Pediatric traumatic hemorrhagic shock consensus conference recommendations.

Robert T Russell1, Joseph R Esparaz, Michael A Beckwith

  • 1From the Division of Pediatric Surgery, Department of Surgery (R.T.R., J.R.E.), University of Alabama at Birmingham, Children's of Alabama, Birmingham, Alabama; Division of Pediatric Surgery, Department of Surgery (M.A.B.), University of Michigan, Ann Arbor, Michigan; Department of Surgery (P.J.A.), University of Alabama at Birmingham, Birmingham, Alabama; Division of Anesthesiology and Critical Care Medicine (M.M.B.), Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Pediatrics (M.A.B.), Brooke Army Medical Center, Uniformed Services University; Division of Trauma and Burn Surgery (R.S.B.), Children's National Hospital, Washington, DC; Department of Surgery (B.A.G.), University of Pittsburgh School of Medicine, UPMC Children's Hospital, Pittsburgh, Pennsylvania; Division of Pediatric Surgery (M.J.), Doernbecher Children's Hospital, Oregon Health and Science University, Portland, Oregon; Departments of Pathology and Laboratory Medicine (C.D.J.) and Pediatrics (C.D.J.), Emory University School of Medicine, Atlanta, Georgia; Department of Surgery (C.L.), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; Department of Pediatrics (J.C.L.), Division of Emergency Medicine, The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio; Division of Critical Care Medicine (J.A.M.), The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio; Department of Pathology and Laboratory Medicine (K.K.N.), Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio; Department of Emergency Medicine (D.K.N.), Davis School of Medicine, University of California, Sacramento, California; Department of Anesthesiology and Critical Care (P.A.S.), The Children's Hospital of Philadelphia, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Divisions of Pediatric Surgery (A.M.V.) and Critical Care (A.M.V.), Texas Children's Hospital, Baylor College of Medicine, Houston, Texas; Department of Pathology (T.E.W.), Division of Pediatric Hematology and Oncology, Oregon Health and Science University, Portland, Oregon; and Department of Surgery and Critical Care Medicine (P.C.S.), University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

Summary

Pediatric traumatic hemorrhagic shock management is challenging. This consensus conference provides 21 recommendations on hemostatic resuscitation, prehospital care, and guided resuscitation for pediatric trauma patients.

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