Paediatric aeromedical retrievals in the 'Top End' of the Northern Territory.
OBJECTIVE
The primary objective of this study was to describe the remote paediatric aeromedical population of the 'Top End' of the Northern Territory. The secondary objective was to identify children requiring high-dependency care by the transport team.


METHODS
Retrospective case review.


METHODS
Aeromedical service in the remote Northern Territory.


METHODS
All patients under the age of 16 years transported over a one-year period between February 2012 and February 2013.


METHODS
Age, gestation if newborn, diagnosis at referral, requirement for high-dependency care and transport team members.


RESULTS
Seven hundred eighty-nine children were transported with an average age of 4.4 years (range 0 days to 16 years). Nursing staff transferred 646 (82%). Respiratory problems (bronchiolitis and pneumonia) were the predominant illness type (31%). Other frequent diagnoses were trauma (11%), gastroenteritis (10%), cellulitis or abscess (9%) and the sequelae of streptococcal infection (8%). Thirty preterm infants including seven below 31 weeks gestation were transferred. Twenty-five children required high-dependency care, 15 of these on day 0 of life. Twenty-five required respiratory support, seven central venous access, four surfactant, two inotropes and one chest tubes.


CONCLUSIONS
The majority of paediatric aeromedical patients have an infective cause for their illness. Respiratory disease is the most common indication for aeromedical transport. The majority of patients are transferred by a flight nurse and do not require high-dependency care. The main risk factor identified for requiring high-dependency care during transport is respiratory distress in a newborn infant.
CareFlight, Darwin, Northern Territory, Australia.
Claire L
CL
Barker
Mark
M
Ross
D000293:Adolescent; D017732:Air Ambulances / Q000706:statistics & numerical data*; D001988:Bronchiolitis / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D016638:Critical Illness; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015876:Northern Territory; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy; D012189:Retrospective Studies; D012423:Rural Health
Aboriginal Health; paediatric; remote health; rural population health; rural/remote service