2022, Number 4
<< Back Next >>
Rev Cubana Pediatr 2022; 94 (4)
Guide of pediatric emergency assessment in Cuba
Sánchez CYJ, López GLR, Marquez BN
Language: Spanish
References: 25
Page: 1-17
PDF size: 260.58 Kb.
ABSTRACT
The pediatric emergency assessment has special characteristics with respect to the rest of pediatric care. The final diagnosis will be a secondary priority. It is a clinical evaluation, and the main purpose of it is the identification of abnormal anatomical and physiological aspects, the estimation of the severity of the disease or injury and the determination of the need for urgent treatment. The objective of this collaboration is to provide a clear system, with a sequence of assessments and actions that serve as a basis for clinical decision-making aimed at stabilizing the patient and avoiding life-threatening situations in a short time. The pediatric assessment triangle, the ABCDE sequence, a brief history and focused examination that identifies the highest priority reason for consultation, warning signs that may change priority and frequent re-evaluations will be the pillars of medical action. To respect the right of the child to have access to the highest possible level of health, to guarantee the quality of care and its safety in the face of acute conditions or trauma, the National Group of Pediatrics developed and approved the guide for pediatric emergency assessment in Cuba. Through its application, the pediatric emergency evaluation process can be optimized so that patients of this age segment receive the most appropriate level of medical care for their clinical situation.
REFERENCES
Kellermann AL. Crisis in the emergency department. N E J Med. 2006;28;355(13):1300-3. DOI: 10.1056/NEJMp068194
Quiñones A, Contreras C, Corona L, Terrero C. Triaje como herramienta en emergencias pediátricas del Hospital Infantil Dr. Robert Reid Cabral septiembre 2018 - noviembre. 2018. CISA. 2022 [acceso 10/08/2022];4(2):5-11. Disponible en: https://revistas.intec.edu.do/index.php/cisa/article/view/17682.
Fuhrman B, Zimmerman J, Clark R, Relvas M, Rotta A, Thompson A, editores. Fuhrman and Zimmerman's Pediatric Critical Care. 5ta ed. Philadelphia: Elsevier; 2017.
Suárez M, Jaime M. Utilidad del triángulo de evaluación pediátrica en un servicio de emergencia pediátrica. Bol Méd postgrado. 2020 [acceso 21/01/2022];34(2):39-45. Disponible en: https://revistas.uclave.org/index.php/bmp/article/view/25294.
Fernández A, Ares MI, García S, Martínez-Indart L, Mintegi S, Benito J. The Validity of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department. Pediatr Emerg Care. 2017;33(4):234-8. DOI: 10.1097/PEC.0000000000000717
Storch P. Valoración inicial del niño grave en Atención Primaria. Form Act Pediatr Aten Prim. 2014 [acceso 21/01/2022];7(4):169-75. Disponible en: https://fapap.es/articulo/311/valoracion-inicial-del-nino-grave-en-atencion-primaria6.
Nates JL, Nunnally M, Kleinpell R, Blosser S, Goldner J, Birriel B, et al. ICU Admission, Discharge, and Triage Guidelines: A Framework to Enhance Clinical Operations, Development of Institutional Policies, and Further Research. Crit Care Med. 2016;44(8):1553-602. DOI: 10.1097/CCM.0000000000001856
Domínguez Romero A, Ciprés Añaños E. Los sistemas de triaje en los servicios de urgencias. Rev Sanit Investigac. 2020;I(7). Disponible: https://revistasanitariadeinvestigacion.com/los-sistemas-de-triaje-en-los-servicios-de-urgencias/https://revistasanitariadeinvestigacion.com/los-sistemas-de-triaje-en-los-servicios-de-urgencias/8.
Fernández A, Ares MI, Garcia S, Martinez-Indart L, Mintegi S, Benito J. The of the Pediatric Assessment Triangle as the First Step in the Triage Process in a Pediatric Emergency Department. Pediatr Emerg Care. 2017;33(4):234-8. DOI: 10.1097/PEC.0000000000000717
Fernandez A, Benito J, Mintegi S. Is this child sick? Usefulness of the Pediatric Assessment Triangle in emergency settings. J Pediatr (Rio J). 2017;7:2. DOI. http://dx.doi.org/10.1016/j.jped.2017.07.00210.
