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21 results for “Paediatric emergencies”
IMPLEMENTING AND EVALUATING A PAEDIATRIC EMERGENCY MANAGEMENT TRAINING PROGRAM FOR PRIMARY HEALTHCARE WORKERS IN ZARIA
<p>Nigeria continues to grapple with alarmingly high under-five mortality rates, with approximately 2,300 children dying daily due to preventable and treatable diseases such as pneumonia, malaria, and diarrheal illnesses. This crisis is particularly pronounced in rural areas, where childhood mortality rates are significantly higher than in urban centres. For many rural communities, primary healthcare (PHC) centres serve as the sole access point to medical services, making these centres critical to addressing this public health challenge. Despite their importance, PHC centres often face significant challenges, including inadequate infrastructure, limited access to essential medications, and a shortage of adequately trained health personnel.</p> <p>This study aimed to implement and evaluate a Paediatric Emergency Management Training Program for healthcare workers at PHC centres in Zaria, Kaduna State. The primary objective was to assess the effectiveness of the training in improving the competency of health workers in managing common paediatric emergencies, thereby enhancing the overall quality of care provided at these centres.</p> <p>A cross-sectional descriptive study was conducted involving 139 healthcare workers from selected PHC centres in Sabon Gari and Zaria Local Government Areas, utilizing a multi-stage random sampling technique. Data collection was performed using a pre-tested, semi-structured, self-administered questionnaire designed to evaluate the participants' baseline knowledge, followed by an assessment after the training intervention. The data were analysed using SPSS version 21, with chi-square tests employed to examine the associations between variables. Results were presented using tables and charts for clarity.</p> <p>The findings revealed a generally low baseline competency in managing common paediatric emergencies among the healthcare workers. Specifically, 66 (48.5%) of the respondents demonstrated very poor knowledge regarding the causes of common paediatric emergencies, 32 (23.5%) had poor knowledge, 34 (25.0%) had good knowledge, and only 4 (2.9%) of the respondents exhibited excellent knowledge. Similarly, knowledge regarding the treatment of these emergencies was also lacking, with 46.7% of respondents showing very poor understanding, 34.1% having poor knowledge, 16.3% demonstrating good knowledge, and only 3.0% showing excellent knowledge. A statistically significant relationship was observed between academic qualifications and knowledge levels in both causes (p = 0.004) and treatment (p = 0.000) of paediatric emergencies.</p> <p>The low baseline knowledge underscores the critical need for targeted training interventions. The study highlights the importance of establishing a sustained partnership between the Department of Paediatrics at Ahmadu Bello University Teaching Hospital and the Departments of Primary Health Care in Zaria and Sabon Gari Local Governments. Regular training workshops, held quarterly, are recommended to continuously equip PHC workers with the necessary skills to effectively manage paediatric emergencies, ultimately contributing to a reduction in childhood mortality rates in the region.</p>
THE IMPACT OF PAEDIATRIC EMERGENCY MANAGEMENT SKILLS ON PATIENT OUTCOMES IN ZARIA
<p><span>Paediatric emergencies represent a critical challenge in Nigeria, where approximately 2,300 children under the age of five die daily, predominantly from preventable and treatable conditions such as pneumonia, malaria, and diarrheal diseases. Mortality rates are disproportionately higher in rural areas, where primary health care (PHC) centers often serve as the only point of access to medical services. The effectiveness of these centers is largely dependent on the emergency management skills of their healthcare workers. Despite their importance, there has been limited research on how the skills of PHC workers in managing paediatric emergencies impact patient outcomes.</span></p> <p><span>This study aimed to assess the proficiency of healthcare workers in primary healthcare centers in Zaria in managing common paediatric emergencies. A cross-sectional descriptive study was conducted among 139 health workers selected through a multi-stage sampling technique in Sabon Gari and Zaria Local Government Areas. Data collection was carried out using a pre-tested semi-structured self-administered questionnaire. The data were analyzed using SPSS version 21, and associations were tested using the chi-square test, with results presented in tables and charts.