Abstract
AIMS—To evaluate the performance of guidelines for emergency triage and treatment (ETAT) of children presenting to hospitals in the developing world. Part of the study was concerned with the delivery of emergency treatment to the sickest group of patients, characterisation of their illness, and outcome. METHODS AND RESULTS—A total of 236 children were admitted during the study period, 27 of whom died. The three main causes of death were malaria or malaria related illness (n = 7), pneumonia (n = 6), and malnutrition (n = 11). Forty seven children were categorised as needing emergency treatment. Thirty one had no treatment, and eight died; 16 received one or more recommended treatments, of whom five died. The main limitations to delivery of immediate care were the lack of staff in the department and lack of rapidly available blood.
Full Text
The Full Text of this article is available as a PDF (114.7 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barzilay Z., Somekh E., Sagy M., Boichis H. Pediatric cardiopulmonary resuscitation outcome. J Med. 1988;19(3-4):229–241. [PubMed] [Google Scholar]
- Ehrlich R., Emmett S. M., Rodriguez-Torres R. Pediatric cardiac resuscitation team: a 6 year study. J Pediatr. 1974 Jan;84(1):152–155. doi: 10.1016/s0022-3476(74)80580-9. [DOI] [PubMed] [Google Scholar]
- Eisenberg M., Bergner L., Hallstrom A. Epidemiology of cardiac arrest and resuscitation in children. Ann Emerg Med. 1983 Nov;12(11):672–674. doi: 10.1016/s0196-0644(83)80413-2. [DOI] [PubMed] [Google Scholar]
- Friesen R. M., Duncan P., Tweed W. A., Bristow G. Appraisal of pediatric cardiopulmonary resuscitation. Can Med Assoc J. 1982 May 1;126(9):1055–1058. [PMC free article] [PubMed] [Google Scholar]
- Gove S. Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child. Bull World Health Organ. 1997;75 (Suppl 1):7–24. [PMC free article] [PubMed] [Google Scholar]
- Gove S., Tamburlini G., Molyneux E., Whitesell P., Campbell H. Development and technical basis of simplified guidelines for emergency triage assessment and treatment in developing countries. WHO Integrated Management of Childhood Illness (IMCI) Referral Care Project. Arch Dis Child. 1999 Dec;81(6):473–477. doi: 10.1136/adc.81.6.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hassan T. B. Use and effect of paediatric advanced life support skills for paediatric arrest in the A&E department. J Accid Emerg Med. 1997 Nov;14(6):357–362. doi: 10.1136/emj.14.6.357. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Innes P. A., Summers C. A., Boyd I. M., Molyneux E. M. Audit of paediatric cardiopulmonary resuscitation. Arch Dis Child. 1993 Apr;68(4):487–491. doi: 10.1136/adc.68.4.487. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kuisma M., Suominen P., Korpela R. Paediatric out-of-hospital cardiac arrests--epidemiology and outcome. Resuscitation. 1995 Oct;30(2):141–150. doi: 10.1016/0300-9572(95)00888-z. [DOI] [PubMed] [Google Scholar]
- Lewis J. K., Minter M. G., Eshelman S. J., Witte M. K. Outcome of pediatric resuscitation. Ann Emerg Med. 1983 May;12(5):297–299. doi: 10.1016/s0196-0644(83)80512-5. [DOI] [PubMed] [Google Scholar]
- O'Rourke P. P. Outcome of children who are apneic and pulseless in the emergency room. Crit Care Med. 1986 May;14(5):466–468. [PubMed] [Google Scholar]
- Orlowski J. P. The effectiveness of pediatric cardiopulmonary resuscitation. Am J Dis Child. 1984 Dec;138(12):1097–1098. [PubMed] [Google Scholar]
- Robertson M. A., Molyneux E. M. Triage in the developing world--can it be done? Arch Dis Child. 2001 Sep;85(3):208–213. doi: 10.1136/adc.85.3.208. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Suominen P., Räsänen J., Kivioja A. Efficacy of cardiopulmonary resuscitation in pulseless paediatric trauma patients. Resuscitation. 1998 Jan;36(1):9–13. doi: 10.1016/s0300-9572(97)00088-9. [DOI] [PubMed] [Google Scholar]
- Thompson J. E., Bonner B., Lower G. M., Jr Pediatric cardiopulmonary arrests in rural populations. Pediatrics. 1990 Aug;86(2):302–306. [PubMed] [Google Scholar]
- Torphy D. E., Minter M. G., Thompson B. M. Cardiorespiratory arrest and resuscitation of children. Am J Dis Child. 1984 Dec;138(12):1099–1102. doi: 10.1001/archpedi.1984.02140500005003. [DOI] [PubMed] [Google Scholar]