title: [Specific aspects of pediatric emergencies in the prehospital setting].
abstract: Life-threatening pediatric emergencies are relatively rare in the prehospital setting; therefore, the treating emergency physician may not always be familiar with and well trained in these situations. However, pediatric emergencies require early recognition and initiation of specific diagnostic and therapeutic interventions to prevent further complications. Treatment of pediatric emergencies follows current recommendations as detailed in published international guidelines. The aim of this review is to provide specific information with regard to respiratory, cardiac and neurological medical emergencies commnly encountered in children in the prehospital setting. It is not the aim of this review article to provide specific guidance with regard to a variety of surgical emergencies. Due to improved treatment modalities the emergency medical team may also be confronted with acutely ill children with very severe and complex underlying clinical syndromes (e.g. complex cardiac malformations and syndromic genetic disorders). This article also provides specific information with regard to treatment of this susceptible and vulnerable patient cohort.
authors.affiliation: Klinik für Allgemeine Pädiatrie und Neonatologie, Bereich Pädiatrische und Neonatologische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrbergerstr. 9, 66421, Homburg, Deutschland. sascha.meyer@uks.eu.
authors.forename: S
authors.initials: S
authors.lastname: Meyer
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Grundmann
authors.affiliation: Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Reinert
authors.affiliation: Klinik für Allgemeine Pädiatrie und Neonatologie, Bereich Pädiatrische und Neonatologische Intensivmedizin, Universitätsklinikum des Saarlandes, Kirrbergerstr. 9, 66421, Homburg, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Gortner
mesh_terms: D002648:Child; D042241:Early Diagnosis; D061345:Early Medical Intervention / Q000379:methods; D004632:Emergency Medical Services / Q000379:methods*; D005858:Germany; D019983:Guideline Adherence; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000628:therapy; D006333:Heart Failure / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D009422:Nervous System Diseases / Q000175:diagnosis / Q000628:therapy; D010348:Patient Care Team; D010372:Pediatrics / Q000379:methods*; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000628:therapy; D012151:Resuscitation / Q000379:methods
keywords: Cardiac emergencies; Complex malformation syndromes; Neurological emergencies; Respiratory emergencies; Resuscitation