The Kids Are Alright : Pediatric Trauma Pearls - 23/11/17

Doi : 10.1016/j.emc.2017.08.015

Angelo Mikrogianakis, MD, FRCPC ^a,^b,^⁎ , Vincent Grant, MD, FRCPC ^a,^b
^a Department of Pediatrics, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail Northwest, Calgary, Alberta T3B 6A8, Canada
^b Department of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada

^∗Corresponding author. Department of Pediatrics, Alberta Children's Hospital, 2888 Shaganappi Trail Northwest, Calgary, Alberta T3B 6A8, Canada.Department of PediatricsAlberta Children's Hospital2888 Shaganappi Trail NorthwestCalgaryAlbertaT3B 6A8Canada

Résumé

Pediatric patients with trauma pose unique challenges, both practical and cognitive, to front-line care providers. The combination of anatomic, physiologic, and metabolic factors leads to unique injury patterns with different approaches and responses to treatment compared with adults. A similar traumatic mechanism can lead to slightly different internal injuries with unique management and treatment strategies between the two groups. This article is intended for community, nonpediatric trauma centers, and emergency physicians who are frequently required to assess, resuscitate, and stabilize injured children before they can be safely transferred to a pediatric trauma center for ongoing definitive care and rehabilitation.

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Keywords : Pediatric trauma, Pediatric primary survey, Pediatric airway, Pediatric C-spine, Pediatric head trauma, Pediatric trauma diagnostic imaging, Transport of the pediatric patients with trauma, Pediatric trauma simulation