Vorhaltung und Einsatzbereitschaft von spezialisierten Rettungsmitteln für Kindernotfälle – eine prospektive Umfrage unter den Ärztlichen Leitern Rettungsdienst in Deutschland
摘要
Specialised paediatric emergency physicians (pedi-EP) are not subject to any statutory regulations in Germany. Although they have been established in some cities, there has yet to be a nationwide overview of their availability.
ObjectivesTo evaluate the availability of specialised pedi-EP in Germany.
MethodsAn online survey of emergency medical services (EMS) directors asked about providing a pedi-EP system. Participants were able to describe their existing system.
ResultsThe survey was completed 146 times, which corresponds to a response rate of 74%. Regardless of the exact role of the pedi-EP, only 14 EMS stated that a dedicated system is in place. Eleven EMS stated that additional hospital staff could be alerted if necessary, while 3 EMS stated that a pedi-EP is available 24/7. In addition, 3 EMS noted the availability of a medical intervention car. Almost 50% of the systems are only alerted by an ambulance on scene. Sixteen systems have established a tele-EMS system, but without a paediatrician; only one EMS is planning such a system with a paediatrician.
ConclusionThis survey shows considerable differences in the prehospital care of paediatric emergencies across Germany. Only a minority of EMS have a specialised system available. Several EMS utilise hospital resources to send staff to the scene if necessary.