Across London, paediatric trainees and trainers are focusing on trauma. Here are some ideas to think about.
Injury is the leading cause of death for children after the first year of life, responsible for 31-48% of deaths of children and young people. Road traffic accidents, falls, and inflicted injury are major causes of paediatric trauma. Head injury accounts for the majority of deaths in paediatric trauma, and children presenting with a GCS of <15 have been found to have a 16% mortality rate.
There is a trimodal distribution of mortality in paediatric trauma: 50% of deaths occur at the scene; a further 30% occurring in hours often due to haemorrhage, airway emergencies, and brain injury; and the remaining late deaths are caused by sepsis and organ failure. Rapid identification and treatment of life threatening problems can prevent up to 30% of deaths from trauma.
Specialised care for children with major injuries is provided in Paediatric trauma centres, which receive just over half of all children with major trauma in the UK. Wherever a child is seen, a multi-disciplinary systematic approach must be used to resuscitate, stabilise, and transfer or provide definitive care to the child.
- Understand the epidemiology of injuries in young people
- Be aware of the implications of severe head injury
- Be able to lead acute management and transfer appropriately
- Know about effective injury prevention initiatives
Courses and Resources
RSM Day: Paediatric Trauma, Wednesday 14th February 2018
Resuscitation courses covering paediatric trauma management: APLS, ATLS, EPLS
RCEM eLearning on paediatric trauma: https://www.rcemlearning.co.uk/?s=%22paediatric+trauma%22
“Paediatric Trauma is different” http://stemlynsblog.org/paediatric-trauma-different-rcem15-ross-fisher/