Transport for pediatric patients from one department to another ones in the same hospital or from one hospital to another must be sure of their safety and during the transportation, the patients’ situation were followed up and treated appropriately. The patient needs to move to a better place that includes care condition and treatment or where the explorative tests can be done to server for diagnosis and treatment
Pediatrics, Transportation

Interfacility transport of critically ill children (transport) is a challenging component of pediatric critical care. The risk associated with the transport may be reduced by a specialized pediatric transport team, a screening tool for critically ill children, and a standardized handover between referring and referred physicians. Further research is necessary in Korea regarding the above measures for the safe and effective transport.
Checklist ; Child* ; Critical Care ; Critical Illness* ; Humans ; Korea ; Mass Screening ; Pediatrics ; Transportation of Patients

The number of critically ill children visiting the emergency department has increased. However, the rate of transporting critically ill children via 119 emergency medical service providers ranges from 4.5% to 17.5%, and the prehospital care is insufficient. To improve the transport, first, it is necessary to expand the prehospital care equipment for critically ill children. Second, 119 personnel should be trained regularly with a revised protocol for the prehospital care. Third, the appropriateness of the prehospital care should be evaluated.
Child* ; Critical Illness* ; Emergencies* ; Emergency Medical Services* ; Emergency Service, Hospital ; Humans ; Pediatrics ; Transportation

The number of critically ill children visiting the emergency department has increased. However, the rate of transporting critically ill children via 119 emergency medical service providers ranges from 4.5% to 17.5%, and the prehospital care is insufficient. To improve the transport, first, it is necessary to expand the prehospital care equipment for critically ill children. Second, 119 personnel should be trained regularly with a revised protocol for the prehospital care. Third, the appropriateness of the prehospital care should be evaluated.
Child* ; Critical Illness* ; Emergencies* ; Emergency Medical Services* ; Emergency Service, Hospital ; Humans ; Pediatrics ; Transportation

BACKGROUND: For effective and systematic management of patients in the emergency department (ED), the data on patient arrival and status in DE of Yeungnam University Hospital were evaluated, MATERIALS AND METHODS: During the seven days form Apr. 1 to. 7 , 1998, the general patient information such as onset time and place, factors associated with transportation. causes of admission, cared department and patient disposition were recorded. RESULTS: Total of 464 patients visited the ED during the seven days, and the mean number of patients per day was 66.3 Male to female ratio was 1:0.71. Daily staying patients were 17.3 and 83.6 patients were cared totally each day. The methods of transportation and distribution of patients according to region and event were as follows: visit by walk (57.3%), transportation by car(58.0%),place of event in residence(85.3%), regional distribution in Taegu(81.5%), and direct visit(97.4%). Cause of admission due to diseases was 74.6%. The percentages of department which cared the patients were internal medicine 26.6%, pediatrics 16.8%, orthopedics 8.6%, neurology 8.2%, neurosurgery 7.8% and other department including emergency medicine 8.2%, respectively. Patient dispositions were admission 38.4%, discharge 61.0% and death on arrival(DOA) 0.6%, but referred-patient-to -another-hospital was zero. CONCLUSION: Improvements in several aspects of ED's caring system such as "fast tracking" system and reinforcement of disease and trauma caring system, would be helpful for effective management of emergency patients.
Emergencies* ; Emergency Medicine ; Emergency Service, Hospital* ; Female ; Humans ; Internal Medicine ; Male ; Neurology ; Neurosurgery ; Orthopedics ; Pediatrics ; Transportation

PURPOSE: The aim of this study was to survey the accuracy of registration as anaphylaxis codes and the clinical characteristics of anaphylaxis registered correctly and incorrectly in pediatric anaphylaxis. METHODS: This study was conducted retrospectively using the medical records of patients under 15 years who visited a training hospital Emergency Department (ED) for 5 years. The study subjects were divided into the correct group (registered as anaphylaxis codes correctly) and the incorrect group (registered as other anaphylaxis related codes). RESULTS: Of the 133 patients, 14 belonged to the correct group and 119 to the incorrect group. The median age of the correct group was 9 years old and that of the incorrect group was 2 years old. Sex, transportation to the ED, elapsed time from exposure to ED arrival, past history of allergy, causes of anaphylaxis except drug, severity of symptom, mental status, and antihistamine use were not different between the 2 groups. Drugs as the cause of anaphylaxis and cardiovascular/neurologic symptoms were more common in the correct group. Gastrointestinal symptoms were more frequent in the incorrect group. Intravenous fluid, steroid, bronchodilator, and epinephrine were more commonly used as the treatment for anaphylaxis in the correct group. The pediatric patients treated with epinephrine tended to be registered anaphylaxis correctly. CONCLUSION: More patients were registered incorrectly as other anaphylaxis-related disease codes rather than correctly as the anaphylaxis disease codes in pediatric anaphylaxis. Epinephrine use was the associated factor for being registered correctly as the anaphylaxis disease codes in pediatric anaphylaxis.
Anaphylaxis* ; Emergency Service, Hospital ; Epinephrine ; Humans ; Hypersensitivity ; Medical Records ; Pediatrics ; Retrospective Studies ; Transportation