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Article: Abnormal ranges of vital signs in children in Japanese prehospital settings.

Nosaka, Nobuyuki / Muguruma, Takashi / Knaup, Emily / Tsukahara, Kohei / Enomoto, Yuki / Kaku, Noriyuki

Acute medicine & surgery

2015  Volume 2, Issue 4, Page(s) 267–270

Abstract: ... of the ranges by comparing published centile charts for these vital signs with records of 1,296 ambulance ... the FASD scale for children. This scale shows abnormal ranges of heart rate and respiratory rate ... in young children. This study aimed to evaluate the validity of the abnormal ranges on the FASD scale to assess ...

Abstract Aim: The revised Fire Service Law obliges each prefectural government in Japan to establish a prehospital acuity scale. The Foundation for Ambulance Service Development (FASD) created an acuity scale for use as a reference. Our preliminary survey revealed that 32 of 47 prefectures directly applied the FASD scale for children. This scale shows abnormal ranges of heart rate and respiratory rate in young children. This study aimed to evaluate the validity of the abnormal ranges on the FASD scale to assess its overall performance for triage purposes in paediatric patients.
Methods: We evaluated the validity of the ranges by comparing published centile charts for these vital signs with records of 1,296 ambulance patients.
Results: A large portion of the abnormal ranges on the scale substantially overlapped with the normal centile charts. Triage decisions using the FASD scale of vital signs properly classified 22% (
Conclusion: We found there is room for improvement of the abnormal ranges on the FASD scale.
Language English
Publishing date 2015-07-14
Publishing country United States
Document type Journal Article
ISSN 2052-8817
ISSN 2052-8817
DOI 10.1002/ams2.139
Database MEDical Literature Analysis and Retrieval System OnLINE

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