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Paediatric resuscitation-by phone

Objective: To ascertain the training and knowledge of paediatric resuscitation amongst all paediatric residents in New Zealand. Method: A validated national telephone survey. Results: Interviews were conducted with 96 out of a possible 109 paediatric residents. Most had been qualified less than 5 ye...

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Bibliographic Details
Published in:Journal of paediatrics and child health 1998-12, Vol.34 (6), p.524-527
Main Authors: TUTHILL, DP, HEWSON, M, WILSON, R
Format: Article
Language:English
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Summary:Objective: To ascertain the training and knowledge of paediatric resuscitation amongst all paediatric residents in New Zealand. Method: A validated national telephone survey. Results: Interviews were conducted with 96 out of a possible 109 paediatric residents. Most had been qualified less than 5 years and a third had received some training in paediatric resuscitation in the last year. The initial dose of intravenous adrenaline was known by 61% but only 10% knew the recommended ten‐fold increase in subsequent doses. Recognition of the importance of cervical spine management in trauma was poor. Correct resuscitation fluids and volumes were selected by 90%, though infusion rates were frequently too slow. Residents with paediatric qualifications and greater experience scored significantly higher. Conclusion: Many junior paediatric staff are inadequately prepared for resuscitating children. We believe improved regular training is required and that the introduction of a nation‐wide Advanced Paediatric Life Support course, subsequent to the completion of this survey, will lead to improved standards. Its effectiveness needs to be audited.
ISSN:1034-4810
1440-1754
DOI:10.1046/j.1440-1754.1998.00289.x