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Pre hospital intensive care in multiple trauma children

C Hervé, M Gaillard, J L Petit

    Acta Anaesthesiologica Belgica
    |January 1, 1986
    PubMed

    Insights

    Mobile Medical Emergency and Intensive Care Services treated 1,272 injured children from 1979-1984. Despite intensive care, 35% of severely injured pediatric trauma patients died, highlighting the need for advanced emergency medical services.

    Area of Science:

    • Pediatric Emergency Medicine
    • Trauma Surgery
    • Public Health

    Background:

    • From 1979 to 1984, a Mobile Medical Emergency and Intensive Care Service in Val-de-Marne, France, managed 1,272 cases of injured children.
    • The patient population ranged in age from 11 days to 15 years.

    Purpose of the Study:

    • To analyze the characteristics and outcomes of pediatric trauma cases requiring mobile intensive care.
    • To evaluate the effectiveness of emergency medical interventions for severely injured children.

    Main Methods:

    • Retrospective analysis of all pediatric trauma calls (1979-1984).
    • Data collected included patient demographics, injury mechanisms, severity, interventions, and mortality.
    • Categorization of injuries into multiple trauma, neurosurgical, and other critical conditions.

    Main Results:

    • 25% of cases (322 children) were classified as very serious trauma, with 45 in cardiac arrest.
    • Traffic accidents were the most common cause (252 cases), followed by falls (48 cases).
    • Overall mortality rate was 35% (114 cases), with 26% of hospitalized children dying during their stay.

    Conclusions:

    • Pediatric trauma remains a significant cause of mortality, even with advanced mobile intensive care.
    • The study underscores the critical need for prompt and specialized medical intervention for critically injured children.
    • Further research into injury prevention and improved pre-hospital care strategies is warranted.

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