RESEARCH

A Comparison of On-Scene Times for Out-Of-Hospital Pediatric Versus Adult Cardiac Arrest Patients in a Statewide EMS Information System

Background: Compare on-scene times of transported out-of-hospital non-traumatic cardiac arrest (CA) pediatric versus adult patients using a statewide EMS information system (EMSIS). Methods: A statewide EMSIS was used to conduct this retrospective, observational study. The study period was from 1/1/2010 to 12/31/2013. Data were filtered from EMSIS based on criteria previously found to maximally identify CA cases (e.g., impression of CA, CPR procedure, etc.). Pediatric cases were considered those < 13 years old. Only patients transported to hospitals were selected. Scene time was calculated by subtracting the scene departure from the scene arrival time. | By Emily Kraft, Emily Jonas, Kevin Putman, Colleen MacCallum, William Fales, Western Michigan University

Finger counting: an alternative method for estimating weights

Objectives: We compared the accuracy of a conceptually simple pediatric weight estimation technique, the finger counting method, with other commonly used methods… Conclusions: The finger counting method is an acceptable alternative to the Broselow method for weight estimation in children aged 1 to 9 years. It outperforms the traditional APLS methodbut underestimates weights compared with parental estimate and the Luscombe formula. | By Timothy P. Young, MD, Brian G. Chen, MD, Tommy Y. Kim, MD, Andrea W. Thorp, MD, Lance Brown, MD, MPH Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Loma Linda University Children's Hospital, Loma Linda, CA, USA 11/17/2013

Errors in Pediatric Prehospital Simulation Scenarios

Background: Medications errors are a critical safety issue in prehospital care. Length based tapes (LBT) for pediatric drug dosing is part of the recommended ambulance equipment list endorsed by the AAP. A new LBT system, known as Handtevy, allows rapid determination of critical drug doses without performing calculations… Conclusion: In prehospital simulation scenarios, procedural errors are very common. The Handtevy LBT system results in fewer cognitive errors, particularly in scenarios requiring dextrose administration.By K. Adelgais MD MPH, T. Givens MD, M. Mandt MD, A. Balakas BSN, L. Rappaport MD MPH Colorado Children's Hospital 2013