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Volume 4

Journal of Pediatric Care

ISSN: 2471-805X

Page 37

JOINT EVENT

Pediatric Critical Care 2018 &

World Pediatrics 2018

October 18- 20 , 2018

October 18- 20, 2018 Warsaw, Poland

International Conference on

World Pediatrics Conference

Pediatric Critical Care and Emergency Medicine

Violent side of pediatric trauma-priorities in pediatric care and emergency medicine

Devendra Richhariya

Medanta-The Medicity, India

ignificant number of the children brought to emergency department and injury is one of the leading cause for which they

seek emergency services. Injury especially in children is the leading cause of the death and disability. Severely injured child

need immediate attentions for transfer to well-equipped healthcare facility to diagnose and manage the injuries in children.

Children and adults are anatomically, physiologically and emotionally different from each other. Early recognition and

treatment of life-threatening airway obstruction, inadequate breathing, and intra-abdominal and intra-cranial hemorrhage

significantly increases survival rate after major trauma. The initial assessment and management of the injured child follows the

same ATLS® sequence as adults: primary survey and resuscitation, followed by secondary survey. Life-threatening conditions

are dealt with as soon as they are identified. Necessary imaging studies are obtained early. Constant reassessment ensures that

any deterioration in the child's condition is picked up immediately. The secondary survey identifies other injuries, such as

intra-abdominal injuries and long-bone fractures, which can result in significant hemorrhage. The relief of pain is an important

part of the treatment of an injured child. Focused abdominal sonography for trauma (FAST) has become a useful part of the

initial trauma evaluation. Computed tomography (CT) remains the gold standard for diagnosing abdominal injuries. Although

CT detects most abdominal injuries, pediatric victims of polytrauma have near-normal vital signs even in the presence of

significant blood loss, and can deteriorate rapidly. These children should be monitored with extra vigilance during transport

to the CT scanner, in the CT scanner, and in the emergency room. After penetrating trauma, high likelihood of requiring

surgical intervention timely and accurate assessment in the emergency department (ED), with appropriate resuscitation and

stabilization either until hemodynamic stability or until the patient is transferred to the operating room (OT) for definitive

management. A coordinated and organized approach between the ED, pediatric intensivist, surgeons, radiology, blood bank,

and the OT is necessary.

J Pediatr Care 2018, Volume 4

DOI: 10.21767/2471-805X-C4-015