PEDIATRIC TRAUMA : Anesthesia Management - 03/09/11
Résumé |
Progress has been made in the prevention of accidents in children; however, pediatric trauma continues to be the number one cause of death in the United States in children who are older than 1 year of age, accounting for 15,000 deaths per year.29, 101, 118 For every child who dies because of trauma, an estimated 1000 more present to the emergency department for treatment.54 Most of these traumatic injuries are caused by motor vehicle and bicycle accidents in children with a mean age of 8 years.29 In younger children, a significant percentage of trauma in infants is caused by child abuse, whereas trauma in toddlers most often is caused by falls from heights.101, 117Anesthesiologists often are called to the emergency department after the primary survey has been performed and intervention is required. It is important that they become familiar with the immediate evaluation and resuscitative efforts of children in the emergency department who have suffered trauma and that they continue this intensive care into the operative and postoperative arenas.
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| Address reprint requests to Allison Kinder Ross, MD, Box 3094, Duke University Medical Center, Department of Anesthesiology, Durham, NC 27710, e-mail: ross0016@mc.duke.edu |
Vol 19 - N° 2
P. 309-337 - juin 2001 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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