scholarly journals To give or not to give? Blood for pediatric trauma patients prior to pediatric trauma center arrival

2021 ◽  
Author(s):  
Gabrielle Shirek ◽  
Ryan Phillips ◽  
Niti Shahi ◽  
Kaci Pickett ◽  
Maxene Meier ◽  
...  
Keyword(s):  
Trauma Center ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Pediatric Trauma Center

scholarly journals Usefulness of Pelvic Radiographs in the Initial Trauma Evaluation with Concurrent CT: Is Additional Radiation Exposure Necessary?

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Anne K. Misiura ◽  
Autumn D. Nanassy ◽  
Jacqueline Urbine
Keyword(s):  
Trauma Center ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Additional Information ◽  
Pelvic Radiographs ◽  
Pelvic Radiograph ◽  
Digital Radiograph ◽  
Urban Level ◽  
Level I ◽  
Pediatric Trauma Center

Trauma patients in a Level I Pediatric Trauma Center may undergo CT of the abdomen and pelvis with concurrent radiograph during initial evaluation in an attempt to diagnose injury. To determine if plain digital radiograph of the pelvis adds additional information in the initial trauma evaluation when CT of the abdomen and pelvis is also performed, trauma patients who presented to an urban Level I Pediatric Trauma Center between 1 January 2010 and 7 February 2017 in whom pelvic radiograph and CT of the abdomen and pelvis were performed within 24 hours of each other were analyzed. A total of 172 trauma patients had pelvic radiograph and CT exams performed within 24 hours of each other. There were 12 cases in which the radiograph missed pelvic fractures seen on CT and 2 cases in which the radiograph suspected a fracture that was not present on subsequent CT. Furthermore, fractures in the pelvis were missed on pelvic radiographs in 12 of 35 cases identified on CT. Sensitivity of pelvic radiograph in detecting fractures seen on CT was 65.7% with a 95% confidence interval of 47.79-80.87%. Results suggest that there is no added diagnostic information gained from a pelvic radiograph when concurrent CT is also obtained, a practice which exposes the pediatric trauma patient to unnecessary radiation.

Radiologic Imaging in Trauma Patients with Cervical Spine Immobilization at a Pediatric Trauma Center

2019 ◽  
Vol 57 (4) ◽  
pp. 429-436
Author(s):  
Brandi C. Barnes ◽  
Pradip P. Kamat ◽  
Courtney M. McCracken ◽  
Matthew T. Santore ◽  
Michael D. Mallory ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Trauma Patients ◽  
Radiologic Imaging ◽  
Pediatric Trauma Center

Outcome in an Urban Pediatric Trauma System with Unified Prehospital Emergency Medical Services Care

1995 ◽  
Vol 10 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Michael J. VanRooyen ◽  
Edward P. Sloan ◽  
John A. Barrett ◽  
Robert F. Smith ◽  
Hernan M. Reyes
Keyword(s):  
Head Injury ◽  
Mortality Rate ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Trauma System ◽  
Age Groups ◽  
Mortality Rates ◽  
Trauma Centers ◽  
Field Triage ◽  
Pediatric Trauma Center

AbstractHypothesis:Pediatric mortality is predicted by age, presence of head trauma, head trauma with a low Glasgow Coma Scale (GCS) score, a low Pediatric Trauma Score (PTS), and transport directly to a pediatric trauma center.Population:Studied were 1,429 patients younger than 16 years old admitted to or declared dead on arrival (DOA) in a pediatric trauma center from January through October, 1988. The trauma system, which served 3-million persons, included six pediatric trauma centers.Methods:Data were obtained by a retrospective review of summary statistics provided to the Chicago Department of Health by the pediatric trauma centers.Results:Overall mortality was 4.8% (68 of 1429); 32 of the patients who died (47.1%) were DOA. The in-hospital mortality rate was 2.6%. Head injury was the principal diagnosis in 46.2% of admissions and was a factor in 72.2% of hospital deaths. The mortality rate was 20.3% in children with a GCS≤10 and 0.4% when the GCS was >10 (odds ratio [OR] = 67.0, 95% CI = 15.0–417.4). When the PTS was ≤ 5, mortality was 25.6%; with a PTS > 5, the mortality was 0.2% (OR = 420.7, 95% CI = 99.3–2,520). Although transfers to a pediatric trauma center accounted for 73.6% of admissions, direct field triage to a pediatric trauma center was associated with a 3.2 times greater mortality risk (95% CI = 1.58–6.59). Mortality rates were equal for all age groups. Pediatric trauma center volume did not influence mortality rates.Conclusions:Head injury and death occur in all age groups, suggesting the need for broad prevention strategies. Specific GCS and PTS values that predict mortality can be used in emergency medical services (EMS) triage protocols. Although the high proportion of transfers mandates systemwide transfer protocols, the lower mortality in these patients suggests appropriate EMS field triage. These factors should be considered as states develop pediatric trauma systems.

An Analysis of Pediatric Gunshot Wounds Treated at a Level I Pediatric Trauma Center

2003 ◽  
Vol 54 (6) ◽  
pp. 1102-1106 ◽  
Author(s):  
Alison K. Snyder ◽  
Li Ern Chen ◽  
Robert P. Foglia ◽  
Patrick A. Dillon ◽  
Robert K. Minkes
Keyword(s):  
Trauma Center ◽  
Pediatric Trauma ◽  
Gunshot Wounds ◽  
Level I ◽  
Pediatric Trauma Center

Computed tomography before transfer to a level I pediatric trauma center risks duplication with associated increased radiation exposure

2008 ◽  
Vol 43 (12) ◽  
pp. 2268-2272 ◽  
Author(s):  
Walter J. Chwals ◽  
Ann V. Robinson ◽  
Carlos J. Sivit ◽  
Diya Alaedeen ◽  
Ellen Fitzenrider ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Exposure ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Level I ◽  
Pediatric Trauma Center

Alcohol and drug screening of adolescent trauma alert patients at a level 1 pediatric trauma center

2019 ◽  
Vol 37 (9) ◽  
pp. 1672-1676 ◽  
Author(s):  
Dana L. Noffsinger ◽  
Lee Ann Wurster ◽  
Jane Cooley ◽  
Lindsay Buchanan ◽  
Krista K. Wheeler ◽  
...  
Keyword(s):  
Drug Screening ◽  
Trauma Center ◽  
Pediatric Trauma ◽  
Adolescent Trauma ◽  
Level 1 ◽  
Pediatric Trauma Center
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