Endotracheal intubations in rural pediatric trauma patients
Section snippets
Materials and methods
This study was a 10-year retrospective review from 1991 through 2000. The Children’s Hospital of West Virginia University/Jon Michael Moore Trauma Center (CHWVU/JMMTC) is a pediatric Level 1 American College of Surgeons verified trauma center and is 1 of 2 pediatric centers in the state of West Virginia. The primary catchment area consists of 13 counties in West Virginia emergency medical system regions VI and VII as well as nearby counties in Ohio, Maryland, and Pennsylvania serving a
Results
During the 10-year study period 2,907 patients 18 years and younger were admitted to the CHWV/JMMTC. One hundred ten were identified through the trauma registry and met study criteria, and, of these, 105 had complete data sets that could be evaluated. Two thirds were boys (70 of 105). The average age was 10.7 +/− 4.8 years with a range from 6 months to 18 years. Motor vehicle crashes were the most common mechanism of injury accounting for 40% (42 of 105) followed by all-terrain
Discussion
Prehospital trauma care encompasses a wide spectrum of interventions from basic to advanced life support. The rationale behind advanced field care is to stabilize an injured patient and prevent clinical deterioration until definitive care can be administered. These advanced interventions (eg, intravenous placement, pneumatic antishock garments, ETI) may increase the time at the scene and likely delay transfer to definitive care. Furthermore, very few of these interventions have been studied,
References (39)
- et al.
The epidemiology of injury in a rural state5322 cases over 6 years
J Pediatr Surg
(1993) - et al.
Factors associated with the higher traumatic death rate among rural children
Ann Emerg Med
(1996) Prehospital advanced life support vs. “scoop and run” in trauma management
Ann Emerg Med
(1987)- et al.
Prehospital endotracheal intubation for severe head injury in childrenA reappraisal
Sem Pediatr Surg
(2001) - et al.
Acute complications of endotracheal intubation relationship to re-intubation, route, urgency, and duration
Chest
(1986) - et al.
Effect of varied training techniques on field endotracheal intubation success rates
Ann Emerg Med
(1984) - et al.
Prospective study of manikin-only versus manikin and human subject endotracheal intubation training of paramedics
Ann Emerg Med
(1991) - et al.
Rapid sequence induction for intubation by an aeromedical transport teamA critical analysis
Am J Emerg Med
(1998) - et al.
The validity of self-reported seatbelt useHispanic and non-Hispanic drivers in El Paso
Accid Anal Prev
(2001) - et al.
Evaluation of a model for improving emergency medical and trauma services for children in rural areas
Ann Emerg Med
(1997)
The need for a statewide trauma system
W V Med J
Rural traumaThe challenge for the next decade
J Trauma
Population-based study of hospital trauma care in a rural state without a formal trauma system
J Trauma
Pediatric prehospital careEpidemiology of use in a predominantly rural state
Pediatr Emerg Care
Epidemiology of rural traumatic death in childrenA population-based study
J Trauma
Emergency Medical Services for Children
Advance Trauma Life Support Student Manual
“Scoop and run” or stabilize hemorrhagic shock with normal saline or small-volume hypertonic saline?
J Trauma
Multicenter Canadian study of prehospital trauma care
Ann Surg
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