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Background <p>This study comprises an assessment of the potential for telemedical consultations and determination of the need for the on-site presence of a&#xa0;specialized pediatric emergency physician to treat neuropediatric emergencies.</p> Methods <p>A&#xa0;retrospective evaluation of routine deployment data of the pediatric emergency medical service (KND) in Munich from 01/2017 to 12/2020 was performed. All neurologic deployments of the available protocols for patients up to 18&#xa0;years of age were evaluated. The marker for necessity of the on-site presence of a&#xa0;pediatric emergency physician was defined by the need for vascular access with subsequent drug administration or the need for airway management.</p> Results <p>During the study period, 1315&#xa0;neurologic emergencies responded to by the KND were evaluated. Most of these (95.9%) were due to epileptic seizures. Of the patients, 9.7% received intravenous medication. Mask ventilation or intubation was necessary in 2.1% of cases. Combined, the on-site presence of the KND was therefore necessary in 10% of cases, if it is assumed that intravenous drug administration and airway management in children should be performed by a pediatric emergency physician. In patients aged between ≥ 3 and &lt; 6&#xa0;years, on-site attendance by a&#xa0;pediatric emergency physician was required significantly more frequently (19.01%; <i>p</i> &lt; 0.001). The on-site presence of a&#xa0;pediatric emergency physician was less frequently necessary for infection-associated seizures.</p> Conclusion <p>Neuropediatric emergencies show potential for telemedical consultations/care in up to 90% of cases. Only 10% of all neurologic interventions required invasive measures or airway management at the scene. Establishment of telemedical care by a&#xa0;“tele-pediatric emergency physician” reduces long response/waiting times, expands the potential area of operation, and increases access to qualified pediatric expert help for a&#xa0;larger number of patients.</p>

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Telemedizin beim neurologischen Kindernotfall

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月2日

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  • Victoria Lieftüchter,
  • Lea Reuter,
  • Martin Olivieri,
  • Michaela Coenen,
  • Moritz Tacke,
  • Ingo Borggräfe,
  • Florian Hey,
  • Florian Hoffmann,
  • Daniel Pfeiffer

摘要

Background

This study comprises an assessment of the potential for telemedical consultations and determination of the need for the on-site presence of a specialized pediatric emergency physician to treat neuropediatric emergencies.

Methods

A retrospective evaluation of routine deployment data of the pediatric emergency medical service (KND) in Munich from 01/2017 to 12/2020 was performed. All neurologic deployments of the available protocols for patients up to 18 years of age were evaluated. The marker for necessity of the on-site presence of a pediatric emergency physician was defined by the need for vascular access with subsequent drug administration or the need for airway management.

Results

During the study period, 1315 neurologic emergencies responded to by the KND were evaluated. Most of these (95.9%) were due to epileptic seizures. Of the patients, 9.7% received intravenous medication. Mask ventilation or intubation was necessary in 2.1% of cases. Combined, the on-site presence of the KND was therefore necessary in 10% of cases, if it is assumed that intravenous drug administration and airway management in children should be performed by a pediatric emergency physician. In patients aged between ≥ 3 and < 6 years, on-site attendance by a pediatric emergency physician was required significantly more frequently (19.01%; p < 0.001). The on-site presence of a pediatric emergency physician was less frequently necessary for infection-associated seizures.

Conclusion

Neuropediatric emergencies show potential for telemedical consultations/care in up to 90% of cases. Only 10% of all neurologic interventions required invasive measures or airway management at the scene. Establishment of telemedical care by a “tele-pediatric emergency physician” reduces long response/waiting times, expands the potential area of operation, and increases access to qualified pediatric expert help for a larger number of patients.