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
References
May 1, 1989·Annals of Emergency Medicine·P AijianG W Kallsen
Mar 27, 2001·Pediatric Emergency Care·F E BablL Mottley
Sep 11, 2004·Journal of Pediatric Surgery·P F EhrlichJ Helmkamp
Jan 9, 2007·Journal of Pediatric Surgery·Rebecca McGuiganKenneth Azarow
Feb 5, 2008·Pediatrics·Mark W BurnettCharles W Callahan
Jul 18, 2008·Critical Care Medicine·Philip C SpinellaKenneth S Azarow
Nov 4, 2008·Pediatrics·Renée I MatosPhilip C Spinella
Dec 19, 2008·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Michael Alan GlennStephen Flaherty
Oct 13, 2009·The Journal of Trauma·Kevin M CreamerWilliam Adelman
Aug 3, 2010·Journal of Neurosurgery. Pediatrics·Paul KlimoRandall McCafferty
Aug 4, 2011·The Journal of Trauma·Sean P TherienRobert T Gerhardt
Aug 4, 2011·The Journal of Trauma·Brian J EastridgeLorne H Blackbourne
Jun 1, 2012·Military Medicine·Karen M O'ConnellSandra C Bibb
Sep 29, 2012·The Journal of Trauma and Acute Care Surgery·Julio R LairetLorne H Blackbourne
Nov 3, 2012·The Journal of Trauma and Acute Care Surgery·Mary J EdwardsChristopher Coppola
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Brian J EastridgeLorne H Blackbourne
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Matthew BorgmanPhilip C Spinella
May 21, 2013·Journal of Vascular Surgery·Anahita DuaCharles J Fox
Apr 22, 2014·Journal of the American College of Surgeons·Mary J EdwardsMartin Eichelberger
Jun 24, 2015·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Dylan PannellDavid Shellington
Dec 13, 2017·The American Journal of Emergency Medicine·Steven G SchauerMichael D April
Jan 8, 2018·Pediatric Radiology·Jason F NaylorSteven G Schauer
Jan 13, 2018·The American Journal of Emergency Medicine·Steven G SchauerVikhyat S Bebarta
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
May 30, 2019·Military Medicine·Steven G SchauerAdit A Ginde
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
May 2, 2020·Military Medicine·Courtney A JuddSteven J Durning
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
Mar 14, 2020·Critical Care Explorations·Hannah L GaleSteven G Schauer
Aug 22, 2020·Curēus·Allee C TorresSteven 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
Feb 7, 2021·Military Medicine·Hannah L GaleSteven 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
May 20, 2021·Injury·Hannah WildSherry M Wren
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