Triage System and Emergency Pediatric Medical Care

Case Report

Austin Surg Case Rep. 2020; 5(1): 1035.

Triage System and Emergency Pediatric Medical Care

Mejzinolli A1, Lenjani B1*, Krasniqi B2, Beqiri L2, Berisha A3, Makolli S3 and Lenjani D3

¹Department of Pediatric Clinic Emergency, University Clinical Centre of Kosovo, Pristine, Kosovo

²Departament of Nursing, University Clinical Centre of Kosovo, Pristine, Kosovo

³Departament of Radiology, University Clinical Centre of Kosovo, Resonance, Pristine, Kosovo

*Corresponding author: Basri Lenjani, Emergency Specialist, Director of Emergency Clinic, Hospital University Clinical Service of Kosovo University Clinical Centre of Kosovo, Pristina, Kosovo

Received: March 07, 2020; Accepted: March 30, 2020; Published: April 06, 2020

Abstract

Triage system is a process that is critical to the effective management of modern emergency departments. The triage systems aim not only to provide a fair clinical evaluation for the sick, injured and poisoned children, but also to provide a good effective approach to the organization, monitoring and evaluation of emergency medical care in the pediatric emergency departments Over the past 20 years in the world and in Europe, triage systems have been standardized in a number of countries and are making efforts to ensure sustainability of compulsory implementation. In addition, differences at international levels in triad systems, but limits capacities to benchmark standards.

The purpose of this paper is to enable pediatric emergency pediatric healthcare professionals to quickly evaluate, monitor, treat, and transport medical care, and to understand, learn, and apply the newest guidelines of the triage system with priorities. The research of the paper aims to make pediatric emergent medical care professionals in hospital settings to do a fairly fast triage, reducing morbidity, invalidity and mortality in the pediatric emergency department at the hospital.

Triage systems in our country at three levels of health care do not work, is a chaotic system because there are no clinical guidelines, algorithms important component should create mandatory triads in three health care providers, advancing, strengthening the triad system as an important component of health care. Education, training of professionals of health care professionals for the three levels of health care should be an obligatory component to increase the quality of emergency medical care in life-threatening children. It’s time to develop and test a triad scheme that will be based on a triad system that will respond and adapt to the conditions of our health system.

Keywords: Triage; Paediatrician; Seriously Ill Critical Children; Convulsive Attacks; Shock; Health Care

Introduction

Pediatric emergency triage system and emergency medical care is a process that is critical to the effective management of modern emergency departments. Trial Systems aim not only to provide a fair clinical assessment for sick, injured and poisoned children, but also to provide a good effective approach to the organization, monitoring and evaluation of emergency medical care in pediatric emergency departments. Over the last 20 years in the world and in Europe, triage systems have been standardized in a number of countries and are making efforts to ensure the sustainability of enforcement.

In addition, differences at international level in triage systems but limit the capacity to benchmark. The country-level triage system in chaotic, disorganized Kosovo does not function as a synchronized system but there is no official standard, normative tri-level triage system for health system organization.

WHO Emergency triage, assessment and treatment guidelines are used to identify children with life-threatening problems who present with signs and symptoms that should be treated as medical emergencies. But the Kosovo Ministry of Health should bear in mind that this important component should create mandatory triage standards in the three health care needs. It also needs advanced, empowered EMEA and the triage system as an important component of healthcare with education, education, training of health care professionals to enhance the quality of emergency medical care for children at risk.

Purpose of Work

The purpose of this paper is to enable and enable pediatric emergency health care professionals to do rapid triage, assessment, monitoring, treatment, and transport with medical care. To understand, learn, apply the newest triage system guidelines with priority by reducing morbidity, disability and mortality in the hospital pediatric emergency department.

Material and Methods

The research material was obtained from the Children’s Clinic archive at the UCCK Pediatric Emergency Department for the period January - December 2016. The research is retrospective, descriptive, and qualitative. 17 years of age with acute life-threatening illnesses by researching the pattern of triage, gender, age, place of residence, seasons of the year, monitoring, observation, diagnosis, treatment, complications, referral and education of pediatric emergency medical professionals. The sample surveyed 220 cases of children with triad of life-threatening life-threatening illnesses by pediatric emergency medical professionals with serious illnesses such as; febrile convulsive attacks, severe dehydration, hypoxemia, pneumonia, shock, metabolic problem, respiratory distress, cardiac arrest, electrolyte imbalance.

Description of data processing Description of data processing is performed statistical parameters, (worked out Excel Word) structure index, arithmetic mean and standard deviation. Statistical tests: X2-test and T-test. Test verification was done for the 95% and 99% confidence levels, respectively for p <0.01 and p <0.05.

Results

The research material was obtained from the Children’s Clinic archive at the UCCK Pediatric Emergency Department for the period January - December 2016. The research is retrospective, descriptive, qualitative. Only 28-day-old babies up to the age of 17 with acute lifethreatening illnesses treated in Department of Pediatric Emergency of UCCK in Prishtina, out of the total number were 23,320 cases 99.69%, and of them were 327 emergency cases or 1.31% (Table 1).