title: Prehospital paediatric emergencies in Belgium: an epidemiologic study.
abstract: OBJECTIVE
  In Belgium, emergency medical services (EMS) are staffed with a medical team if mandatory according to the regulation authority procedures. Children are involved in interventions, but no extensive data are available in the country. We analysed the characteristics of the children involved in EMS to gain better knowledge of the pathologies and the needs of these patients.
  
  
  METHODS
  A retrospective review of all patients under 16 years of age dealt with by our EMS team during a 2-year period.
  
  
  RESULTS
  During the 2010-2011 period, our EMS performed 229 paediatric missions. Most of the patients (76.0%) presented medical conditions. Seizure was the most common diagnosis (34.1%), including febrile convulsions in 55.1% of the cases. Five patients (2.2%) suffered a cardiac arrest. All of them died despite advanced life support. Two more patients died before or just after admission to the emergency room. In the subgroup of patients admitted to our hospital, 26.6% needed drug administration and 43.2% were discharged home after emergency room management.
  
  
  CONCLUSIONS
  Prehospital paediatric emergencies are rarely life-threatening conditions and seldom need advanced medical interventions. However, the outcome of real life-threatening conditions is poor, therefore emphasizing the need for better trained teams.
authors.affiliation: Departments of aAcute Medicine bPediatrics, St-Luc University Hospital, Brussels, Belgium.
authors.forename: Laurent
authors.initials: L
authors.lastname: Houtekie
authors.forename: Philippe
authors.initials: P
authors.lastname: Meert
authors.forename: Frédéric
authors.initials: F
authors.lastname: Thys
authors.forename: Vanessa
authors.initials: V
authors.lastname: Guy-Viterbo
authors.forename: Stéphan
authors.initials: S
authors.lastname: Clement de Clety
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D001530:Belgium / Q000453:epidemiology; D016887:Cardiopulmonary Resuscitation / Q000379:methods / Q000401:mortality; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004630:Emergencies / Q000453:epidemiology*; D004632:Emergency Medical Services / Q000458:organization & administration*; D016021:Epidemiologic Studies; D004827:Epilepsy / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D020380:Needs Assessment; D058687:Out-of-Hospital Cardiac Arrest / Q000453:epidemiology* / Q000628:therapy; D010372:Pediatrics / Q000458:organization & administration*; D012189:Retrospective Studies; D018570:Risk Assessment; D017678:Sex Distribution; D016019:Survival Analysis