A cross sectional study of the availability of paediatric emergency equipment in South African emergency units

Background: Despite children representing a significant proportion of Emergency Unit (EU) attendances globally, it is concerning that many healthcare facilities are inadequately equipped to deliver paediatric resuscitation. The rapid availability of a full range of paediatric emergency equipment is...

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Main Authors: Lauren Lai King, Baljit Cheema, D.J. van Hoving
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:African Journal of Emergency Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211419X20300628
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author Lauren Lai King
Baljit Cheema
D.J. van Hoving
author_facet Lauren Lai King
Baljit Cheema
D.J. van Hoving
author_sort Lauren Lai King
collection DOAJ
description Background: Despite children representing a significant proportion of Emergency Unit (EU) attendances globally, it is concerning that many healthcare facilities are inadequately equipped to deliver paediatric resuscitation. The rapid availability of a full range of paediatric emergency equipment is critical for delivery of effective, best-practice resuscitation. This study aimed to describe the availability of essential, functional paediatric emergency resuscitation equipment on or close to the resuscitation trolley, in 24-hour EUs in Cape Town, South Africa. Methods: A cross sectional study was conducted over a six-month period in government funded hospital EUs, providing 24-hour emergency paediatric care within the Cape Town Metropole. A standardised data collection sheet of essential resuscitation equipment expected to be available in the resuscitation area, was used. Items were considered to be available if at least one piece of equipment was present. Functionality of available equipment was defined as: equipment that hadn't expired, whose original packaging was not outwardly damaged or compromised and all components were present and intact. Results: Overall, a mean of 43% (30/69) of equipment was available on the resuscitation trolley across all hospitals. The overall mean availability of equipment in the resuscitation area was 49% (34/69) across all hospitals. Mean availability of functional equipment was 42% (29/69) overall, 41% (28/69) at district-level hospitals, and 45% (31/69) at regional/tertiary hospitals. Conclusion: Essential resuscitation equipment for children is insufficiently available at district-level and higher hospitals in the Cape Town Metropole. This is a modifiable barrier to the provision of high-quality paediatric emergency care.
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spelling doaj.art-e0120e32012b45d5b61b4e845d8bf26b2022-12-21T22:36:34ZengElsevierAfrican Journal of Emergency Medicine2211-419X2020-12-01104197202A cross sectional study of the availability of paediatric emergency equipment in South African emergency unitsLauren Lai King0Baljit Cheema1D.J. van Hoving2Division of Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Corresponding author.Division of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South AfricaDivision of Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaBackground: Despite children representing a significant proportion of Emergency Unit (EU) attendances globally, it is concerning that many healthcare facilities are inadequately equipped to deliver paediatric resuscitation. The rapid availability of a full range of paediatric emergency equipment is critical for delivery of effective, best-practice resuscitation. This study aimed to describe the availability of essential, functional paediatric emergency resuscitation equipment on or close to the resuscitation trolley, in 24-hour EUs in Cape Town, South Africa. Methods: A cross sectional study was conducted over a six-month period in government funded hospital EUs, providing 24-hour emergency paediatric care within the Cape Town Metropole. A standardised data collection sheet of essential resuscitation equipment expected to be available in the resuscitation area, was used. Items were considered to be available if at least one piece of equipment was present. Functionality of available equipment was defined as: equipment that hadn't expired, whose original packaging was not outwardly damaged or compromised and all components were present and intact. Results: Overall, a mean of 43% (30/69) of equipment was available on the resuscitation trolley across all hospitals. The overall mean availability of equipment in the resuscitation area was 49% (34/69) across all hospitals. Mean availability of functional equipment was 42% (29/69) overall, 41% (28/69) at district-level hospitals, and 45% (31/69) at regional/tertiary hospitals. Conclusion: Essential resuscitation equipment for children is insufficiently available at district-level and higher hospitals in the Cape Town Metropole. This is a modifiable barrier to the provision of high-quality paediatric emergency care.http://www.sciencedirect.com/science/article/pii/S2211419X20300628PaediatricEmergencyEquipmentResuscitationEmergency unit
spellingShingle Lauren Lai King
Baljit Cheema
D.J. van Hoving
A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
African Journal of Emergency Medicine
Paediatric
Emergency
Equipment
Resuscitation
Emergency unit
title A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
title_full A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
title_fullStr A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
title_full_unstemmed A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
title_short A cross sectional study of the availability of paediatric emergency equipment in South African emergency units
title_sort cross sectional study of the availability of paediatric emergency equipment in south african emergency units
topic Paediatric
Emergency
Equipment
Resuscitation
Emergency unit
url http://www.sciencedirect.com/science/article/pii/S2211419X20300628
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