Journal of Japanese Society for Emergency Medicine
Online ISSN : 2187-9001
Print ISSN : 1345-0581
ISSN-L : 1345-0581
ORIGINAL ARTICLES
6-year results and problems for critically ill pediatric patients transported by rapid response car
Tadashi ISHIHARAJuri INOUEKensuke MURATAMiwa SUGINAKAShigeru MATSUDAKen OKAMOTOHiroshi TANAKA
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2021 Volume 24 Issue 5 Pages 691-695

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Abstract

Objective: To consider about the effects and problems in pediatric emergency cases by retrospectively analyzing the transportation results for 6 years after rapid response car (RRC) start.

Methods: Pediatric patients under the age of 15 who were transported by RRC, from the 2013.9, after start the RRC to 2019.8 were included in this study.

Results: A total of 2,079 cases were requested for RRC, and 189 (9.1%) cases were pediatric patients. Anaphylaxis was the most common keyword, with 73 (38.6%) cases. As an outcome, 99 (52.4%) cases were discharged, and 23 (12.2%) cases were admitted to critical care center. As a final outcome, 162 (85.7%) cases were discharged from emergency room or hospital and 10 (5.3%) cases were dead. RRC dispatched in 13 (6.9%) case for out-of-hospital cardiopulmonary arrest. Of these, 7 cases achieved return of spontaneous circulation, and 4 cases were discharged.

Conclusion: Pre-hospital care by RRC shows the some effect for the resuscitation in critically ill pediatric patients.

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© 2021 Japanese Society for Emergency Medicine
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