Prehospital pediatric emergencies in Austrian helicopter emergency medical service – a nationwide, population-based cohort study

Summary INTRODUCTION: Arguably, the most challenging emergencies encountered by emergency medical service crews involve children. Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine...

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Veröffentlicht in:Wiener Klinische Wochenschrift 2011-09, Vol.123 (17-18), p.552-558
Hauptverfasser: Selig, Harald F., Trimmel, Helmut, Voelckel, Wolfgang G., Hüpfl, Michael, Trittenwein, Gerhard, Nagele, Peter
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container_end_page 558
container_issue 17-18
container_start_page 552
container_title Wiener Klinische Wochenschrift
container_volume 123
creator Selig, Harald F.
Trimmel, Helmut
Voelckel, Wolfgang G.
Hüpfl, Michael
Trittenwein, Gerhard
Nagele, Peter
description Summary INTRODUCTION: Arguably, the most challenging emergencies encountered by emergency medical service crews involve children. Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine the epidemiological characteristics stratified by responding area in a large nationwide sample. METHODS: This was a retrospective cohort study including all pediatric patients (0–14 years of age) who were treated by HEMS in Austria from January 2006 to June 2007 (18 months). RESULTS: Pediatric emergencies accounted for 2207 (8.2%) of a total of 26.850 helicopter rescue missions. Of those, 69.9% ( n = 1543) were not involved in life-threatening emergencies. The rate of critical pediatric emergencies was higher in urban than in rural or alpine environment (45.2%, 38.2% and 20.3%, respectively). The most common chief complaint was trauma; the frequency of injuries ranged from 54.2% (582/1074) in rural area and 60.3% (44/73) in urban area to 91.4% (969/1060) in alpine environment. Fracture and head trauma (34.9%; 557/1595 and 26.3%; 419/1595, respectively) were the most common injuries. Advanced life support measures like tracheal intubation, cardiopulmonary resuscitation and intraosseous access were rarely performed (3.7%; n = 82, 1.9%; n = 42 and 0.9%; n = 19, respectively). CONCLUSIONS: Pediatric emergencies in Austrian HEMS show different epidemiological characteristics in alpine, urban and rural operational environments. Because of challenges and infrequency of prehospital pediatric emergencies, HEMS crews need to maintain their skills in pediatric advanced life support and trauma care.
doi_str_mv 10.1007/s00508-011-0006-z
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Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine the epidemiological characteristics stratified by responding area in a large nationwide sample. METHODS: This was a retrospective cohort study including all pediatric patients (0–14 years of age) who were treated by HEMS in Austria from January 2006 to June 2007 (18 months). RESULTS: Pediatric emergencies accounted for 2207 (8.2%) of a total of 26.850 helicopter rescue missions. Of those, 69.9% ( n = 1543) were not involved in life-threatening emergencies. The rate of critical pediatric emergencies was higher in urban than in rural or alpine environment (45.2%, 38.2% and 20.3%, respectively). The most common chief complaint was trauma; the frequency of injuries ranged from 54.2% (582/1074) in rural area and 60.3% (44/73) in urban area to 91.4% (969/1060) in alpine environment. Fracture and head trauma (34.9%; 557/1595 and 26.3%; 419/1595, respectively) were the most common injuries. Advanced life support measures like tracheal intubation, cardiopulmonary resuscitation and intraosseous access were rarely performed (3.7%; n = 82, 1.9%; n = 42 and 0.9%; n = 19, respectively). CONCLUSIONS: Pediatric emergencies in Austrian HEMS show different epidemiological characteristics in alpine, urban and rural operational environments. 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Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine the epidemiological characteristics stratified by responding area in a large nationwide sample. METHODS: This was a retrospective cohort study including all pediatric patients (0–14 years of age) who were treated by HEMS in Austria from January 2006 to June 2007 (18 months). RESULTS: Pediatric emergencies accounted for 2207 (8.2%) of a total of 26.850 helicopter rescue missions. Of those, 69.9% ( n = 1543) were not involved in life-threatening emergencies. The rate of critical pediatric emergencies was higher in urban than in rural or alpine environment (45.2%, 38.2% and 20.3%, respectively). The most common chief complaint was trauma; the frequency of injuries ranged from 54.2% (582/1074) in rural area and 60.3% (44/73) in urban area to 91.4% (969/1060) in alpine environment. Fracture and head trauma (34.9%; 557/1595 and 26.3%; 419/1595, respectively) were the most common injuries. Advanced life support measures like tracheal intubation, cardiopulmonary resuscitation and intraosseous access were rarely performed (3.7%; n = 82, 1.9%; n = 42 and 0.9%; n = 19, respectively). CONCLUSIONS: Pediatric emergencies in Austrian HEMS show different epidemiological characteristics in alpine, urban and rural operational environments. Because of challenges and infrequency of prehospital pediatric emergencies, HEMS crews need to maintain their skills in pediatric advanced life support and trauma care.