Paediatric prehospital trauma

The commonest cause of death in children is trauma, yet few studies have been undertaken to study their needs in the prehospital setting. This article examines the problems associated with seriously traumatized children in the prehospital setting and reviews their management with reference to the specific differences between adults and children. A systematic review of the primary survey is made. Other important aspects of their care including equipment, analgesia, child abuse and accident prevention are also discussed. The need for further research in this field to allow children to enjoy the standard of care afforded adults is emphasized.

[1]  E. Posner.  Advanced paediatric life support: the practical approach, 3rd edition , 2004 .

[2]  K. Porter,et al.  Consensus on the prehospital approach to burns patient management , 2004, Emergency Medicine Journal.

[3]  Henry E. Wang,et al.  I NTRAOSSEOUS I NFUSION , 2003, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[4]  Henry E. Wang,et al.  Intraosseous infusion. , 2003, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[5]  K. Porter,et al.  Fluid resuscitation in prehospital trauma care: a consensus view , 2002, Emergency medicine journal : EMJ.

[6]  R. Sunderland.  Child abuse: recognizing the injuries , 2002 .

[7]  K. Porter,et al.  Fluid resuscitation in pre-hospital trauma care: a consensus view , 2002, Journal of the Royal Army Medical Corps.

[8]  I. Maconochie,et al.  Paediatric capillary refill times , 2001 .

[9]  J. Kendall,et al.  Multicentre randomised controlled trial of nasal diamorphine for analgesia in children and teenagers with clinical fractures , 2001, BMJ : British Medical Journal.

[10]  F. Jewkes.  Prehospital emergency care for children , 2001, Archives of disease in childhood.

[11]  J. Haas.  Effect of Out-of-Hospital Pediatric Endotracheal Intubation on Survival and Neurological Outcome , 2000 .

[12]  D. Trickey,et al.  Long-term psychiatric effects of trauma on children , 2000 .

[13]  P. Howard,et al.  Pediatric education for prehospital professionals. , 2000, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[14]  S J Stratton,et al.  Effect of out-of-hospital pediatric endotracheal intubation on survival and neurological outcome: a controlled clinical trial. , 2000, JAMA.

[15]  I. Barker.  Pre-hospital Paediatric Life Support , 2000, BMJ : British Medical Journal.

[16]  F. Winston,et al.  Looking beyond the physical injury: posttraumatic stress disorder in children and parents after pediatric traffic injury. , 1999, Pediatrics.

[17]  C. Paidas,et al.  CHILDHOOD TRAUMA: Now and in the New Millennium , 1999 .

[18]  M. Cooke.  How much to do at the accident scene? , 1999, BMJ.

[19]  T. Esposito,et al.  Analysis of preventable pediatric trauma deaths and inappropriate trauma care in Montana. , 1999, The Journal of trauma.

[20]  N. Morton,et al.  Prevention and control of pain in children. , 1999, British journal of anaesthesia.

[21]  S. Tibby,et al.  Capillary refill and core–peripheral temperature gap as indicators of haemodynamic status in paediatric intensive care patients , 1999, Archives of disease in childhood.

[22]  Toni M. Lanotte,et al.  The Kendrick extrication device used for pediatric spinal immobilization. , 1999, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[23]  P. Sacher,et al.  A prospective, randomized, and controlled study of fluid management in children with severe head injury: lactated Ringer's solution versus hypertonic saline. , 1998, Critical care medicine.

[24]  T. Pittman,et al.  Early hypotension worsens neurological outcome in pediatric patients with moderately severe head trauma. , 1998, Journal of pediatric surgery.

[25]  R. T. Kiskaddon,et al.  Children and adults in cardiopulmonary arrest: are advanced life support guidelines followed in the prehospital setting? , 1997, Annals of emergency medicine.

[26]  C. Pieper,et al.  Capillary refilling time in newborn babies: normal values , 1997, Archives of disease in childhood. Fetal and neonatal edition.

[27]  C. Wade,et al.  Individual patient cohort analysis of the efficacy of hypertonic saline/dextran in patients with traumatic brain injury and hypotension. , 1997, The Journal of trauma.

[28]  M. McCabe,et al.  Intraosseous infusion--a technique available for intravascular administration of drugs and fluids in the child with burns. , 1995, Burns : journal of the International Society for Burn Injuries.

[29]  R. Stanhope,et al.  Hazards of pharmacological tests of growth hormone secretion in childhood. , 1992, BMJ.

[30]  J. Eyre,et al.  Avoidable factors contributing to death of children with head injury. , 1990, BMJ.

[31]  J. Young,et al.  Preventable pediatric trauma deaths in a metropolitan region. , 1989, Journal of pediatric surgery.