Mikrogianakis Angelo, Grant Vincent
Department of Pediatrics, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail Northwest, Calgary, Alberta T3B 6A8, Canada; Department of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Department of Pediatrics, Alberta Children's Hospital, University of Calgary, 2888 Shaganappi Trail Northwest, Calgary, Alberta T3B 6A8, Canada; Department of Emergency Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Emerg Med Clin North Am. 2018 Feb;36(1):237-257. doi: 10.1016/j.emc.2017.08.015.
Pediatric patients with trauma pose unique challenges, both practical and cognitive, to front-line care providers. The combination of anatomic, physiologic, and metabolic factors leads to unique injury patterns with different approaches and responses to treatment compared with adults. A similar traumatic mechanism can lead to slightly different internal injuries with unique management and treatment strategies between the two groups. This article is intended for community, nonpediatric trauma centers, and emergency physicians who are frequently required to assess, resuscitate, and stabilize injured children before they can be safely transferred to a pediatric trauma center for ongoing definitive care and rehabilitation.
创伤儿科患者给一线医护人员带来了独特的挑战,包括实际操作和认知方面。解剖学、生理学和代谢因素的综合作用导致了独特的损伤模式,与成人相比,对治疗的方法和反应有所不同。相似的创伤机制可能导致两组患者内部损伤略有不同,且管理和治疗策略也各异。本文针对社区、非儿科创伤中心以及急诊医生,他们常常需要在将受伤儿童安全转至儿科创伤中心进行持续的确定性治疗和康复之前,对其进行评估、复苏和稳定病情。