Keywords
Pediatrics
Fractures
Extremities
Quality of Health Care
How to Cite
Abstract
Introduction. Limb trauma is a frequent cause of consultation in Pediatric Emergency Departments, requiring the coordinated care of pediatricians and traumatologists for an adequate assessment.
Objective. To describe the care process for patients with fractures that do not require reductio by Traumatologist and to analyze the care times consumed by these patients and their clinical impact of an improvement protocol.
Methodology. An Improvement Group was created to develop a joint protocol associated with accredited training of the emergency team for the adequate application of immobilizations in non-displaced fractures. The pre- and post-implementation phase and its impact on the care times consumed were analyzed.
Results. During the two study phases, 4,768 emergency episodes were obtained (phase 1: 2,462; phase 2: 2,306 emergencies). Injuries and traumas: phase 1: 435 episodes, phase 2: 459 episodes. Fracture diagnoses: phase 1: 78 episodes, phase 2: 99 episodes. 40 episodes with non-displaced limb fracture were selected per phase. No significant differences were observed in terms of age, sex or triage level between the episodes analyzed in the two phases. Regarding the time analyzed from medical attention to discharge and the total length of stay in the emergency room, a statistically significant difference was obtained.
Conclusion. The application in our setting of a new coordinated protocol for care of non-displaced peripheral fracture, has allowed a significant reduction in care times.
References
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