pediatric trauma center
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Cureus ◽  
2022 ◽  
Author(s):  
Sazid Hasan ◽  
Muhammad Waheed ◽  
Ameen K Suhrawardy ◽  
Collin Braithwaite ◽  
Lamia Ahmed ◽  
...  

2021 ◽  
pp. 000313482110508
Author(s):  
Olivia A. Keane ◽  
Mauricio A. Escobar ◽  
Lucas P. Neff ◽  
Ian C. Mitchell ◽  
Joshua J. Chern ◽  
...  

Background Pediatric traumatic brain injury (TBI) affects about 475,000 children in the United States annually. Studies from the 1990s showed worse mortality in pediatric TBI patients not transferred to a pediatric trauma center (PTC), but did not examine mild pediatric TBI. Evidence-based guidelines used to identify children with clinically insignificant TBI who do not require head CT were developed by the Pediatric Emergency Care Applied Research Network (PECARN). However, which patients can be safely observed at a non-PTC is not directly addressed. Methods A systematic review of the literature was conducted, focusing on management of pediatric TBI and transfer decisions from 1990 to 2020. Results Pediatric TBI patients make up a great majority of preventable transfers and admissions, and comprise a significant portion of avoidable costs to the health care system. Majority of mild TBI patients admitted to a PTC following transfer do not require ICU care, surgical intervention, or additional imaging. Studies have shown that as high as 83% of mild pediatric TBI patients are discharged within 24 hrs. Conclusions An evidence-based clinical practice algorithm was derived through synthesis of the data reviewed to guide transfer decision. The papers discussed in our systematic review largely concluded that transfer and admission was unnecessary and costly in pediatric patients with mild TBI who met the following criteria: blunt, no concern for NAT, low risk on PECARN assessment, or intermediate risk on PECARN with negative imaging or imaging with either isolated, nondisplaced skull fractures without ICH and/or EDH, or SDH <0.3 cm with no midline shift.


Author(s):  
Gabrielle Shirek ◽  
Ryan Phillips ◽  
Niti Shahi ◽  
Kaci Pickett ◽  
Maxene Meier ◽  
...  

2021 ◽  
Vol 8 (S1) ◽  
Author(s):  
Ross Budziszewski ◽  
Rochelle Thompson ◽  
Thomas Lucido ◽  
Janelle Walker ◽  
Loreen K. Meyer ◽  
...  

Abstract Background Motor vehicle collisions (MVCs) are a significant safety issue in the United States. Young children are disproportionally impacted by car accidents and suffer high rates of injuries and mortality. When used properly, car seats have been found to reduce the severity of injuries. However, individuals from low-income areas often do not have access to education or car seats compared to those in suburban or higher income areas. Therefore, the goal of the present study was to measure the effectiveness of a car seat program in an urban, Level I Pediatric Trauma Center on caregiver car seat knowledge. Methods Caregivers (N = 200) attended a single, one-hour car seat educational program with a Child Passenger Safety Technician (CPST). The sessions included educational and hands-on components, where caregivers were asked to complete a seven-item pre-post knowledge assessment. For completion of the course, caregivers received a car seat for their child. Results A paired t-test revealed that the workshop significantly increased caregiver knowledge from pre-post: t (199) = − 12.56, p < .001; d = 1.27. McNemar’s Chi-Square analyses displayed that caregivers increased in all knowledge categories (p < .001). Conclusions While caregivers in urban areas or in low-income areas may have less access to resources, hospital-led car seat courses can increase knowledge of proper car seat usage in these communities. These findings should be used to establish programs in hospitals in areas where these resources are not readily available to caregivers.


2021 ◽  
Vol 28 (2) ◽  
pp. 84-89
Author(s):  
Ross Budziszewski ◽  
Autumn Nanassy ◽  
Erika Lindholm ◽  
Harsh Grewal ◽  
Rajeev Prasad

2020 ◽  
Vol 49 (1) ◽  
pp. 657-657
Author(s):  
Allison McNickle ◽  
Judith Ben Ari ◽  
Stephanie Streit ◽  
Mais Yacoub ◽  
Stephanie Jones ◽  
...  

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