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Prevalence of Unique Pediatric Pathologies Encountered by Paramedic Students Across Age Groups

  • Eric V. Ernest (a1), Tom B. Brazelton (a2), Elliot D. Carhart (a3), Jonathan R. Studnek (a4), Patricia L. Tritt (a5), Genghis A. Philip (a6) and Aaron M. Burnett (a1)...

Abstract

Introduction

Traditionally, Emergency Medical Services (EMS) educators have divided the pediatric population into age groups to assist in targeting their clinical and didactic curriculum. Currently, the accrediting body for paramedic training programs requires student exposure to pediatric patients based entirely on age without specifying exposure to specific pathologies within each age stratification. Identifying which pathologies are most common within the different pediatric age groups would allow educators to design curriculum targeting the most prevalent pathologies in each age group and incorporating the physiologic and psychological developmental milestones commonly seen at that age.

Hypothesis

It was hypothesized that there are unique clusterings of pathologies, represented by paramedic student primary impressions, that are found in different age groups which can be used to target provider education.

Methods

This is a retrospective review of prospectively collected data documented by paramedic students in the Fisdap (Field Internship Student Data Acquisition Project; Saint Paul, Minnesota USA) database over a one-year period. For the purposes of this study, pediatric patients were defined arbitrarily as those between the ages of 0-16 years. All paramedic student primary impressions recorded in Fisdap for patients aged 0-16 years were abstracted. Primary impression by age was calculated and graphed. The frequency of primary impression was then assessed for significance of trend by age with an alpha ≤.05 considered significant.

Results

The following primary impressions showed clinically and statistically significant variability in prevalence among different pediatric age groups: respiratory distress, medical-other, abdominal pain, seizure, overdose/poisoning, behavioral, and cardiac. In patients less than 13 years old, respiratory and other-medical were the most common two primary impressions and both decreased with age. In patients 5-16 years old, the prevalence of abdominal pain and behavioral/psych increased. Bimodal distributions for overdose were seen with one spike in the toddler and another in the adolescent population. Seizures were most common in the age group associated with febrile seizure. Sepsis was seen most often in the youngest patients and its prevalence decreased with age.

Conclusion

There are statistically significant variations in the frequency of paramedic student primary impressions as a function of age in the pediatric population. Emphasizing paramedic student exposure to the most common pathologies encountered in each age group, in the context of the psychological and physiological milestones of each age, may improve paramedic student pediatric practice.

Ernest EV , Brazelton TB , Carhart ED , Studnek JR , Tritt PL , Philip GA , Burnett AM . Prevalence of Unique Pediatric Pathologies Encountered by Paramedic Students Across Age Groups. Prehosp Disaster Med. 2016; 31(4):386391.

Copyright

Corresponding author

Correspondence: Aaron Burnett, MD Regions Hospital EMS 640 Jackson Street, Mail Stop 13801B Saint Paul, Minnesota 55101 USA E-mail: Aaron.M.Burnett@HealthPartners.com

References

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1. Contopoulos-Ioannidis, DG, Seto, I, Hamm, MP, et al. Empirical evaluation of age groups and age-subgroup analyses in pediatric randomized trials and pediatric meta-analyses. Pediatrics. 2012;129(Suppl 3):S161-S184.
2. Williams, K, Thomson, D, Seto, I, et al. Standard 6: age groups for pediatric trials. Pediatrics. 2012;129(Suppl 3):S153-S160.
3. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Definitions released July 6, 2011. http://www.nichd.nih.gov/health/clinicalresearch/clinical-researchers/terminology/Pages/index.aspx. Accessed May 14, 2015.
4. CoAEMSP Interpretations of the CAAHEP Standards and Guidelines for the Accreditation of Education Programs in the EMS Professions. http://coaemsp.org/Documents/Standards_Interpretations_CoAEMSP-8-2-2014.pdf. Accessed November 4, 2015.
5. Ostapchuk, M, Roberts, DM, Haddy, R. Community-acquired pneumonia in infants and children. Am Fam Physician. 2004;70(5):899-908.
6. Bradley, JS, Byington, CL, Shah, SS, et al. The management of community-acquired pneumonia in infants and children older than 3 months of age: clinical practice guidelines by the Pediatric Infectious Diseases Society and the Infectious Diseases Society of America. Clin Infect Dis. 2011;53(7):e25-e76.
7. Schneider, DT, Calaminus, G, Koch, S, et al. Epidemiologic analysis of 1,442 children and adolescents registered in the German germ cell tumor protocols. Pediat Blood Cancer. 2004;42(2):169-175.
8. Brown, RL, Brunn, MA, Garcia, VF. Cervical spine injuries in children: a review of 103 patients treated consecutively at a Level 1 pediatric trauma center. J Pediatr Surg. 2001;36(8):1107-1114.
9. Stevens, SL, Alexander, JL. The impact of training and experience on EMS providers’ feelings toward pediatric emergencies in a rural state. Pediatr Emerg Care. 2005;21(1):12-17.
10. Wang, HE, Seitz, SR, Hostler, D, Yealy, DM. Defining the learning curve for paramedic student endotracheal intubation. Prehosp Emerg Care. 2005;9(2):156-162.
11. Salzman, JG, Page, D, Kaye, K, Stetham, N. Paramedic student adherence to the National Standard Curriculum recommendations. Prehosp Emerg Care. 2007;11(4):448-452.
12. Bourn, S. A comparison of the clinical environment for the paramedic intern and the practicing paramedic [Abstract]. Presented at the National EMS Educators Association Symposium. St. Louis, Missouri USA. September 11-14, 2008.

Keywords

Prevalence of Unique Pediatric Pathologies Encountered by Paramedic Students Across Age Groups

  • Eric V. Ernest (a1), Tom B. Brazelton (a2), Elliot D. Carhart (a3), Jonathan R. Studnek (a4), Patricia L. Tritt (a5), Genghis A. Philip (a6) and Aaron M. Burnett (a1)...

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