Background <p>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&#xa0;nationwide overview of their availability.</p> Objectives <p>To evaluate the availability of specialised pedi-EP in Germany.</p> Methods <p>An online survey of emergency medical services (EMS) directors asked about providing a&#xa0;pedi-EP system. Participants were able to describe their existing system.</p> Results <p>The survey was completed 146 times, which corresponds to a&#xa0;response rate of 74%. Regardless of the exact role of the pedi-EP, only 14&#xa0;EMS stated that a&#xa0;dedicated system is in place. Eleven EMS stated that additional hospital staff could be alerted if necessary, while 3&#xa0;EMS stated that a&#xa0;pedi-EP is available 24/7. In addition, 3&#xa0;EMS noted the availability of a&#xa0;medical intervention car. Almost 50% of the systems are only alerted by an ambulance on scene. Sixteen systems have established a&#xa0;tele-EMS system, but without a&#xa0;paediatrician; only one EMS is planning such a&#xa0;system with a&#xa0;paediatrician.</p> Conclusion <p>This survey shows considerable differences in the prehospital care of paediatric emergencies across Germany. Only a&#xa0;minority of EMS have a&#xa0;specialised system available. Several EMS utilise hospital resources to send staff to the scene if necessary.</p>

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Vorhaltung und Einsatzbereitschaft von spezialisierten Rettungsmitteln für Kindernotfälle – eine prospektive Umfrage unter den Ärztlichen Leitern Rettungsdienst in Deutschland

  • Stephan Katzenschlager,
  • Nikolai Kaltschmidt,
  • Daniel Pfeiffer,
  • Frank Weilbacher,
  • Reinhold Merbs,
  • Florian Hoffmann,
  • Erik Popp,
  • Jan-Thorsten Gräsner,
  • Markus A. Weigand,
  • Michael Sander,
  • Emmanuel Schneck

摘要

Background

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.

Objectives

To evaluate the availability of specialised pedi-EP in Germany.

Methods

An online survey of emergency medical services (EMS) directors asked about providing a pedi-EP system. Participants were able to describe their existing system.

Results

The 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.

Conclusion

This 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.