Management of pediatric trauma.

PEDIATRICS (Impact Factor: 5.3). 05/2008; 121(4):849-54. DOI: 10.1542/peds.2008-0094
Source: PubMed

ABSTRACT Injury is the number 1 killer of children in the United States. In 2004, injury accounted for 59.5% of all deaths in children younger than 18 years. The financial burden to society of children who survive childhood injury with disability continues to be enormous. The entire process of managing childhood injury is complex and varies by region. Only the comprehensive cooperation of a broadly diverse group of people will have a significant effect on improving the care and outcome of injured children. This statement has been endorsed by the American Association of Critical-Care Nurses, American College of Emergency Physicians, American College of Surgeons, American Pediatric Surgical Association, National Association of Children's Hospitals and Related Institutions, National Association of State EMS Officials, and Society of Critical Care Medicine.

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    Chapter: Trauma
    Studies on Pediatric Disorders, Oxidative Stress in Applied Basic Research and Clinical Practice, 1st edited by H. Tsukahara and K. Kaneko, 05/2014: chapter Chapter 26: Trauma: pages 441-456; Springer-Verlag New York., ISBN: 978-1-4939-0678-9
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    ABSTRACT: Fever is a common symptom of childhood infections that in itself does not require treatment. The UK's National Institute for Health and Care Excellence (NICE) advises home-based antipyretic treatment for low-risk feverish children only if the child appears distressed. The recommended antipyretics are ibuprofen or paracetamol (acetaminophen). They are equally recommended for the distressed, feverish child; therefore, healthcare professionals, parents and caregivers need to decide which of these agents to administer if the child is distressed. This narrative literature review examines recent data on ibuprofen and paracetamol in feverish children to determine any clinically relevant differences between these agents. The data suggest that these agents have similar safety profiles in this setting and in the absence of underlying health issues, ibuprofen seems to be more effective than paracetamol at reducing NICE's treatment criterion, 'distress' (as assessed by discomfort levels, symptom relief, and general behavior).
    Drugs in R & D 06/2014; 14(2). DOI:10.1007/s40268-014-0052-x · 1.71 Impact Factor
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    ABSTRACT: Purpose: There is a lack of national data describing the demographics and nature of pediatric renal trauma. We used the National Trauma Data Bank to analyze mechanisms and grades of injury, demographics and treatment characteristics of pediatric renal trauma cases. Materials and Methods: Renal injuries were identified by Abbreviated Injury Scale codes and converted to American Association for the Surgery of Trauma renal injury grades. Patients were stratified by age (0 to 1, 2 to 4, 5 to 14 and 15 to 18 years) for more specific analyses of mechanisms and grades of injury. Data reviewed included mechanisms and grades of renal injury, demographics, and setting and type of treatment. Results: A total of 2,213 pediatric renal injuries were converted to American Association for the Surgery of Trauma grade. Mean +/- SD age at injury was 13.7 +/- 4.4 years, with 2,089 patients (94%) being 5 to 18 years old. Of the injuries 79% were grade I, II or III. Penetrating injury accounted for less than 10% of all pediatric renal injuries. A majority of patients (57%) were admitted to university hospitals with a dedicated trauma service (73%) and only 12% of patients were admitted to a pediatric hospital. Atotal of 122 nephrectomies (5.5%) were performed. Conclusions: Most renal trauma in children is low grade, is blunt in nature and occurs after age 5 years. The majority of these cases are managed at adult hospitals. Although most patients are treated conservatively, the rate of nephrectomy is 3 times higher at adult hospitals than at pediatric centers.
    The Journal of Urology 06/2014; 192(5). DOI:10.1016/j.juro.2014.05.103 · 3.75 Impact Factor


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