</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Air Ambulances - utilization</subject><subject>Austria</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Critical Illness - epidemiology</subject><subject>Critical Illness - therapy</subject><subject>Cross-Sectional Studies</subject><subject>Emergency Medical Services - utilization</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Infant</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><subject>Pneumology/Respiratory System</subject><subject>Retrospective Studies</subject><subject>Rural Population - statistics &amp; numerical data</subject><subject>Sex Factors</subject><subject>Urban Population - statistics &amp; numerical data</subject><subject>Utilization Review - statistics &amp; numerical data</subject><subject>Wounds and Injuries - epidemiology</subject><subject>Wounds and Injuries - therapy</subject><issn>0043-5325</issn><issn>1613-7671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFOGzEURS3UCkLKB7CpvOsGl2fPeJxZRqgFpEiwaNeWY79JjCbjqT1TFFaIX-gf9kswTZol8sJ6z-deyYeQcw5fOYC6TAASZgw4ZwBQsacjMuEVL5iqFP9AJgBlwWQh5Ak5TekBoJCl4sfkRPCq5krKCXm5j7gOqfeDaWmPzpshektxg3GFnfWYqO_ofEx5bTq6xtbb0A8YD8iWbnLM5njC-NtbpH-f_1BDOzP40D16hxe0D_3Y_pvZ0iR01IZ1iANNw-i2n8jHxrQJz_b3lPz8_u3H1Q1b3F3fXs0XzApVDKypsQZl66UoBdScCxRoG6msaqq8zmcmZeGENVLysnSNglrlWbjSAjpXTMmXXW8fw68R06A3PllsW9NhGJOuQcCsKiTPJN-RNoaUIja6j35j4lZz0G_m9c68zub1m3n9lDOf9-3jMgs5JP6rzoDYASk_dSuM-iGMscs_fqf1FVTsks0</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Selig, Harald F.</creator><creator>Trimmel, Helmut</creator><creator>Voelckel, Wolfgang G.</creator><creator>Hüpfl, Michael</creator><creator>Trittenwein, Gerhard</creator><creator>Nagele, Peter</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Prehospital pediatric emergencies in Austrian helicopter emergency medical service – a nationwide, population-based cohort study</title><author>Selig, Harald F. ; Trimmel, Helmut ; Voelckel, Wolfgang G. ; Hüpfl, Michael ; Trittenwein, Gerhard ; Nagele, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-f9e907c9b24209112e2ecf57c7f67c9c9c8553d2ca55144df70973d22d4c0edd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Air Ambulances - utilization</topic><topic>Austria</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Critical Illness - epidemiology</topic><topic>Critical Illness - therapy</topic><topic>Cross-Sectional Studies</topic><topic>Emergency Medical Services - utilization</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Infant</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Original Article</topic><topic>Pneumology/Respiratory System</topic><topic>Retrospective Studies</topic><topic>Rural Population - statistics &amp; numerical data</topic><topic>Sex Factors</topic><topic>Urban Population - statistics &amp; numerical data</topic><topic>Utilization Review - statistics &amp; numerical data</topic><topic>Wounds and Injuries - epidemiology</topic><topic>Wounds and Injuries - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Selig, Harald F.</creatorcontrib><creatorcontrib>Trimmel, Helmut</creatorcontrib><creatorcontrib>Voelckel, Wolfgang G.</creatorcontrib><creatorcontrib>Hüpfl, Michael</creatorcontrib><creatorcontrib>Trittenwein, Gerhard</creatorcontrib><creatorcontrib>Nagele, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wiener Klinische Wochenschrift</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Selig, Harald F.</au><au>Trimmel, Helmut</au><au>Voelckel, Wolfgang G.</au><au>Hüpfl, Michael</au><au>Trittenwein, Gerhard</au><au>Nagele, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prehospital pediatric emergencies in Austrian helicopter emergency medical service – a nationwide, population-based cohort study</atitle><jtitle>Wiener Klinische Wochenschrift</jtitle><stitle>Wien Klin Wochenschr</stitle><addtitle>Wien Klin Wochenschr</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>123</volume><issue>17-18</issue><spage>552</spage><epage>558</epage><pages>552-558</pages><issn>0043-5325</issn><eissn>1613-7671</eissn><abstract>Summary INTRODUCTION: Arguably, the most challenging emergencies encountered by emergency medical service crews involve children. Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine the epidemiological characteristics stratified by responding area in a large nationwide sample. METHODS: This was a retrospective cohort study including all pediatric patients (0–14 years of age) who were treated by HEMS in Austria from January 2006 to June 2007 (18 months). RESULTS: Pediatric emergencies accounted for 2207 (8.2%) of a total of 26.850 helicopter rescue missions. Of those, 69.9% ( n = 1543) were not involved in life-threatening emergencies. The rate of critical pediatric emergencies was higher in urban than in rural or alpine environment (45.2%, 38.2% and 20.3%, respectively). The most common chief complaint was trauma; the frequency of injuries ranged from 54.2% (582/1074) in rural area and 60.3% (44/73) in urban area to 91.4% (969/1060) in alpine environment. Fracture and head trauma (34.9%; 557/1595 and 26.3%; 419/1595, respectively) were the most common injuries. Advanced life support measures like tracheal intubation, cardiopulmonary resuscitation and intraosseous access were rarely performed (3.7%; n = 82, 1.9%; n = 42 and 0.9%; n = 19, respectively). CONCLUSIONS: Pediatric emergencies in Austrian HEMS show different epidemiological characteristics in alpine, urban and rural operational environments. Because of challenges and infrequency of prehospital pediatric emergencies, HEMS crews need to maintain their skills in pediatric advanced life support and trauma care.</abstract><cop>Vienna</cop><pub>Springer-Verlag</pub><pmid>21691755</pmid><doi>10.1007/s00508-011-0006-z</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Age Factors
Air Ambulances - utilization
Austria
Child
Child, Preschool
Cohort Studies
Critical Illness - epidemiology
Critical Illness - therapy
Cross-Sectional Studies
Emergency Medical Services - utilization
Endocrinology
Female
Gastroenterology
Health Surveys
Humans
Infant
Internal Medicine
Male
Medicine
Medicine & Public Health
Original Article
Pneumology/Respiratory System
Retrospective Studies
Rural Population - statistics & numerical data
Sex Factors
Urban Population - statistics & numerical data
Utilization Review - statistics & numerical data
Wounds and Injuries - epidemiology
Wounds and Injuries - therapy
title Prehospital pediatric emergencies in Austrian helicopter emergency medical service – a nationwide, population-based cohort study
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