</span></p> <p><span>The findings revealed a significant deficiency in the emergency management skills of healthcare workers. A majority of respondents demonstrated inadequate skills in handling paediatric emergencies, with 66 (48.5%) exhibiting very poor competency in the management of common paediatric emergencies, and 32 (23.5%) displaying poor competency. Only a small fraction, 4 (2.9%) of respondents, demonstrated excellent skills in emergency management. Similarly, 46.7% of the respondents had very poor skills in the treatment of common paediatric emergencies, while only 3.0% exhibited excellent treatment skills. A statistically significant relationship was observed between the level of academic qualification and emergency management skills (p < 0.05).</span></p> <p><span>The results underscore the critical need to enhance the skill levels of healthcare workers in PHCs through continuous professional development. This could be achieved through collaborative efforts between the Department of Paediatrics at Ahmadu Bello University Teaching Hospital and the Primary Health Care Departments of Zaria and Sabon Gari local governments, focusing on regular training and workshops. Improving the skills of healthcare workers in managing paediatric emergencies is essential for reducing child mortality and improving health outcomes in the region.</span></p>
The role of contextual factors in decision-making by General Practitioners on paediatric referral to the Emergency Department: A Discrete Choice Experiment
<p>A General Practitioner’s (GP) decision to refer a patient to the emergency department (ED) requires consideration of a multitude of factors, and significant variation in GP referral patterns to secondary care has been recorded. This study examines the contextual factors that influence GPs when referring a paediatric patient with potentially self-limiting clinical symptoms to the ED.</p> <p>Utilizing a discrete choice experiment, survey data was collected from GPs in Ireland (n = 142) to elicit factors influencing this decision across five attributes: time/day of visit, repeat presentation, parents’ capacity to cope, parent requesting a referral, and access to a paediatric outpatient clinic/day unit.</p> <p>Using mixed logit models, all attributes were statistically significant, with repeat presentation and parents lacking the capacity to cope with a sick child identified as the strongest contextual factors leading to the decision to refer to the ED.</p> <p> </p> <p>Files explained:</p> <p>1. Survey Questions.docx details the survey.</p> <p>2. Ngene DCE design.ngd: Ngene™ file used to set-up the DCE.</p> <p>3. Survey Data File.xlsx is the source file detailing responses to the survey.</p> <p>4. Stata Data File Formatted for DCE.dta is the file formatted for the DCE for analysis</p> <p> </p> <p>Note:</p> <p><em>Data collection for a second survey for a patient with intellectual disability and limited communication skills was carried out at the same time as this survey. Data from this second study (Q4.1 – Q4.7 & Q6.1 – Q6.7) are not included in these files. </em></p>
Data from: Development of a simple, practice-based tool to assess quality of paediatric emergency care delivery in resource-limited settings: identifying critical actions via a Delphi study
Objective: Provision of timely, high-quality care for the initial management of critically ill children in African hospitals remains a challenge. Monitoring the completion of critical actions during resuscitations can inform efforts to reduce variability and improve outcomes. We sought to develop a practice-based tool based on contextually relevant actions identified via a Delphi process. Our goal was to develop a tool that could identify gaps in care, facilitate identification of training and standardized assessment to support quality improvement efforts. Design: Six sentinel conditions were selected based on disease epidemiology and mortality at rural and urban African emergency departments. Potential critical actions were identified through focused literature review. These actions were evaluated within a three-round modified Delphi process. A set of logistical filters was applied to the candidate list to derive a practice-based tool. Setting and participants: Attendees at an international emergency medicine conference comprised an expert panel of 25 participants, with 84% working primarily in African settings. Consensus rounds allowing novel responses were conducted via online and in-person surveys. Results: The expert panel generated 199 actions that apply to six conditions in emergently ill children. Application of appropriateness criteria refined this to 92 candidate actions across seven categories: core skills, active seizure, altered mental status, diarrheal illness, febrile illness, respiratory distress, polytrauma. From these, we identified 28 actions for inclusion in a practice-based tool contextually relevant to the initial management of critically ill children in Africa. Conclusions: A group consensus process identified critical actions for severely ill children with select sentinel conditions in emergency paediatric care in an African setting. Absence of these actions during resuscitation might reflect modifiable gaps in quality of care. The resulting practice-based tool is context-relevant and can serve as a foundation for training and quality improvement efforts in African hospitals and emergency departments.
