Universität zu Köln

Garrelfs, Katharina ORCID: 0009-0002-4065-1062, Kuehne, Benjamin ORCID: 0000-0003-3131-8794, Hinkelbein, Jochen ORCID: 0000-0003-3585-9459, Blomeyer, Ralf ORCID: 0009-0004-9795-1220, Eifinger, Frank ORCID: 0000-0003-1758-6039 and Cirocchi, Roberto (2025). Epidemiology of Pediatric Transports and First Aid in a German Municipal Emergency Medical Services (EMS) System: A Cohort Study. Emergency Medicine International, 2025 (1). pp. 1-9. Wiley. ISSN 2090-2840

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Abstract

[Artikel-Nr.: 8184007] Background: Pediatric emergencies remain a significant challenge for emergency services. The study aimed to retrospectively analyze invasive measures and medication administered during prehospital care. The analysis focused on invasive procedures (e.g., tracheal intubation and vascular access) performed on pediatric patients (aged 1 month to 12 years) admitted via the Central Emergency Department (ED) or directly to the University Pediatric Intensive Care Unit (PICU) of the University Hospital of Cologne. These findings provide insights into quality assurance and improvement of prehospital care and invasive emergency techniques in pediatrics. Methods: Emergency protocols were evaluated, including parameters such as the Glasgow Coma Scale (GCS) and National Advisory Committee for Aeronautics (NACA) score. Patients were categorized based on diagnosis, medication administration, and invasive emergency techniques. Results: A total of 373 patients were admitted to the ED, and 237 patients were admitted to the PICU between 01/2015 and 05/2020. Sedation was at similar in both groups, while catecholamines were more frequently used in the PICU group. Invasive procedures, such as tracheal intubation, were rare (PICU: 9.5%; ED: 5.8%; p = 0.093). Peripheral venous access was performed in 33.7% of PICU cases and 51.2% of ED cases, whereas central venous access was almost never performed. 19 children admitted to the PICU died compared to one in the ED ( p < 0.001). Conclusion: Invasive procedures are rarely performed during prehospital care for pediatric patients. Trauma cases predominated in the ED group (99.2%), whereas the PICU group exhibited greater diagnostic variability, including trauma and internal emergencies. This study identified significant gaps in medical documentation. Training for paramedics and emergency health workers should prioritize airway management, including supraglottic airway (SGA) devices, thoracic drainage, and vascular access techniques such as peripheral intravenous (PIV) and intraosseous (IO) access. Additionally, efforts to improve medical documentation should be emphasized to enhance pediatric emergency care.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Garrelfs, Katharina UNSPECIFIED https://orcid.org/0009-0002-4065-1062 UNSPECIFIED Kuehne, Benjamin UNSPECIFIED https://orcid.org/0000-0003-3131-8794 UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED https://orcid.org/0000-0003-3585-9459 UNSPECIFIED Blomeyer, Ralf UNSPECIFIED https://orcid.org/0009-0004-9795-1220 UNSPECIFIED Eifinger, Frank UNSPECIFIED https://orcid.org/0000-0003-1758-6039 UNSPECIFIED Cirocchi, Roberto UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-802343
Identification Number:	10.1155/EMMI/8184007
Journal or Publication Title:	Emergency Medicine International
Volume:	2025
Number:	1
Page Range:	pp. 1-9
Number of Pages:	9
Date:	14 April 2025
Publisher:	Wiley
ISSN:	2090-2840
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Kinder- und Jugendmedizin > Klinik und Poliklinik für Kinder- und Jugendmedizin
Subjects:	Medical sciences Medicine
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/80234