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pediatric polytrauma

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https://www.readbyqxmd.com/read/27749813/craniectomy-and-traumatic-brain-injury-in-children-on-extracorporeal-membrane-oxygenation-support-case-report-and-review-of-the-literature
#1
Pilar Anton-Martin, Bruno Braga, Stephen Megison, Janna Journeycake, Jessica Moreland
Severe trauma may cause refractory life-threatening respiratory failure requiring extracorporeal membrane oxygenation (ECMO). Concurrent traumatic brain injury, however, complicates the use of ECMO because of the major risk of intracranial bleeding with systemic anticoagulation. Craniotomy and/or craniectomy for hematoma evacuation during ECMO are extremely high-risk procedures secondary to ongoing anticoagulation, and there are only a few such case reports in the literature.We present the case of a child with multiple thoracic injuries and life-threatening respiratory failure supported on ECMO...
October 4, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27709870/avoiding-errors-in-the-management-of-pediatric-polytrauma-patients
#2
Kenneth Chin, Joshua M Abzug, Donald S Bae, Bernard D Horn, Martin Herman, Craig P Eberson
Management of pediatric polytrauma patients is one of the most difficult challenges for orthopaedic surgeons. Multisystem injuries frequently include complex orthopaedic surgical problems that require intervention. The physiology and anatomy of children and adolescent trauma patients differ from the physiology and anatomy of an adult trauma patient, which alters the types of injuries sustained and the ideal methods for management. Errors of pediatric polytrauma care are included in two broad categories: missed injuries and inadequate fracture treatment...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27684849/elastic-stable-intramedullary-nailing-for-severely-displaced-distal-tibial-fractures-in-children
#3
Kaiying Shen, Haiqing Cai, Zhigang Wang, Yunlan Xu
Elastic stable intramedullary nailing (ESIN) has became a well-accepted method of osteosynthesis of diaphyseal fractures in the skeletally immature patient for many advantages, the purpose of this study is to evaluate the preliminary results of this minimally invasive treatment for severely displaced distal tibial diaphyseal metaphyseal junction (DTDMJ) fractures.This study was carried out over a 6-year period. Twenty-one severely displaced DTDMJ fractures treated using ESIN were evaluated clinically and radiographically...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27636910/pediatric-injuries-at-an-annual-motocross-competition-rates-and-severity
#4
Brendan A Williams, James P McFadden, Tyler L Teurlings, Laurel C Blakemore
PURPOSE: Pediatric motocross injuries occur frequently and with significant associated morbidity; however, data are limited regarding injury occurring during competition. North Central Florida hosts an annual motocross competition with numerous pediatric competitors. We sought to evaluate the rate and severity of injuries sustained at this event over a multiyear period. Our primary hypothesis was that motocross injury rates and severity in competition exceed that of other competitive sports in this age group...
September 15, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27554693/multidisciplinary-management-of-blunt-renal-artery-injury-with-endovascular-therapy-in-the-setting-of-polytrauma-a-case-report-and-review-of-the-literature
#5
Carl Beyer, Scott Zakaluzny, Misty Humphries, David Shatz
BACKGROUND: Injury to the renal artery is a rare but serious concern in patients suffering blunt trauma. Complications of renovascular injury include prolonged hospitalization, kidney loss, and death. There remains considerable controversy regarding the optimal treatment of blunt renal artery injury. CASE REPORT: We describe the management of a 39 year old woman following blunt polytrauma who underwent a multidisciplinary collaborative procedure with open splenectomy and endovascular repair of an occluded renal artery...