Safety and Efficacy of Emergency On-call Respiratory Physiotherapy Services in the Paediatric Intensive Care Unit
ClinicalTrials.gov study NCT01999426. IPD Sharing: Not stated. Countries: 1. Publications: 4.
Paediatric Syncope in the Emergency Department
ClinicalTrials.gov study NCT05555771. IPD Sharing: NO. Countries: 1. Publications: 10.
A Comparison of Paediatric Weight Estimation Methods for Emergency Resuscitation
ClinicalTrials.gov study NCT02466620. IPD Sharing: Not stated. Countries: 1. Publications: 8.
Fluid Resuscitation for Suspected Sepsis in Paediatric Emergency Departments
ClinicalTrials.gov study NCT05066464. IPD Sharing: UNDECIDED. Countries: 1. Publications: 1.
Differences in Access to Emergency Paediatric Intensive Care and Care During Transport
ClinicalTrials.gov study NCT03520192. IPD Sharing: NO. Countries: 1. Publications: 7.
Data from: Development of a simple, practice-based tool to assess quality of paediatric emergency care delivery in resource-limited settings: identifying critical actions via a Delphi study
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Intubation on a Paediatric Manikin by Emergency Staff: a Comparison of Airtraq and Glidescope
ClinicalTrials.gov study NCT02478203. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Emergence Agitation in Paediatric Day Care Surgery
ClinicalTrials.gov study NCT06571890. IPD Sharing: NO. Countries: 1. Publications: 0.
Prevalence of Covid-19 in Children Admitted to Paediatric Emergency Departments During the Pandemic Period in France
ClinicalTrials.gov study NCT04336761. IPD Sharing: Not stated. Countries: 1. Publications: 0.
The Effect of Intravenous Fentanyl Prior the End of Surgery on Emergence Agitation in Paediatric Patients After General Anesthesia
ClinicalTrials.gov study NCT01440114. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Evaluation and Implementation of the "Paediatric Anesthesia Emergence Delirium Scale" (PAED) in the PACU in Children Under 14 Years of Age
ClinicalTrials.gov study NCT02358278. IPD Sharing: Not stated. Countries: 1. Publications: 0.
Videoconferencing for the Management of Paediatric Dyspnoea in an Emergency Medical Call Centre
ClinicalTrials.gov study NCT06847997. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
Impact of Anaesthesiology Management on Paediatric Emergence Delirium Incidence
ClinicalTrials.gov study NCT04291820. IPD Sharing: UNDECIDED. Countries: 1. Publications: 0.
A Study Evaluating the Use of ResAppDx v2.0 as an Aid to Diagnose Respiratory Disease in Paediatric Patients in an Emergency Department
ClinicalTrials.gov study NCT06156436. IPD Sharing: NO. Countries: 1. Publications: 0.
EMERGENCE AGITATION After Premedication IN PAEDIATRIC MAGNETIC RESONANCE IMAGING: A RETROSPECTIVE COHORT STUDY
ClinicalTrials.gov study NCT05946928. IPD Sharing: YES. Countries: 1. Publications: 0.
iMpact of therapeUtic Live muSic on Pain and Distress Levels During Interventions in the paediatriC Emergency Department
ClinicalTrials.gov study NCT03956667. IPD Sharing: NO. Countries: 1. Publications: 0.
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