Emergency Department, Temple Street Children's University Hospital, Dublin, Dublin, Ireland.
Paediatric Emergency Department, Royal Belfast Hospital for Sick Children, Belfast, Belfast, UK.
Arch Dis Child Educ Pract Ed. 2023 Aug;108(4):248-252. doi: 10.1136/archdischild-2020-321343. Epub 2022 May 17.
It's 21:00 and you receive a stand-by call from the local ambulance service. Peter, a 9-year-old boy, was riding an electric scooter and has collided with a car. He has reduced consciousness, signs of shock and is hypoxic. How will you prepare your team? What are the possible injuries? Who will perform the primary survey? Injury is the leading cause of morbidity and mortality in the paediatric population accounting for approximately half of all attendances to paediatric emergency departments in the UK and Ireland. Major trauma can be distressing for patients, parents and physicians. Managing major trauma is challenging and it is vital to have a clear and organised approach. In this 15-minute guide we describe a structured approach to the primary survey that includes how to prepare before the child's arrival, the suggested roles of team members and the key components of the primary survey. We discuss life-threatening injuries, the life-saving bundle and the principles of resuscitation, and the role of imaging in the initial assessment of the injured child.
现在是 21 点，你接到当地救护车服务的待命电话。一名 9 岁男孩骑着电动滑板车与汽车相撞。他失去意识，有休克迹象，并且缺氧。你将如何准备你的团队？可能有哪些伤害？谁将进行初步检查？
在英国和爱尔兰，伤害是儿科人群发病率和死亡率的主要原因，约占所有儿科急诊科就诊人数的一半。重大创伤可能会使患者、家长和医生感到痛苦。处理重大创伤具有挑战性，因此采用清晰和有条理的方法至关重要。在本 15 分钟指南中，我们描述了一种针对初步检查的结构化方法，包括在孩子到达之前的准备工作、团队成员的建议角色以及初步检查的关键组成部分。我们讨论了危及生命的伤害、救命包以及复苏原则，以及影像学在受伤儿童初步评估中的作用。
