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Article: How do critically ill children present to a local emergency department?

TitleHow do critically ill children present to a local emergency department?
Authors
KeywordsEmergencies
Child
Wounds and injuries
Critical illness
Issue Date2007
Citation
Hong Kong Journal of Emergency Medicine, 2007, v. 14, n. 2, p. 83-88 How to Cite?
AbstractObjective: To describe the profile of critically ill paediatric patients presenting to a local emergency department. Methods: This was a retrospective review of all triage Category 1 (critical) children aged from 0 to 16 years presenting to the emergency department of Queen Mary Hospital. The study period was from January 1998 to September 2006. Results: A total of 277 patients were analyzed. Trauma was a major cause of presentation. It constituted 37.9% of the cases. Of the trauma cases, head injury was the most common. For non-trauma cases, convulsion was the commonest reason of attendance. Cardiorespiratory arrest was uncommon (3.6%). The overall mortality rate was 7.6%. A high proportion (43.3%) of the patients was managed solely by staff of the emergency department. Resuscitative procedures, such as intraosseous line, were infrequently practised. Conclusion: Trauma and convulsion were the major presentations of critically ill children. The fact that A&E staff managed a high proportion of the cases alone and the infrequent practice of resuscitative procedures make continuous training in paediatric resuscitation particularly important.
Persistent Identifierhttp://hdl.handle.net/10722/209449
ISSN
2015 Impact Factor: 0.153
2015 SCImago Journal Rankings: 0.173

 

DC FieldValueLanguage
dc.contributor.authorFan, Kit Ling-
dc.date.accessioned2015-04-21T07:49:20Z-
dc.date.available2015-04-21T07:49:20Z-
dc.date.issued2007-
dc.identifier.citationHong Kong Journal of Emergency Medicine, 2007, v. 14, n. 2, p. 83-88-
dc.identifier.issn1024-9079-
dc.identifier.urihttp://hdl.handle.net/10722/209449-
dc.description.abstractObjective: To describe the profile of critically ill paediatric patients presenting to a local emergency department. Methods: This was a retrospective review of all triage Category 1 (critical) children aged from 0 to 16 years presenting to the emergency department of Queen Mary Hospital. The study period was from January 1998 to September 2006. Results: A total of 277 patients were analyzed. Trauma was a major cause of presentation. It constituted 37.9% of the cases. Of the trauma cases, head injury was the most common. For non-trauma cases, convulsion was the commonest reason of attendance. Cardiorespiratory arrest was uncommon (3.6%). The overall mortality rate was 7.6%. A high proportion (43.3%) of the patients was managed solely by staff of the emergency department. Resuscitative procedures, such as intraosseous line, were infrequently practised. Conclusion: Trauma and convulsion were the major presentations of critically ill children. The fact that A&E staff managed a high proportion of the cases alone and the infrequent practice of resuscitative procedures make continuous training in paediatric resuscitation particularly important.-
dc.languageeng-
dc.relation.ispartofHong Kong Journal of Emergency Medicine-
dc.subjectEmergencies-
dc.subjectChild-
dc.subjectWounds and injuries-
dc.subjectCritical illness-
dc.titleHow do critically ill children present to a local emergency department?-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-34248664697-
dc.identifier.volume14-
dc.identifier.issue2-
dc.identifier.spage83-
dc.identifier.epage88-

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