Management Issues in Critically Ill Pediatric Patients with Trauma

Document Type

Journal Article

Publication Date

10-1-2017

Journal

Pediatric Clinics of North America

Volume

64

Issue

5

DOI

10.1016/j.pcl.2017.06.002

Keywords

Blunt cardiac injury; Blunt cerebrovascular injury; Chest wall trauma; Component therapy; Deep venous thrombosis; Delayed diagnosis of injury; Pediatric trauma; Solid organ injury

Abstract

© 2017 Elsevier Inc. The management of critically ill pediatric patients with trauma poses many challenges because of the infrequency and diversity of severe injuries and a paucity of high-level evidence to guide care for these uncommon events. This article discusses recent recommendations for early resuscitation and blood component therapy for hypovolemic pediatric patients with trauma. It also highlights the specific types of injuries that lead to severe injury in children and presents challenges related to their management.

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