Trauma and burns in children |
| |
| Authors: | Emma-Beth Wilson Jon G. McCormack |
| |
| Affiliation: | 1. The Children''s Hospital at Westmead Burns Research Institute, The Children''s Hospital at Westmead, Cnr Hawkesbury Rd and Hainsworth St, Westmead, NSW 2145, Australia;2. Discipline of Paediatrics and Child Health, Sydney Medical School, The University of Sydney, NSW, Australia;3. Department of Pediatric Surgery, The Children''s Hospital at Westmead, Cnr Hawkesbury Rd and Hainsworth St, Westmead, NSW 2145, Australia;1. School of Nursing Midwifery and Paramedicine, University of the Sunshine Coast, Australia;2. Department of Community Emergency Health and Paramedic Practice, Monash University, Australia;1. Traffic Injury Prevention Research Center, Statistics & Epidemiology Department, Tabriz University of Medical Sciences, Tabriz, Iran;2. PHS Department, Karolinska Institute, Stockholm, Sweden;3. Injury Epidemiology and Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;1. University Clinical Center of Kosovo, Department of Plastic Surgery, Pristina, Kosovo;2. Univeristy Clinical Center of Kosovo, Dentistry Faculty, Pristina, Kosovo;3. University Clinical Center of Kosovo, National Institute of Public Health, Pristina, Kosovo;1. Department of Plastic, Hand and Reconstructive Surgery, National Burn Centre, Haukeland University Hospital, Bergen, Norway;2. Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway;3. Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway;4. College of Health and Medicine, University of Tasmania, Sydney, NSW, Australia;5. National Burns Center, Sheba Medical Center, Israel;6. Department of Public Health, Section of Nursing, Aarhus University, Aarhus, Denmark |
| |
| Abstract: | Trauma is the leading cause of preventable death in children, most often resulting from accidents involving motor vehicles or falls. A coordinated resuscitation effort in the early phase may contribute to improved morbidity and mortality outcomes. A multi-professional approach to the initial treatment of a critically injured child should be adopted: the primary survey aims to identify and manage immediately life-threatening conditions relating to a patients airway, breathing or circulatory system. Following cardiovascular stabilization, the secondary survey serves to structure a detailed examination for less severe or more occult injuries. Attention to fluid therapy, analgesia, thermoregulation and glucose homeostasis forms an important component of the secondary survey. Children injured in fires may have flame burns to the upper airway or have suffered smoke inhalation, where immediate control of the airway and ventilation may be challenging. Both flame burns and the more common scalds cause significant fluid losses and carry a high risk of mortality from late complications. This review discusses the principles of performing a primary and secondary survey in injured children, options for fluid resuscitation and outlines the management of children suffering from burns. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
