Parental perception on pediatric ambulance calling

Year 2022, Volume: 35 Issue: 1, 88 - 93, 31.01.2022

Feyza Husrevoglu Esen Filiz Tubas

https://doi.org/10.5472/marumj.1061162

Abstract

Objective: In this study, it was aimed to analyze the complaints of patients at presentation to Pediatric Emergency Department (ED)
via 112 ambulance and the relationship between complaints and age.
Patients and Methods: Patient demographics, clinical characteristics, ED presenting complaint, definitive diagnosis requiring
hospitalization, month or season of the year at the time of presentation, nationality, age, type of arrival were collected. The reason for
calling the ambulance were asked to the parents. The relationship between age and triage areas were evaluated.
Results: The most common complaints at presentation included abdominal pain, nause-vomiting, high fever and seizure. Most of the
patients were categorized as yellow area patients among different triage areas. The frequency of 112 ambulance calls with complaints
of fever was significantly higher in the 0-2 and 2-6 age groups (p<0.001). The complaints of abdominal pain and nausea-vomiting
were significantly higher in the age group of >10 years (p<0.001). The frequency of 112 ambulance use was significantly higher among
refugees when compared to local residents (p<0.0001).
Conclusion: It was found that fever in younger age groups and the abdominal pain and vomiting in older age groups alerted families to
call an ambulance. Educating parents about the appropriate use of Emergency Medical Service would make the system more efficient.

Keywords

Pediatric emergency, Ambulance, Child, Emergency Medical Service (EMS)

References

• [1] Al-Anazi AF. Pediatric emergency medical services and their drawbacks. J Emerg Trauma Shock 2012; 5: 220-7.
• [2] Diggs LA, Sheth-Chandra M, De Leo G. Epidemiology of Pediatric Prehospital Basic Life Support Care in the United States. Prehosp Emerg Care 2016; 20:230-8.
• [3] Erbay H. Why the prehospital emergency call number in Turkey is 112? A recent history r esearch in the context of ambulance services. Lokman Hekim J 2017; 7:28-32.
• [4] Nokoff N, Brunner AM, Linakis JG, et al. Presentation to either the pediatric emergency department or primary care clinic for acute illness: The caregivers’ perspective. Pediatr Emerg Care 2014; 30:146-50. doi:10.1097/PEC.000.000.0000000082
• [5] Morrison AK, Chanmugatas R, Schapira MM, et al. Caregiver low health literacy and nonurgent use of the pediatric emergency department for febrile illness. Acad Pediatr 2014; 14: 505-9. https://doi. org/10.1016/j.acap.2014.05.001
• [6] Foltin GL, Pon S, Tunik M, et al. Pediatric ambulance utilization in a large American city. Pediatr Emerg Care 1998; 14:254-8. doi:10.1097/00006.565.199808000-00002
• [7] Saz EU, Turan C, Anıl M, et al. Characteristics and outcomes of critically ill children transported by ambulance in a Turkish prehospital system: a multicenter prospective cohort study. Turk J Pediatr 2021; 63:59-67. doi: 10.24953/ turkjped.2021.01.007
• [8] Sen S, Bolsoy N. Violence against women: prevalence and risk factors in Turkish sample. BMC Women’s Health 2017; 17:1-9. doi:10.1186/s12905.017.0454-3
• [9] Özaydınlık K. Women in Turkey on the basis of gender and education. J Soc Policy 2014; 33: 93-112. doi:10.21560/ spcd.03093
• [10] Miller MK, Denise Dowd M, Gratton MC, et al. Pediatric out-of hospital emergency medical services utilization in Kansas city, Missouri. Acad Emerg Med 2009; 16:526-31. doi: 10.1111/j.1553-2712.2009.00418.x
• [11] Camasso-Richardson K, Wilde JA, Petrack EM. Medically unnecessary pediatric ambulance transports: a medical taxi service? Acad Emerg Med 1997; 4: 1137-41. doi:10.1111/j.1553-2712.1997.tb03696.x
• [12] Poryo M, Burger M, Wagenpfeil S, et al. Assessment of inadequate use of pediatric emergency medical transport services: The Pediatric Emergency and Ambulance Critical Evaluation (PEACE) Study. Front Pediatr 2019;7: 442:1-9. doi:10.3389/fped.2019.00442
• [13] Paulson EK, Kalady MF, Pappas TN. Clinical practice. Suspected appendicitis. N Engl J Med 2003; 348:236-42. doi:10.1056/NEJMcp013351
• [14] Leung AK, Hon KL, Leung TN. Febrile seizures: an overview. Drugs Context 2018;7: 212536. doi:10.7573/dic.212536
• [15] Bauchner H, McCarthy PL, Sznajderman SD, et al. Do mothers overestimate the seriousness of their infants’ acute illnesses? J Dev Behav Pediatr 1987; 8:255-259.
• [16] Neill S, Roland D, Thompson M, Tavare A, Lakhanpaul M. Why are acute admissions to hospital of children under 5 years of age increasing in the UK? Arch Dis Child 2018; 103:917-9. doi:10.1136/archdischild-2017-313958
• [17] Quinones C, Shah MI, Cruz AT, et al. Determinants of pediatric EMS utilization in children with high-acuity conditions. Prehosp Emerg Care 2018; 22:676-90. doi:10.108 0/10903.127.2018.1445330
• [18] Prekker ME, Puskarich MA. Emergency Department Sepsis Care: Could it matter who is in the ambulance? Ann Am Thorac Soc 2018; 15:1398-400. doi:10.1513/AnnalsATS.201808- 554ED
• [19] Calis M, Sener K, Kaya A, et al. The prediction levels of emergency clinicians about the outcome of the ambulance patients and outpatients. Am J Emerg Med 2020; 38:1463-5. doi: 10.1016/j.ajem.2020.02.050
• [20] Zia N, Shahzad H, Baqir S, et al. Ambulance use in Pakistan: an analysis of surveillance data from emergency departments in Pakistan. BMC Emerg Med 2015;15 Suppl 2:S9. doi:10.1186/1471-227X-15-S2-S9
• [21] Lerner EB, Studnek JR, Fumo N, et al. Multicenter analysis of transport destinations for pediatric prehospital patients. Acad Emerg Med 2019; 26:510-6. doi:10.1111/acem.13641
• [22] Pedersen J C, Quinn J V, Rogan D T, et al. Factors associated with influenza in an Emergency Department setting. J Emerg Med 2019; 56:478-83.
• [23] Aagaard-Hansen J, Nombela N, Alvar J. Population movement: a key factor in the epidemiology of neglected tropical diseases. N Engl J Med 2007;357: 1018-27.
• [24] Shamser S, Taira B R, Pinheiro E, et al. Undocumented patients in the emergency department: challenges and opportunities. West J Emerg Med 2019; 20: 741-8
• [25] McConnel CE, Wilson RW. Racial and ethnic patterns in the utilization of prehospital emergency transport services in the United States. Prehosp Disaster Med 1999; 14: 232-4.