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Published on: July 28, 2020
Advances in the treatment of pediatric trauma
1Trauma Center, Children's National Medical Center, Washington, DC 20010-2970, USA.
Insights
Pediatric trauma care requires specialized approaches due to children's unique physiology. This review covers injury causes, high-risk groups, and advanced resuscitation and evaluation for pediatric trauma patients.
Area of Science:
- Pediatric emergency medicine
- Trauma surgery
- Child health outcomes
Background:
- Injury is the primary cause of death in US children over one year old.
- Pediatric trauma incurs significant annual acute care costs exceeding $15 billion.
- Children possess distinct anatomical and physiological characteristics necessitating specialized trauma care.
Purpose of the Study:
- To review common causes of pediatric injuries.
- To identify pediatric patient subgroups with elevated mortality risk.
- To present updated protocols for pediatric trauma assessment and management.
Main Methods:
- Literature review of pediatric injury etiologies.
- Analysis of mortality risk factors in pediatric trauma.
- Discussion of resuscitation strategies including fluid management and shock evaluation.
- Presentation of diagnostic and treatment protocols for specific injuries (head, thoracic, abdominal, pelvic).
Main Results:
- Identifies key injury etiologies and high-risk pediatric populations.
- Emphasizes specialized resuscitation techniques for pediatric shock.
- Outlines current diagnostic and therapeutic advancements for common pediatric injuries.
Conclusions:
- Specialized care is crucial for improving outcomes in pediatric trauma.
- Early recognition and tailored management of pediatric injuries can reduce mortality.
- Advances in diagnosis and treatment enhance rehabilitation for injured children.
Abstract:
Injury is the leading cause of death among US children over 1 year of age. The financial burden of acute care is over $15 billion annually. The unique anatomic and physiologic differences of children predispose them to certain types of injuries and require a specialized approach to pediatric trauma care. This article reviews the common etiologies of injuries to children and identifies injury subgroups at increased risk of mortality. Resuscitation and assessment are discussed, emphasizing fluid management, rapid intravenous access, and the physiologic evaluation of the child in shock. Protocols for evaluating head, thoracic, abdominal, and pelvic injuries are presented in light of recent advances in the diagnosis, treatment, and rehabilitation of children sustaining these injuries.
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