The pediatric patient and thoracic trauma

Seminars in Thoracic and Cardiovascular Surgery
Clinton R Woosley, Thomas C Mayes

Abstract

Trauma remains the leading cause of death for children aged 1 to 14 years. Thoracic trauma is seen in 4% to 6% of pediatric patients presenting to pediatric trauma centers and rarely occurs in isolation. The medical and surgical evaluation of children is a challenging task to even the most experienced physician. Effective treatment of the pediatric trauma patient can only be provided if the physician understands the major pitfalls which are common in the pediatric population. The assessment of the pediatric patient is simplified by an understanding of specific anatomic and physiologic differences between children and adults. While noting children are not small adults, the systematic approach taken towards the evaluation of an adult is similar. Sequential evaluation and management of the ABCs by a caregiver familiar with age specific norms is the most important initial consideration. The care of specific injuries is similar to those found in adults but the patient's size limits the physician's options in many cases.

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Citations

Jan 25, 2014·The Journal of Trauma and Acute Care Surgery·Nathan M MollbergMalek G Massad
Mar 1, 2014·BMC Pediatrics·Sakda Arj-ong VallipakornAmmarin Thakkinstian
Jan 29, 2010·Journal of Pediatric Surgery·Andrew RiggleAshlei Beiswenger
Apr 29, 2009·Acta Paediatrica·Ibrahim Abu-KishkGad Lotan
Jul 5, 2015·The Journal of Pediatrics·Berkeley L BennettRussel Hirsh
Dec 30, 2015·The Journal of Trauma and Acute Care Surgery·Graeme RosenbergKevin M Schuster
Jan 20, 2021·Journal of Intensive Care Medicine·Marco PiastraGiorgio Conti

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