Related Experiment Video

Updated: Dec 22, 2025

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

7.1K

Trauma transfers to the pediatric emergency department - Is it necessary?

Min Hui Lyria Hoa1, Yong-Kwang Gene Ong2, Jen Heng Pek1

  • 1Department of Emergency Medicine, Sengkang General Hospital, Singapore.

Turkish Journal of Emergency Medicine
|May 2, 2020
PubMed

Insights

Approximately 29% of pediatric trauma transfers were unnecessary, increasing healthcare costs and workload. Further research is needed to identify reasons and implement targeted interventions for improved pediatric trauma care.

Area of Science:

  • Emergency Medicine
  • Pediatric Trauma Care
  • Healthcare Management

Background:

  • Pediatric trauma patients are often transferred between emergency departments (EDs).
  • Unnecessary transfers incur additional healthcare costs, increase workload, and reduce patient satisfaction.
  • Evaluating the necessity of these transfers is crucial for optimizing care.

Purpose of the Study:

  • To determine the proportion of unnecessary pediatric trauma transfers.
  • To describe the characteristics of patients involved in these transfers.
  • To identify factors associated with unnecessary transfers.

Main Methods:

  • Retrospective chart review of trauma cases from January to April 2017.
  • Data collected included patient demographics, diagnoses, and clinical outcomes.
  • Unnecessary transfers were defined as those where patients were discharged from the pediatric ED without therapeutic procedures.

Main Results:

  • 117 trauma transfers were analyzed; 29.1% were deemed unnecessary.
  • The mean age of transferred patients was 8.3 years, with 65.8% being male.
  • No significant association was found between referring ED and discharge, discharge without procedure, or length of stay.

Conclusions:

  • A significant proportion of pediatric trauma transfers are unnecessary.
  • Further investigation is required to understand the specific reasons for these transfers.
  • Collaborative efforts are needed to develop targeted interventions to improve pediatric trauma care efficiency.
Abstract

Keywords:
Pediatrictransfertrauma

More Related Videos

Maintenance of a Lateral Fluid Percussion Injury Device05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

1.3K
A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)07:01

A Pediatric Concussion Model in Mice: Closed Head Injury with Long-Term Disorders (CHILD)

Published on: February 7, 2025

778

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
437
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
148
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
173
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
194
Post-traumatic Stress Disorder01:27

Post-traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
371
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
170