Abstract
A retrospective study of interventions in-volving children in the period from 2011 to 2015 was conducted at the Teaching Institute for Emergency Medicine of Za-greb. During this period a total of 18,356 interventions involving children occurred in the field. From 2011 to 2013, 11,576 interventions occurred, which makes up 4.56 % of all interventions in that period. During 2014 and 2015 there were 6,780 in-terventions which make up 3.69 % of all in-terventions in the field during that period. There was a 20 % reduction in the num-ber of emergency interventions involving children in the last two years of the study in comparison to the previous period. The greatest number of these emergency interventions is due to injury. From 2011 to 2013, the total number of interventions involving injured children was 24.59 % as opposed to 19.94 % from 2014 to 2015. There is a statistically significant decrease in the number of occurring injuries by 19%, whereas the number of head injuries went down from 12.48 % to 10.01 %. That marks a decrease of 20 % in the second part of the studied period. This is most probably a result of better injury preven-tion as a result of education programs in preschools, schools, media campaigns, and the use of protective equipment (protective helmets for cyclist, skaters, skiers etc.)
Highlights
When we say children we are speaking of a diverse population
A child that is critically ill will never be a routine procedure for prehospital emergency doctors, because it is not a frequently encountered situation and when they do occur they encourage medical personnel to further their knowledge and practise in order to hone their skills. [1,2,3] Worldwide studies have shown trauma to be the leading cause of death in children above the age of one. [1,2,3,4,5] In the last couple of years Croatia has seen a drastic drop in mortality and injury in traffic accidents
During the period of 2011 - 2013 we accomplished 253,785 emergency interventions in the field. Out of this number of interventions, children were involved in 11,576 interventions (4.56%), while in the period from 2014 -2 015, of total emergency interventions [183,578], children were involved in 6,780 interventions, or 3.69%
Summary
When we say children we are speaking of a diverse population. The term ‘child’ refers to a person from birth to adulthood (18 years of age). Approaching a critically sick or injured child is challenging for prehospital emergency doctors. [1, 2] In hospitals children are cared for by paediatric specialists, paediatric surgeons, paediatric anaesthetists, etc., so it is extremely important for each physician to attain knowledge and skills in recognition and treatment of a vitally endangered child. After learning and perfecting their knowledge it is vital to practise these mastered skills and keep abreast on new developments in the field. A child that is critically ill will never be a routine procedure for prehospital emergency doctors, because it is not a frequently encountered situation and when they do occur they encourage medical personnel to further their knowledge and practise in order to hone their skills. Like the rest of Europe, has the lowest child mortality rates in the world
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