Evaluation accessibility of emergency care for traumatic children in emergency departments in Tabriz University of Medical Sciences, Tabriz, Iran

Abstract

Background: Emergency care of traumatic children is an important health subject. The aim of this study was to evaluate the accessibility of emergency care for traumatic children in terms of management equipment, cause defects, and familiarity of medical staff with training programs. Methods: All general hospital emergency department in East Azerbaijan province were evaluated based on the checklists with 4 sections and 20 items which rated according to Likert scale from very high ranking (three scores) to very low ranking (zero sore) over 2018. For a score less than 3, defect causes were explained in 7 categories. The staff training certificate courses are considered for pediatric early and advanced life support in an emergency. Also, the staff training certificate in terms of early and advanced resuscitation of children was surveyed. Data were analyzed by SPSS.21. Results: For 20 emergency hospitals, more than 50% equipped with adequate airway instruments. All of the emergencies were provided oxygen therapy equipment, but more than 70% had no chest tube and ventilator fit for children. More than 70% of them had cardiac monitoring and a sphygmomanometer for pediatric patients; however, less than 50% have a blood transfusion set and a urinary catheter. Only two hospitals had held early and advanced pediatric resuscitation workshops for staff. Conclusions: This study showed that 19 (95% ) of emergencies had the potential for early diagnosis and treatment of traumatic children. In contrast, 2 (10%) of staff emergencies had enough work experience in this issue. It is necessary to implement training programs for the familiarity of medical staff with pediatric early and advanced life support in emergency departments.