{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T17:50:03Z","timestamp":1788630603202,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T00:00:00Z","timestamp":1445472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The department of Anaesthesia and Intensive Care, Helsinki University Hospital"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We wanted to study the incidence, distribution and characteristics of paediatric out\u2010of\u2010hospital emergency care on a population level. This knowledge could ameliorate the design and education of emergency medical services and their personnel.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We studied all (<jats:italic>n<\/jats:italic> = 1863) emergency medical services responses and the patient records for paediatric patients (age 0\u201316 years) in Helsinki, Finland (population 603,968, paediatric population 92,742) during a 12\u2010month period (2012). Patient characteristics, diagnoses, time intervals, medical treatments, procedures, vital measurements and outcome of out\u2010of\u2010hospital treatment were available for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of emergency medical services \u2010treated paediatric out\u2010of\u2010hospital emergencies was 3.8\/1000 inhabitants and 20\/1000 1\u201316\u2010year\u2010old inhabitants. This formed 4.5% of all emergency calls, while children have a threefold share of the population (15%). Falls, dyspnoea, seizures and poisonings account for half of all emergencies. Few patients suffered from a life\u2010threatening condition or trauma. Cardiac arrest or need for advanced life support measures (e.g. intubation) was rare. After evaluation by the emergency medical services, only half of the patients (56%) needed ambulance transportation to hospital. Only 30 (3.7%) of the non\u2010transported patients made an unpremeditated visit to the emergency department after the original contact with the emergency medical services. All of them were well upon arrival to the emergency department.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Paediatric out\u2010of\u2010hospital emergencies are infrequent and have specific characteristics differing from the adult population. The design and training of emergency medical services and their personnel should focus on evaluation and management of the most frequent situations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12648","type":"journal-article","created":{"date-parts":[[2015,10,22]],"date-time":"2015-10-22T05:48:45Z","timestamp":1445492925000},"page":"360-369","source":"Crossref","is-referenced-by-count":23,"title":["Out\u2010of\u2010hospital paediatric emergencies: a prospective, population\u2010based study"],"prefix":"10.1111","volume":"60","author":[{"given":"H.","family":"Harve","sequence":"first","affiliation":[{"name":"Emergency Medical Services Department of Emergency Care University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Salmi","sequence":"additional","affiliation":[{"name":"Children's Hospital University of Helsinki and Helsinki University Hospital Helsinki Finland"},{"name":"Anaesthesiology and Intensive Care University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Rahiala","sequence":"additional","affiliation":[{"name":"Children's Hospital University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Pohjalainen","sequence":"additional","affiliation":[{"name":"National Institute for Health and Welfare Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Kuisma","sequence":"additional","affiliation":[{"name":"Emergency Medical Services Department of Emergency Care University of Helsinki and Helsinki University Hospital Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2014.995850"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/10903127.2013.836262"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-009-1603-3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-011-0006-z"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.66531"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-200102000-00002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1017\/S1481803500013312","article-title":"Management and outcomes of pediatric patients transported by emergency medical services in a Canadian prehospital system","volume":"8","author":"Richard J","year":"2006","journal-title":"Can J Emerg Med"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903120802100167"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2009.05.008"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip.5.4.294"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.1997.tb03696.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10903120500373322"},{"key":"e_1_2_7_14_1","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1542\/peds.88.4.681","article-title":"Pediatric prehospital care in urban and rural areas","volume":"88","author":"Seidel JS","year":"1991","journal-title":"Pediatrics"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1553-2712.2000.tb02261.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X00042928"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181fa3c17"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199606000-00006"},{"key":"e_1_2_7_19_1","volume-title":"Newborns 2012. 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