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01.12.2018 | Original research | Ausgabe 1/2018 Open Access

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 1/2018

Paediatric medical emergency calls to a Danish Emergency Medical Dispatch Centre: a retrospective, observational study

Zeitschrift:
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine > Ausgabe 1/2018
Autoren:
Kasper Andersen, Søren Mikkelsen, Gitte Jørgensen, Stine Thorhauge Zwisler
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s13049-017-0470-1) contains supplementary material, which is available to authorized users.

Abstract

Background

Little is known regarding paediatric medical emergency calls to Danish Emergency Medical Dispatch Centres (EMDC). This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies.

Methods

We performed a retrospective, observational study on paediatric medical emergency calls managed by the EMDC in the Region of Southern Denmark in February 2016. We reviewed audio recordings of emergency calls and ambulance records to identify calls concerning patients ≤ 15 years. We examined EMDC dispatch records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies. We analysed the data using descriptive statistics.

Results

Of a total of 7052 emergency calls in February 2016, 485 (6.9%) concerned patients ≤ 15 years. We excluded 19 and analysed the remaining 466. The reported medical issues were commonly classified as: “seizures” (22.1%), “sick child” (18.9%) and “unclear problem” (12.9%). The overall most common pre-hospital response was immediate dispatch of an ambulance with sirens and lights with a supporting physician-manned mobile emergency care unit (56.4%). The classification of medical issues and the dispatched pre-hospital units varied with patient age.

Discussion

We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered medical issues, such as the symptoms and conditions pertaining to the symptom categories “seizures” and “sick child”. Furthermore, the results could prove useful in hypothesis generation for future studies examining paediatric medical emergency calls.

Conclusion

Almost 7% of all calls concerned patients ≤ 15 years. Medical issues pertaining to the symptom categories “seizures”, “sick child” and “unclear problem” were common and the calls commonly resulted in urgent pre-hospital responses.
Zusatzmaterial
Additional file 1: Figure S1. Overview of the categories in the Danish Index for Emergency Care. A figure listing the 37 different categories in the criteria-based dispatch protocol used by the Danish EMDCs. (PDF 449 kb)
13049_2017_470_MOESM1_ESM.pdf
Additional file 2: Table S1. Assigned dispatch codes. A table showing the assigned dispatch code for every included paediatric medical emergency call. (XLSX 20 kb)
13049_2017_470_MOESM2_ESM.xlsx
Literatur
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