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Pediatric trauma patients in Swedish ambulance services: A Retrospective Observational Study of Assessments, Interventions, and Clinical Outcomes
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2023 (English)Independent thesis Advanced level (degree of Master (Two Years)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Abstract Objectives Pediatric trauma patients constitute a considerable part of the Swedish Emergency Medical Services trauma population, and trauma remains a significant cause of death for Swedish children. Previous research has identified potential challenges in prehospital assessments and interventions for pediatric patients. In Sweden there is little known regarding pediatric trauma patients in the Emergency Medical Service. The aim of this study was to investigate the prevalence of pediatric trauma patients within the Swedish Emergency Medical Services, and describe the prehospital assessments, interventions, and clinical outcomes. Methods This was a retrospective observational study carried out in a region of Southwestern Sweden. A randomized sample from ambulance and hospital records from the year 2019 was drawn. Inclusion criteria were children 0-16 years of age, being involved in trauma and assessed by emergency medical service clinicians. Results A total of 440 children were included in the study, representing 8.4% of the overall trauma cases. The median age was 9 years (IQR 3-12) and 60.5% were male. The leading cause of injury was low (34.8%) and high energy falls (21%), followed by traffic accidents. The children were assessed as severely injured in 4.5% of the cases. Complete vital signs were assessed in 29.3% of the children and 81.8% children were assessed according to the ABCDE-structure. The most common intervention performed by prehospital professionals was administration of medication. The mortality rate was 0.2%. Conclusions Pediatric trauma cases accounted for 8.4% of the overall trauma population, demonstrating variations in injury mechanisms and types. Vital sign assessments were incomplete for a significant proportion of children, particularly in the group of 1-5 years of age. The adherence to the ABCDE-structure was also lower in this age group. Furthermore, a quarter of the children remained at the scene after assessment, indicating an unexplored aspect that requires further investigation for patient safety.

Place, publisher, year, edition, pages
2023.
Keywords [en]
pediatric trauma, prehospital assessment, interventions, prehospital care, Emergency Medical Services, clinical outcomes, retrospective observational study, pediatric injuries
National Category
Nursing
Identifiers
URN: urn:nbn:se:hb:diva-30147OAI: oai:DiVA.org:hb-30147DiVA, id: diva2:1785042
Subject / course
Vårdvetenskap
Supervisors
Examiners
Available from: 2023-08-03 Created: 2023-08-01 Last updated: 2023-08-03Bibliographically approved

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CiteExportLink to record
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Citation style
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  • ieee
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Language
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