Pediatric trauma in the rural and low resourced communities |
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| Institution: | 1. Preliminary General Surgery Resident Department of Surgery Mayo Clinic 200 First Street SW, Rochester MN 55905, USA;2. Division of Pediatric Surgery Associate Professor in Pediatric Surgery, Mayo Clinic Alix School of Medicine Practice Chair, Pediatric Trauma Center, USA;1. Pediatric Surgery Fetal Medicine Fellow, University of Michigan;2. Clinical Assistant Professor of Pediatrics, University of Michigan;3. Assistant Professor of Surgery, UPMC Children''s Hospital of Pittsburgh;1. Division of Pediatric Surgery, Connecticut Children''s Medical Center, Hartford, CT, USA;2. Department of Surgery, University of Connecticut School of Medicine, Farmington, CT, USA;3. Injury Prevention Center, Connecticut Children''s Medical Center, Hartford, CT, USA |
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| Abstract: | Death and disability associated with traumatic injury can be significantly decreased with timely and appropriate care. Patients in rural areas tend to have disproportionately decreased access to this care, with the pediatric age group acting as a particularly difficult challenge for pre-hospital and rural hospital settings due to the unfamiliarity of those trauma response teams with pediatric age specific management guidelines as well as a disparity in resource availability. In this review, we attempt to discuss the challenges facing pediatric trauma care in the rural and low resourced communities, as well as initiatives that are being carried out to optimize this kind of care, such as pediatric readiness, rapid transportation to higher levels of care, availability of blood in rural centers as well as in transit, and the utility of telemedicine in improving rural pediatric trauma care. |
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