19 T rauma in children
Abdomen
Abdomen Intraperitoneal air mandates a laparoscopy or laparotomy . Penetrating wounds that have n...
DAMAGE CONTROL SURGERY
DAMAGE CONTROL SURGERY Damage control surgery aims to break the ‘vicious cycle’ of hypothermia, t...
DEFINITIVE MANAGEMENT Chest
DEFINITIVE MANAGEMENT Chest A small pneumothorax detected on a chest radiograph may be observed r...
Imaging
Imaging The choice of imaging depends on the mechanism of injury and the findings on examination...
Injury Severity Score
Injury Severity Score An Injury Severity Score (ISS) (see Chapter 26 ) >15 predicts mortality in ...
Introduction
INTRODUCTION Trauma is the leading cause of death in children over 1 /uni00A0 year old, and blun...
Learning objectives
Learning objectives To be able to: Systematically assess an injured child • Give examples of how ...
Patterns of injury
Patterns of injury There are some well-recognised patterns of injury in children. Lap belt If a...
Resuscitation
Resuscitation All children initially receive high-flow oxygen, preferably via - a non-rebreathe ma...
SECONDARY SURVEY
SECONDARY SURVEY The secondary survey is performed after resuscitation and stabilisation. The his...
Specific considerations
Specific considerations Spleen There is a risk of splenic pseudoaneurysm after splenic trauma, wh...
Spinal cord injury without radiological abnormalit
Spinal cord injury without radiological abnormality (SCIWORA) Cervical hyperextension can occur d...
Spinal cord injury without radiological abnormality (SCIWORA)
Spinal cord injury without radiological abnormality (SCIWORA) Cervical hyperextension can occur d...
THE PRIMARY SURVEY
THE PRIMARY SURVEY Injured children are assessed using the Advanced Trauma Life Support (ATLS) st...
Trauma-induced coagulopathy
Trauma-induced coagulopathy Tissue damage releases factors that encourage coagulation but acidosi...