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Master Thesis

Étude analytique rétrospective des appels concernant les enfants de 48 mois et moins à la régulation du SAMU 35 en 2018

Abstract : Introduction: In France thanks to Emergency Medical Assistance and the Permanence of Ambulatory Care access to care is available 24/7. It is regulated by the reception and regulation centers of the SAMU calls. Few elements are known about pediatric calls. This study aims to analyze the characteristics of calls and the medical problems motivating them. Methods: We carried out a retrospective observational analytic study on call control records for children aged 48 months and under at the UAS of Ille-et-Vilaine in 2018. We decided to analyze the calls of the days 1, 10 and 20 of each month. Thus we have determined the main reasons for calls. The data were analyzed using descriptive statistics. Results: Of 160,938 cases, 17,859 (11.10%) involved children aged 48 months or less. We excluded 16,016 (out-of-day calls 1, 10 and 20), and analyzed 1843 files. The main motivating motives were: fever (28.76%), head trauma (11.72%), and digestive symptoms (10.04%). The most common prehospital response was medical advice (50.90%). Discussion: Our results provide a better understanding of pediatric emergency calls and could be useful in guiding the pediatric training of regulatory staff. Conclusion: In a French urgent care system overwhelmed by the increase in requests and consultations, a better knowledge of the characteristics of the patients and their needs can help to improve the organization and the pre-hospital care.
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Master Thesis
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Johanna Raynier. Étude analytique rétrospective des appels concernant les enfants de 48 mois et moins à la régulation du SAMU 35 en 2018. Médecine humaine et pathologie. 2019. ⟨dumas-02503558⟩

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