Evidence map›Paper›PMID 16046763›Full record

ArticleEmergency medicine journal : EMJ2005

A review of emergency equipment carried and procedures performed by UK front line paramedics on paediatric patients.

K Roberts, F Jewkes, H Whalley, D Hopkins, K Porter

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Emergency medicine journal : EMJ, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Use of the Airtraq® device for airway management in the prehospital setting--a retrospective study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2014
    Article
  5. Pediatric emergency medical services and their drawbacks.Journal of emergencies, trauma, and shock · 2012
    Article
  6. Article
  7. Article
  8. Prehospital management of the acutely ill child.Archives of disease in childhood · 2006
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

K RobertsWalsall Manor Hospital, West Midlands, UK. jkroberts@doctors.org.uk
F Jewkes
H Whalley
D Hopkins
K Porter
Solihull Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIn 1997 a review of paramedic practice upon adult patients in the UK found many inconsistencies and deficiencies in basic care. A follow up review in 2002 identified widespread improvement in provision of equipment and skills to provide basic and advanced life support.Paediatric care was not assessed in either review. The authors conducted this study to identify current standards of care in paediatric paramedic practice and areas of potential improvement.

methodA questionnaire designed to determine what equipment and skills were available to paramedics for the management of common or serious paediatric emergencies was sent to chief executives of the 32 NHS Ambulance Trusts in England and Wales.

resultsThe trend of expanding and standardising practice among adult patients has not extended to paediatric practice despite national guidelines from the Joint Royal Colleges Ambulance Liaison Committee (JRCALC). Furthermore there are some serious failings in the provision of care and skills. Many Trusts have not adopted JRCALC guidelines for the management of life threatening paediatric emergencies such as asthma, meningitis, and fluid replacement in hypovolaemia.

conclusionsAmbulance Trusts not meeting standards set out in the JRCALC guidelines must address their areas of deficiency. Failure to do so endangers children's lives and leaves Trusts open to criticism.

Indexed as

ChildClinical CompetenceEmergency Medical ServicesEmergency Medical TechniciansEmergency MedicineEnglandGuideline AdherenceHumansPediatricsPractice Guidelines as TopicResuscitationSurveys and QuestionnairesWales

Identifiers

PMID16046763
PMCPMC1726868
OpenAlexW2096345241

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.