Prehospital Interventions Performed on Pediatric Trauma Patients in Iraq and Afghanistan

Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors
Steven G SchauerRobert A De Lorenzo

Abstract

United States (US) and coalition military medical units deployed to combat zones frequently encounter pediatric trauma patients. Pediatric patients may present unique challenges due to their anatomical and physiological characteristics and most military prehospital providers lack pediatric-specific training. A minimal amount of data exists to illuminate the prehospital care of pediatric patients in this environment. We describe the prehospital care of pediatric trauma patients in Iraq and Afghanistan. We queried the Department of Defense Trauma Registry (DODTR) for all pediatric subjects admitted to US and Coalition fixed-facility hospitals in Iraq and Afghanistan from January 2007 to January 2016. Subjects were grouped by age: <1, 1-4, 5-9, 10-14, and 15-17 years. We focused our analysis on interventions related to trauma resuscitation. Of 42,790 encounters in the DODTR during the study period, 3,439 (8.0%) were aged <18 years. Most subjects were in the 5-9 age group (33.1%), male (77.1%), located in Afghanistan (67.8%), injured by explosives (43.1%). Most subjects survived to hospital discharge (90.2%). The most frequently performed interventions were tourniquet placement (6.6%), intubation (6.1%), supplemental oxygen (11.7%)...Continue Reading

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Citations

Dec 28, 2018·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Steven G SchauerMichael D April
Jun 4, 2019·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jason F NaylorSteven G Schauer
Mar 3, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Andrew D FisherSteven G Schauer
Jun 2, 2020·Transfusion·Abigail R WheelerSteven G Schauer
Mar 10, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Lauren K ReevesJulio R Lairet
Jan 24, 2020·The Journal of Trauma and Acute Care Surgery·Steven G SchauerMatthew A Borgman
Aug 6, 2020·Military Medicine·Elizabeth A KoslowSteven G Schauer
Sep 2, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Ryann S LaubySteven G Schauer
Jul 4, 2020·Military Medical Research·Camaren M CuencaSteven G Schauer
May 6, 2019·Southern Medical Journal·Xandria GutierrezSteven Schauer
Nov 25, 2020·Military Medicine·Sarah A JohnsonSteven G Schauer
Mar 25, 2021·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Steven G SchauerJames Bynum
Nov 5, 2019·The Journal of Surgical Research·Adel ElkbuliDessy Boneva
May 30, 2020·The American Journal of Emergency Medicine·Michael D AprilSteven G Schauer
Jan 12, 2020·The American Journal of Emergency Medicine·Gonzalo de TaboadaSteven G Schauer
Aug 5, 2021·Military Medicine·Michael D AprilSteven G Schauer
Aug 4, 2021·World Neurosurgery·Camaren M CuencaSteven G Schauer

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