9344613049054Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by AmbulanceGülüzar Gürhan0Fatih Akın1Abdullah Yazar2Esra Türe3Ahmet Osman Kılıç4Abdullah Akkuş5 Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Konya, Turkey Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Konya, Turkey Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Konya, Turkey Karadeniz Technical University Faculty of Medicine, Department of Pediatric Emergency, Trabzon, Turkey Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Konya, Turkey Necmettin Erbakan University Meram Faculty of Medicine, Department of Pediatrics, Konya, Turkey Introduction: In this study, clinical and demographic characteristics of cases brought to pediatric emergency department by ambulance were examined. We aimed to determine interventions and diagnoses of the patients, classify cases according to transfer place and type, evaluate appropriateness of referral, and contribute to the efficiency of the referral chain. Methods: Five hundred forty two cases brought to pediatric emergency department by ambulance were followed up prospectively. Characteristics of cases were recorded from ambulance intervention form, automation system of our hospital, pediatric emergency service examination records and nurse observation records. Results: 2.54% (n=542) of the cases came to our pediatric emergency department by ambulance. Green field applications were the highest in all months. 4.7% of the patients came from outside the city. 49.4% of the patients were taken from home, 48.8% from another hospital or health institution. 53.2% of the cases were primary cases, the cases brought although the referral was not accepted were 10.5%. The diagnoses of patients were compatible in 79.2%. Body temperature of most of the patients was not measured by the ambulance teams and the respiratory rate was not recorded. Four patients who underwent endotracheal intubation in the emergency department did not undergo endotracheal intubation in the ambulance. While 15.5% of the patients were discharged without need of any observation, the majority (55.7%) were followed up in the emergency observation unit. 89.9% of the patients were discharged with recovery, 1.5% referred, and 0.9% died. Conclusion: Ambulances use is frequent in our city, emergency care in our hospital is provided to patients coming from within the city and from outside the city. Ambulance teams sometimes do not apply appropriate and necessary intervention to pediatric patients. Recording and interpretation of vital signs is important for timely and effective intervention. Real emergencies should also be recognized and inappropriate ambulance use should be prevented. http://www.caybdergi.com/archives/archive-detail/article-preview/clinical-and-demographic-characteristics-of-patien/65001 childambulancetransportemergency department |
| spellingShingle | Gülüzar Gürhan Fatih Akın Abdullah Yazar Esra Türe Ahmet Osman Kılıç Abdullah Akkuş Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance Journal of Pediatric Emergency and Intensive Care Medicine child ambulance transport emergency department |
| title | Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance |
| title_full | Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance |
| title_fullStr | Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance |
| title_full_unstemmed | Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance |
| title_short | Clinical and Demographic Characteristics of Patients Brought to Pediatric Emergency Department by Ambulance |
| title_sort | clinical and demographic characteristics of patients brought to pediatric emergency department by ambulance |
| topic | child ambulance transport emergency department |
| url |
http://www.caybdergi.com/archives/archive-detail/article-preview/clinical-and-demographic-characteristics-of-patien/65001
|
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