Dieckmann RA, Brownstein D, Gausche-Hill M. The pediatric assessment triangle: a novel approach for the rapid evaluation of children. Pediatr Emerg Care. 2010;26(4):312-5. DOI: 10.1097/PEC.0b013e3181d6db37
Kleinman ME, Chameides L, Schexnayder SM, Samson RA, Hazinski MF, Berg MD, et al. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122(18 Suppl 3):S876-908. DOI: 10.1161/CIRCULATIONAHA.110.971101
Belisle S, Lim R, Hochstadter E, Sangha G. Approach to Pediatric Traumatic Brain Injury in the Emergency Department. Curr Pediatr Rev. 2018;14(1):4-8. DOI: 10.2174/1573396313666170815101258
Macías Moran JJ, Litardo Fernandez CR, Ramírez López GL, Reyes Ramos EF. Sensibilidad y especificidad de la ecografía FAST en trauma abdominal. RECIAMUC. 2019 [acceso 13/08/2022];3(2):626-43. Disponible en: https://reciamuc.com/index.php/RECIAMUC/article/view/35814.
Ronald DR. The Harriet Lane Handbook.22nd ed. MedbooksVN Dr Jack. Baltimore, Maryland: The Johns Hopkins Hospital: 2022 [acceso 11/08/2022]. Disponible en: https://medbooksvn.org/the-harriet-lane-handbook-the-johns-hopkins-hospital-22nd-edition-pdf/15.
Leyva Carmona M, Torres Luna R, Ortiz San Román L, Marsinyach Ros I, Navarro Marchena L, Mangudo Paredes AB, et al. Documento de posicionamiento del grupo español para el estudio del dolor pediátrico (GEEDP) de la Asociación Española de Pediatría sobre el registro del dolor como quinta constante. An Pediatr (Engl ed.).2019 [acceso 11/08/2022];91(1):58.e1-58.e7. Disponible en: https://www.analesdepediatria.org/es-documento-posicionamiento-del-grupo-espanol-articulo-S169540331930192416.
Delgado LR, Luaces C. Atención inicial al paciente grave. Sistemática de actuación en Urgencias. En: Luaces C, editor. Urgencias en pediatría. Protocolos Diagnóstico-Terapéuticos Hospital Universitari Sant Joan de Déu. 6ta ed. Barcelona: Ergon; 2021.p.15.
Davis AL, Carcillo JA, Aneja RK, Deymann AJ, Lin JC, Nguyen TC, et al. The American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock [executive summary]. Pediatr Crit Care Med. 2017;18(9):884-90. DOI: 10.1097/PCC.0000000000001259
Weiss SL, Peters MJ, Alhazzani W, Agus MSD, Flori HR, Inwald DP. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children. Pediatr Crit Care Med. 2020;21(2):e52-e106. DOI: 10.1097/PCC.0000000000002198
Garvin R, Mangat HS. Emergency Neurological Life Support: Severe Traumatic Brain Injury. Neurocrit Care. 2017;27(Suppl 1):159-69. DOI: 10.1007/s12028-017-0461-0
Duat Rodríguez A. Urgencias neurológicas en Atención Primaria. En: AEPap (ed.). Congreso de Actualización en Pediatría 2022. Madrid: Lúa Ediciones 3.0; 2022. p. 141-50.
Fernández Arribas JL. Aproximación y estabilización inicial del niño enfermo o accidentado. Triángulo de evaluación pediátrica. ABCDE. Protoc Diagn Ter Pediatr. 2020 [acceso 21/01/2022];1:15-26. Disponible en: https://www.aeped.es/documentos/protocolos-urgencias-pediatricas22.
De la Oliva P, Cambra-Lasaosac JF, Quintana-Díaz M. Guías de ingreso, alta y triage para las unidades de cuidados intensivos pediátricos en España. An Pediatr (Barc). 2018 [acceso 09/12/2021];88(5):287.e1-288.e11. Disponible en: http://www.analesdepediatria.org/es-guias-ingreso-alta-triaje-las-articulo-S169540331730418623.
Bunik M, Hay WW, Levin MJ, Abzug MJ, editors. Current Diagnosis and Treatment. Pediatrics, Twenty-Sixth Edition. New York: Mc Graw Hill; 2022 [acceso 18/08/2022]. Disponible en: https://accessmedicine.mhmedical.com/content.aspx?bookid=3163§ionid=26621281224.
Pelosi P, Sprung C, Topeli A, Vincent JL, Yeager S, Zimmerman J. Council of the World Federation of Societies of Intensive and Critical Care Medicine. Triage decisions for ICU admission: Report from the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2016;36:301-5. DOI: 10.1016/j.jcrc.2016.06.014