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  1. The preparedness of pediatricians for emergencies in the office : What is broken, should we care, and how can we fix it ?

    Article - En anglais

    Objectives 

    To determine the frequency of emergencies in pediatric practices, assess office emergency preparedness, and explore practitioner's reasons for levels of preparedness.

    Design and Setting 

    Telephone survey of pediatric offices in Fairfield County, Connecticut.

    Sample : Fifty-one (98%) of 52 offices participated, representing 481 staff.

    Results 

    More than 2400 emergencies are seen each year in the pediatric offices, with a median of 24 emergencies per practice annually.

    Forty-two (82%) of the practices averaged at least one emergency per month, 13 (25%) experienced more than 50 emergencies annually, and seven (14%) experienced more than 100 emergencies annually.

    Of all eligible staff, 14% were certified in basic life support and 17% in pediatric advanced life support.

    The following emergency equipment was missing from offices :

    • oxygen, 14 (27%) ;

    • intravenous catheters, 14 (27%) ;

    • bag-valve-mask, 15 (29%) ;

    • nebulizers, 17 (33%) ;

    • epinephrine 1 : 10000,27 (53%) ;

    • and intravenous fluids, 28 (55%). Thirty-seven (73%) of offices had the minimum recommended equipment and training for status asthmaticus management ;

    • only 17 (33%) of offices had similar preparation for each of the six other emergencies.

    High-level emergency preparedness was rare.

    The perceptions of office pediatricians are that office emergencies are rare, and emergency preparedness is difficult to achieve because practices are too busy and the expense and time commitment are too great...

    Mots-clés Pascal : Santé publique, Etats Unis, Pratique professionnelle, Pédiatrie, Médecin, Enfant, Cabinet médical, Expérience professionnelle, Secours première urgence, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : United States, Professional practice, Pediatrics, Physician, Child, Doctor office, Professional experience, First emergency care, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0170730

    Code Inist : 002B30A01C. Création : 199608.