Abstract
Background: In pediatric patients, the optimum medical instruments and drug dosage vary depending on their age and physical frame. In initial medical care for pediatric emergencies in which it is difficult to obtain sufficient patient information in advance, it is recommended to use BroselowTM Pediatric Emergency Tape for the purpose of preventing errors and promptly proceeding with medical care. From our experience in using BT, we prepared a pediatric resuscitation guide and equipment set for pediatric instruments and introduced them as a Senshu version of the pediatric resuscitation set.
Objective: To reveal the usefulness of the pediatric resuscitation set in the initial medical care for pediatric emergency patients.
Verification 1: Examination of accuracy. ‹Methods›At the emergency care center of our institution, patients were classified into two groups before and after introducing the pediatric resuscitation set, and the size and insertion length of a tracheal tube, complications due to tracheal intubation, and drug dosage were retrospectively examined from the medical records. ‹Results›In the post-introduction group, the proper size and insertion length of the tracheal tube were selected and there were no complications due to intubation. Moreover, a significantly accurate drug dosage was selected.
Verification 2: Examination of promptness. ‹Methods›A simulation was run on physicians in specialized pediatric healthcare facilities with three patterns: not using BT, using BT only, and using the pediatric resuscitation set. The promptness of selecting pediatric instruments and a drug dosage was compared among the three groups. ‹Results›In the group using the pediatric resuscitation set, the pediatric instruments and the drug dosage were selected in a significantly prompt manner in comparison to the other two groups.
Conclusions: The introduction of the pediatric resuscitation set has made it possible to promptly and safely select medical instruments and determine drug dosages. In initial medical care for pediatric emergency patients, it is important to attempt to standardize and simplify the initial medical care by introducing such a set.
