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[Translated article] Peripheral trauma treated in the paediatric emergency department: Descriptive study
S Suarez-Cabezas1, E Sanavia Morán1, A García García-Galán1
1Hospital Universitario Infanta Leonor, Madrid, Spain.
Summary
Pediatric peripheral trauma is common, with most cases being minor. A high rate of X-rays are requested, but few reveal fractures, suggesting a need for improved diagnostic protocols for pediatric limb injuries.
Area of Science:
- Pediatric Emergency Medicine
- Traumatology
- Radiology
Background:
- Peripheral trauma is a frequent reason for pediatric emergency department visits.
- Limited research exists on the characteristics of pediatric trauma patients.
- Understanding these characteristics is crucial for optimizing care.
Purpose of the Study:
- To characterize peripheral traumatic injuries in children within a specific region.
- To identify areas for potential improvement in the management of pediatric trauma.
- To analyze the utilization and yield of diagnostic imaging.
Main Methods:
- Retrospective descriptive study design.
- Analysis of computerized emergency department forms from January-February 2020.
- Inclusion of all pediatric patients presenting with peripheral trauma.
Main Results:
- 714 peripheral trauma cases accounted for 9.5% of total consultations.
- Schoolchildren (6-11 years) comprised 52.7% of cases.
- Ankle (27.5%) and fingers (17.2%) were most affected; fractures occurred in 6.7%.
- Radiographs were obtained in 78.6%, with only 9.6% showing pathology.
- Referrals to traumatology (16.4%) were mainly for elbow and knee injuries.
Conclusions:
- Pediatric peripheral trauma is generally benign, but diagnostic imaging is overutilized.
- New protocols are needed to reduce unnecessary X-ray requests and improve diagnostic yield.
- Enhanced training for pediatricians in managing elbow and knee trauma can improve patient care.
