Targeted age, device deployment, and problems associated with pediatric defibrillation in pediatric prehospital emergency medical care settings in Japan
Autor: | Nobuyuki Nosaka, Takashi Muguruma, Yuki Enomoto, Emily Knaup, Kohei Tsukahara, Noriyuki Kaku, Masahiko Nitta |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
pediatrics Defibrillation medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine prehospital care/medical control emergency medicine External defibrillators medicine Automated external defibrillators In patient Cardiopulmonary resuscitation RC86-88.9 business.industry General Engineering Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine Service personnel medicine.disease Emergency medical care Software deployment Emergency medicine Medical emergency Brief Communications business |
Zdroj: | Acute Medicine & Surgery, Vol 3, Iss 4, Pp 356-359 (2016) |
ISSN: | 2052-8817 |
DOI: | 10.1002/ams2.194 |
Popis: | Aim The use of automated external defibrillators was expanded to include infants according to the 2010 cardiopulmonary resuscitation guidelines in Japan. However, deployment has been slower for pediatric patients in Japan, because there are fewer appropriate pediatric patients for automated external defibrillators than adults. This study aimed to investigate the targeted age range for pediatric defibrillation and device deployment of defibrillators for pediatric patients in prehospital emergency medical care settings in Japan, and present the issues associated with automated external defibrillators. Methods We administered a web-based survey to the fire defense headquarters in Japan regarding prehospital emergency medical care for pediatric patients in June 2013. We extracted and analyzed some parts of the data related to pediatric defibrillation. Results Eighty-eight percent of the fire defense headquarters responded to the survey. Sixty-two percent of the fire defense headquarters applied the expanded indication protocol for pediatric defibrillation, which included infants. Forty-three percent of the fire defense headquarters replied that their emergency medical service personnel were using semi-automatic defibrillators without a pediatric mode, whereas 21% of them were using automated external defibrillators that were not equipped with pediatric attenuators. Moreover, many of the semi-automatic defibrillators are not designed for pediatric defibrillation in patients aged |
Databáze: | OpenAIRE |
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