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Critical care of the injured child
1Department of Surgery, University of Florida Health Science Center, Jacksonville 32209, USA.
Insights
Critical care for injured children extends initial trauma treatment. This approach anticipates and manages emerging complications and organ dysfunction following acute injury.
Area of Science:
- Pediatric critical care medicine
- Trauma surgery
- Emergency medicine
Background:
- Critical care for injured children is a continuation of trauma center care.
- Post-injury complications and organ dysfunction can emerge hours to days after the initial event.
- Effective management requires anticipating potential problems.
Purpose of the Study:
- To define an approach to critical care for severely injured children.
- To emphasize common problems encountered in pediatric critical care.
- To provide a framework for ongoing management after acute injury.
Main Methods:
- Organ system-based protocol.
- Problem-oriented approach.
- Anticipatory management strategies.
Main Results:
- The article outlines a systematic approach to pediatric critical care.
- It highlights common issues in managing seriously injured children.
- Focuses on proactive identification and management of complications.
Conclusions:
- Critical care for injured children should seamlessly extend initial resuscitation and stabilization.
- An organ system, problem-oriented protocol aids in anticipating and managing post-injury complications.
- This approach aims to improve outcomes for severely injured pediatric patients.
Abstract:
Critical care of the injured child should be an effective extension of aggressive resuscitation, stabilization, and definitive care. In the hours and days after acute injury, initially unnoticed lesions may emerge, secondary organ dysfunction may develop, and complications of primary injury or initial management may occur. We approach critical care of the severely injured child as a continuation of care begun in the trauma center. We follow an organ system, problem oriented protocol, and attempt to anticipate problems before they occur. This article defines our approach in general terms, with specific emphasis on the more common problems encountered in caring for seriously injured children.
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