The choking child: what happens before the ambulance arrives?
The choking child: what happens before the ambulance arrives?
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DOI：
10.1080/10903129908958897
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发表时间：
1999-01-01
期刊：
影响因子：
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通讯作者：
Sapien, R E
中科院分区：
文献类型：
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作者：
Andazola, J J;Sapien, R E
目的：比较EMS前干预（旁观者干预）与EMS干预（消防部门/EMS人员实施）在儿童气道异物管理中的作用。方法：回顾1994年大都市区（市、县消防部门）急救人员处理0-15岁儿童急性异物气道阻塞的报告。提取年龄、性别、异物类型、气道清除方法和运输方式等数据。结果：103例患儿，年龄分布如下：0 ~ 11月龄39.8%；1-5岁50.5%；bbbb60年9.7%。58例（56.3%）为男性，45例（43.7%）为女性。在紧急医疗服务到达之前，85%的气道被清理干净了。38%是孩子自己清除的。EMS到达前气道通畅的机会随着年龄的增加而增加：0-11个月的儿童中有78%，1-5岁的儿童中有88.5%，6岁及以上的儿童中有100%在EMS到达前气道通畅。44%的儿童没有被运送，27%的儿童是由私家车运送的。硬币和食物是最常见的两种异物。结论：绝大多数气道异物在EMS到达前已被清除，尤其是年龄较大的儿童。这支持对新父母和一般人群进行心肺复苏术培训，并对EMS提供者在管理儿科气道方面具有培训意义。
OBJECTIVE: To compare pre-EMS intervention (bystander intervention) with EMS intervention (performed by fire department/EMS personnel) in the management of airway foreign bodies in children.METHODS: First-responding paramedic run reports for 1994 in the metropolitan area (city and county fire departments) pertaining to acute foreign body airway obstruction in children (aged 0-15 years) were reviewed. Data regarding age, gender, type of foreign body, method by which the airway was cleared, and mode of transportation were extracted.RESULTS: There were 103 runs with an age distribution as follows: 0-11 months 39.8%; 1-5 years 50.5%; and >6 years 9.7%. Fifty-eight (56.3%) involved males and 45 (43.7%) involved females. Eighty-five percent of the airways were cleared before EMS arrival. Thirty-eight percent were self-cleared by the child. The chance of airway clearance before EMS arrival increased with increasing age: 78% of the children aged 0-11 months, 88.5% of the children 1-5 years of age, and 100% of the children aged 6 years or older had their airways cleared before EMS arrival. Forty-four percent of the children were not transported, and 27% were transported by private vehicle. Coins and food were the two most common foreign bodies.CONCLUSION: The majority of airway foreign bodies were cleared before EMS arrival, especially in older children. This supports CPR training of new parents and the general population and has training implications for the EMS provider in managing the pediatric airway.