Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation

Trifan, Angel Liviu; Dragomir, Liliana; Elkan, Eva-Maria; Sapira, Violeta; Lungu, Mihaela; Zlati, Monica; Papuc, Ana-Maria; Florescu, Laura; Miulescu, Magda; Cimpoesu, Diana Carmen; Nedelea, Paul Lucian

Angel Liviu Trifan, Liliana Dragomir, Eva-Maria Elkan, Violeta Sapira, Mihaela Lungu, Monica Zlati, Ana-Maria Papuc, Laura Florescu, Magda Miulescu, Diana Carmen Cimpoesu, Paul Lucian Nedelea

Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation

Abstract:

Pediatric comas are particular situations of terrestrial or aerial medical intervention, requiring knowledge of specific protocols and prioritization and hierarchy of emergency interventions. The reactivity of the comatose child is modified according to multiple biological, physiological parameters and generating pathologies. The study aims to analyze the specific elements of aerial medical interventions with helicopter, HEMS (Helicopter Emergency Medical Service) at comatose child that influences the emergency path, but especially the medium and long term prognosis of these cases. The transfer of comatose children at Galati aeromedical base, both primary and secondary interventions, were studied. The study was a prospective randomized study involving pediatric comas transferred over a 4-year course (2014-2017) according to the criteria in force. A total of 24 children between the ages of 0-18 years were transferred, with primary and secondary interventions. In the study lot, the correlations between Glasgow scores and associated pathology, epidemiological characteristics, therapeutic elements, complications and case evolution were analyzed. A profile of the patient requiring emergency intervention for the comatose state was created, making it possible to predict the services they will need and to design the specialized interventions that will follow the transfer of these patients. Although still intensely disputed due to cost considerations, the air transfer of the comatose child facilitates a more prompt response of medical systems to manage this type of emergency and presents management particularities in pre-hospital. Based on this type of results, a strategy takes shape by which the Romanian emergency system aligns with the continuous improvement of life-saving interventions for children.

Keywords:
Aerial Medical Transfer (HEMS); children; comas; associated pathologies

Issue: 2020, Volume 71, Issue 2

Pages: 371-380

Publication date: 2020/3/3

https://doi.org/10.37358/RC.20.2.7939

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This article is published under the Creative Commons Attribution 4.0 International License

Citation Styles

Cite this article as:
TRIFAN, A.L., DRAGOMIR, L., ELKAN, E., SAPIRA, V., LUNGU, M., ZLATI, M., PAPUC, A., FLORESCU, L., MIULESCU, M., CIMPOESU, D.C., NEDELEA, P.L., Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation, Rev. Chim., 71(2), 2020, 371-380.

Vancouver
Trifan AL, Dragomir L, Elkan E, Sapira V, Lungu M, Zlati M, Papuc A, Florescu L, Miulescu M, Cimpoesu DC, Nedelea PL. Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation. Rev. Chim.[internet]. 2020 Feb;71(2):371-380. Available from: https://doi.org/10.37358/RC.20.2.7939

APA 6th edition
Trifan, A.L., Dragomir, L., Elkan, E., Sapira, V., Lungu, M., Zlati, M.,... Nedelea, P.L. (2020). Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation. Revista de Chimie, 71(2), 371-380. https://doi.org/10.37358/RC.20.2.7939

Harvard
Trifan, A.L., Dragomir, L., Elkan, E., Sapira, V., Lungu, M., Zlati, M., Papuc, A., Florescu, L., Miulescu, M., Cimpoesu, D.C., Nedelea, P.L. (2020). 'Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation', Revista de Chimie, 71(2), pp. 371-380. https://doi.org/10.37358/RC.20.2.7939

IEEE
A.L. Trifan, L. Dragomir, E. Elkan, V. Sapira, M. Lungu, M. Zlati, A. Papuc, L. Florescu, M. Miulescu, D.C. Cimpoesu, P.L. Nedelea, "Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation". Revista de Chimie, vol. 71, no. 2, pp. 371-380, 2020. [online]. https://doi.org/10.37358/RC.20.2.7939

Text
Angel Liviu Trifan, Liliana Dragomir, Eva-Maria Elkan, Violeta Sapira, Mihaela Lungu, Monica Zlati, Ana-Maria Papuc, Laura Florescu, Magda Miulescu, Diana Carmen Cimpoesu, Paul Lucian Nedelea,
Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation,
Revista de Chimie,
Volume 71, Issue 2,
2020,
Pages 371-380,
ISSN 2668-8212,
https://doi.org/10.37358/RC.20.2.7939.
(https://revistadechimie.ro/Articles.asp?ID=7939)
Keywords: Aerial Medical Transfer (HEMS); children; comas; associated pathologies

RIS
TY - JOUR
T1 - Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation
A1 - Trifan, Angel Liviu
A2 - Dragomir, Liliana
A3 - Elkan, Eva-Maria
A4 - Sapira, Violeta
A5 - Lungu, Mihaela
A6 - Zlati, Monica
A7 - Papuc, Ana-Maria
A8 - Florescu, Laura
A9 - Miulescu, Magda
A10 - Cimpoesu, Diana Carmen
A11 - Nedelea, Paul Lucian
JF - Revista de Chimie
JO - Rev. Chim.
PB - Revista de Chimie SRL
SN - 2668-8212
Y1 - 2020
VL - 71
IS - 2
SP - 371
EP - 380
UR - https://doi.org/10.37358/RC.20.2.7939
KW - Aerial Medical Transfer (HEMS)
KW - children
KW - comas
KW - associated pathologies
ER -

BibTex
@article{RevCh2020P371,
author = {Trifan Angel Liviu and Dragomir Liliana and Elkan Eva-Maria and Sapira Violeta and Lungu Mihaela and Zlati Monica and Papuc Ana-Maria and Florescu Laura and Miulescu Magda and Cimpoesu Diana Carmen and Nedelea Paul Lucian},
title = {Air Medical Interventions at Comatose Pediatric Patients in Eastern Romania - Particularities of Airway Managementand Cardio-Pulmonary Resuscitation},
journal = {Revista de Chimie},
volume = {71},
number = {2},
pages = {371-380},
year = {2020},
issn = {2668-8212},
doi = {https://doi.org/10.37358/RC.20.2.7939},
url = {https://revistadechimie.ro/Articles.asp?ID=7939}
}

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