CAPS PaperAssessment of termination of trauma resuscitation guidelines: are children small adults?
Section snippets
Methods
This study was approved by the University of Michigan's institutional review board. It is a retrospective design with trauma patients aged 0 to 19 years with prehospital TCPA. The University of Michigan CS Mott Children's Hospital is an American College of Surgeons verified level I pediatric trauma center. It is a 287-bed teaching hospital and a level 1 pediatric trauma center located in Ann Arbor, MI. It serves the city of Ann Arbor in Washtenaw County. It is a tertiary referral center for the
Results
Between 2000 and 2009, 30 patients were identified as having had a prehospital TCPA from EMS sheets and hospital and trauma registry records.(Fig. 1) There were 9 females and 21 males (0.2-18 years old). The average (SD) injury severity score was 35.4 (20.6). The mechanisms of injury are shown in Fig. 2. Twenty-four (80%) did not survive. Severe traumatic brain injury was associated with nonsurvivors in 78%. The complete clinical criteria (CPR >15 minutes, nonreactive pupils, absent pulse,
Discussion
In December 2008, the World Heath Organization released the “World Report on Child Injury Prevention” that established injury as the number 1 pediatric public health problem in the world [12]. Every day worldwide, 2000 families suffer a loss of a child to an unintentional injury. To combat this problem, several countries have developed trauma programs to reduce morbidity and mortality. These include regionalization of trauma care, trauma centers, specific training (eg, Advanced trauma life
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Presented at the 41st Annual Meeting of the Canadian Association of Paediatric Surgeons, Halifax, Nova Scotia, Canada, October 1-3, 2009