Objectives

General emergency medicine physicians sometimes have to deal with acute management of pediatric emergencies. The objectives of this study were to assess the pediatric medical education background of emergency physicians, how often they encounter pediatric emergencies, as well as the knowledge and organizational gaps regarding the management of children in general emergency departments.

Methods

A survey was conducted from March 25 to June 25, 2017, by emailing an anonymized questionnaire to all senior emergency physicians of the 22 general emergency departments of western Normandy public hospitals.

Results

A total of 81 responses were analyzed. In all, 83% percent of respondents had previously worked in a pediatric department. In total, 90% of the respondents reported caring for children within their emergency department and 93% out-of-hospital (100% of them during primary interventions and 39% during secondary interventions such as inter-hospital transfers). Fourteen percent of the respondents considered that the pediatric medical education they received was adapted to their current practice, while 73% reported experiencing difficulties during management of pediatric emergencies (technical difficulties, unsuitable material and therapeutics, relational problems, personal apprehension, disease- or age-specific difficulties, especially with children under the age of 2–3 years).

Conclusion

Most general emergency physicians report caring for children despite a lack of medical education in pediatrics. Pediatric medical education as well as collaborations between general practitioners and specialized pediatric teams should be enhanced to better match the needs of general emergency departments and improve the quality of primary and acute care for children.

中文翻译：

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评估法国诺曼底西部有关急诊小儿急诊的普通急诊医师医学教育。

目标

普通急诊医师有时不得不应对小儿急症的急性处理。这项研究的目的是评估急诊医师的儿科医学教育背景，他们遇到儿科紧急情况的频率以及在普通急诊科中对儿童的管理方面的知识和组织差距。

方法

2017年3月25日至6月25日进行了一项调查，通过电子邮件匿名给西诺曼底公立医院22个急诊科的所有高级急诊医师发送了问卷。

结果

总共分析了81个响应。总计83％的受访者以前曾在儿科工作过。总体而言，有90％的受访者表示在急诊部门内照顾儿童，而在医院外则有93％（在初次干预期间为100％，在医院间转移等二次干预期间为39％）。14％的受访者认为他们接受的儿科医学教育适应了当前的做法，而73％的受访者表示在处理儿科紧急情况时遇到困难（技术困难，不合适的材料和治疗方法，关系问题，个人忧虑，疾病或年龄特殊的困难，尤其是2至3岁的儿童）。

结论

尽管缺乏儿科医学教育，大多数普通急诊医师报告仍照顾儿童。应加强儿科医学教育以及全科医生和专业儿科团队之间的合作，以更好地满足普通急诊科的需求，并提高儿童初级和急性护理的质量。