Effectiveness of Simple Pediatric Rapid Response Team (PRRT)

at COVID-19 Emergency Hospital Kemayoran (RSDCWAK)

Fitria Mahrunnisa, Tiona Romauli, NPA Natasha Anjasmara, Safitri Nenik, Nia Fitriyani
COVID-19 Emergency Hospital Kemayoran
BACKGROUND
Consist of 4 buildings with total 7800 beds capacity, RSDCWAK

were run by only 2 to 4 physicians for each building. Pediatric

emergency condition related to Covid-19 might happen suddenly

and need early recognition. On limited resources, simple PRRT

may help for early recognition of emergency condition and avoid

deterioration for better outcome.

OBJECTIVE  AND  METHOD
Objective
To identify effectiveness of
simple PRRT activation in
RSDCWAK.
Method
A descriptive-observational
study from PRRT activation
report in RSDCWAK during
December 2020 to August
2021.
 RESULT
Simple, 1-tier system PRRT in RSDCWAK consist of pediatrician, trained-physician assistants, nursing&physician
supervisor and pharmacist. It uses PEWS as activation criteria if initiating event happens in the ward, as shown at figure 1.
There were 27 PRRT activations during 9 months, consist of 11 true-emergency cases (41%) with median age 4 years old,
most cases were cardio-respiratory compromise (80%) which successfully identified, delivered early treatment and rapid
transfer. Others were 9 non-emergencies (33%) and 7 false-alarm activation (26%) that might happen due to more variable
to be considered related to child-age specific norms in emergency condition.

Figure 1. Simple PRRT Activation flowchart

in identification and escalation for at-risk
patients
CONCLUSION
Simple PRRT may help for recognizing pediatric emergency

condition during mass casualty incidents involving pediatric

patientsInsert  the  title  of  your  subtitle  Here

on limited resources. Establishing no-false-alarm

approach is recommended to prevent unnecessary PRRT

activations.