Document Detail


The availability and accessibility of basic paediatric resuscitation equipment in primary healthcare centres: cause for concern?
MedLine Citation:
PMID:  17129983     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Paediatric emergencies in primary healthcare centres are serious events that occur more commonly than envisaged. However, at present, these centres appear to lack the training and equipment to manage common paediatric emergencies. AIM: To determine the availability and accessibility of basic resuscitation equipment in primary healthcare centres. METHODS: A questionnaire survey of 27 primary healthcare centres within the Nottingham City region determined the availability and accessibility of basic paediatric resuscitation equipment and algorithms. RESULTS: No practice had all 21 basic resuscitation items, with 59% of practices having < or =10 of these items. Only 11% of practices had all seven basic airway and breathing resuscitation items, with 52% of practices having < or =4 items. No practice had all eight basic items for circulation management, with 82% of practices having < or =4 of these items. Only two practices had all six basic drug items, with 85% of practices having < or =3 of these items. Only 26% of practices had algorithms for paediatric basic life support and common emergencies, and only 30% of practices kept their resuscitation equipment together. In the last 5 y, less than a fifth of general practitioners were trained in paediatric resuscitation. CONCLUSION: Primary healthcare centres appear to lack the training and equipment to manage common paediatric emergencies. We recommend standardization of equipment and algorithms, training and assessment of key personnel, and critical incident reporting within primary healthcare centres.
Authors:
Muhuntha G Gnanalingham; Gayle Harris; Elizabeth Didcock
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Publication Detail:
Type:  Journal Article; Multicenter Study    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  95     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-11-28     Completed Date:  2007-02-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  1677-9     Citation Subset:  IM    
Affiliation:
Department of Community Paediatrics, Strelley Health Centre, Nottingham, UK. molingham@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Community Health Centers / statistics & numerical data*
Emergencies
Great Britain
Health Services Accessibility / statistics & numerical data*
Humans
Infant
Infant, Newborn
Pediatrics*
Primary Health Care
Questionnaires
Resuscitation / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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