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What injuries should we expect in the emergency room?

M Voth1, T Lustenberger1, B Auner1

  • 1Department of Trauma, Hand and Reconstructive Surgery, University Hospital, Goethe University Frankfurt, Frankfurt am Main, Germany.

Injury
|August 6, 2017
PubMed

Insights

Most pediatric trauma patients have minor injuries, but 25% sustain major injuries, including fractures. About 10% of pediatric trauma cases require surgery, with extremity fractures being most common.

Area of Science:

  • Pediatric Traumatology
  • Emergency Medicine
  • Orthopedic Surgery

Background:

  • The majority of pediatric emergency department visits are for minor trauma.
  • Understanding age-related injury patterns is crucial for effective pediatric trauma care.

Purpose of the Study:

  • To analyze age-specific injury patterns in pediatric trauma patients.
  • To determine trauma mechanisms and surgical intervention rates across different pediatric age groups.

Main Methods:

  • Retrospective analysis of pediatric trauma patients (<18 years) from 2008-2012 at a Level I trauma center.
  • Categorization of injuries into major (fractures, dislocations, organ injuries) and minor (contusions, wounds).
  • Analysis of injury mechanisms, patterns, and surgical needs by age group (0-3, 4-7, 8-12, 13-17 years).

Main Results:

  • 15,300 pediatric patients were included; 74% sustained minor injuries, while 26% had major injuries.
  • Extremity fractures, particularly elbow fractures, were the most common major injury (73% of major injuries).
  • Impact and falls were the leading trauma mechanisms; 10% of all patients required surgery.

Conclusions:

  • While most pediatric trauma involves minor injuries, a significant portion (25%) experience major trauma.
  • Extremity fractures are the predominant major injury in children, with elbow fractures being most frequent.
  • Approximately 10% of pediatric trauma patients necessitate surgical intervention.
Abstract

Keywords:
Emergency roomPediatricTrauma

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