August 20, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27161547/a-case-report-of-the-management-and-the-outcome-of-a-complete-epiphyseal-separation-and-dislocation-with-left-anterior-column-fracture-of-the-acetabulum
#6
Jesús Palencia, Saud Alfayez, Firas Serro, Jamal Alqahtani, Hani Alharbi, Hamed Alhinai
INTRODUCTION: Femoral head and neck fractures in children are uncommon, accounting for fewer than 1% of all pediatric fractures and fewer than 8% of all hip fractures. Furthermore, traumatic transphyseal hip fracture is rare to present in daily practice especially when associated with an acetabular fracture. PRESENTATION OF THE CASE: A twelve years old boy, not known to have any chronic illnesses, presented to the emergency department as a case of polytrauma after a road traffic accident...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27140213/are-falls-more-common-than-road-traffic-accidents-in-pediatric-trauma-experience-from-a-level-1-trauma-centre-in-new-delhi-india
#7
Annu Babu, Amulya Rattan, Piyush Ranjan, Maneesh Singhal, Amit Gupta, Subodh Kumar, Biplab Mishra, Sushma Sagar
PURPOSE: The epidemiology of pediatric trauma is different in different parts of the world. Some re- searchers suggest falls as the most common mechanism, whereas others report road traffic accidents (RTAs) as the most common cause. The aim of this study is to find out the leading cause of pediatric admissions in Trauma Surgery in New Delhi, India. METHODS: Inpatient data from January 2012 to September 2014 was searched retrospectively in Jai Prakash Narayan Apex Trauma Centre Trauma Registry...
April 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27100929/elevated-admission-international-normalized-ratio-strongly-predicts-mortality-in-victims-of-abusive-head-trauma
#8
Christine M Leeper, Isam Nasr, Christine McKenna, Rachel P Berger, Barbara A Gaines
BACKGROUND: Victims of abusive head trauma have poor outcomes compared with other injured children. There is often a delay in diagnosis because these young patients are unable to communicate with health care providers. These critically injured patients would benefit from early identification and therapy. METHODS: We performed a retrospective review of our single hospital trauma registry from 2005 to 2014. All Level 1 pediatric (age 0-17 years) trauma patients who sustained abusive head trauma were included...
May 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27049202/avoiding-errors-in-the-management-of-pediatric-polytrauma-patients
#9
Kenneth Chin, Joshua Abzug, Donald S Bae, Bernard D Horn, Martin Herman, Craig P Eberson
Management of pediatric polytrauma patients is one of the most difficult challenges for orthopaedic surgeons. Multisystem injuries frequently include complex orthopaedic surgical problems that require intervention. The physiology and anatomy of children and adolescent trauma patients differ from the physiology and anatomy of an adult trauma patient, which alters the types of injuries sustained and the ideal methods for management. Errors of pediatric polytrauma care are included in two broad categories: missed injuries and inadequate fracture treatment...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/26713972/elevated-admission-inr-strongly-predicts-mortality-in-victims-of-abusive-head-trauma
#10
Christine Leeper, Isam Nasr, Christine McKenna, Rachel P Berger, Barbara A Gaines
BACKGROUND: Victims of abusive head trauma have poor outcomes compared to other injured children. There is often a delay in diagnosis as these young patients are unable to communicate with healthcare providers. These critically injured patients would benefit from early identification and therapy. METHODS: We performed a retrospective review of our single hospital trauma registry from 2005-2014. All level 1 pediatric (age 0-17) trauma patients who sustained abusive head trauma were included...
December 26, 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26459458/pediatric-orthopaedic-lower-extremity-trauma-and-venous-thromboembolism
#11
Robert F Murphy, Manahil Naqvi, Patricia E Miller, Lanna Feldman, Benjamin J Shore
PURPOSE: Research on venous thromboembolism events (VTE), such as deep venous thrombosis (DVT) and pulmonary embolism (PE), in pediatric orthopaedic trauma patients is sparse. We describe the incidence in the USA of VTE associated with pediatric lower extremity orthopaedic trauma, and characterize injury patterns and VTE treatment methods. METHODS: The Pediatric Health Information System (PHIS) was queried from 2004 to 2013 using ICD-9 codes for lower extremity fractures (pelvis, femur, tibia, ankle, foot) and dislocations (hip, knee, ankle, subtalar) and VTE...
October 2015: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/25909411/the-pediatric-trauma-center-and-the-inclusive-trauma-system-impact-on-splenectomy-rates
#12
Emily E K Murphy, Stephen G Murphy, Mark D Cipolle, Glen H Tinkoff
BACKGROUND: Before 2006, the Delaware Trauma System (DTS) did not include a designated pediatric trauma center (PTC). In 2006, the Delaware Trauma System designated and the American College of Surgeons Committee on Trauma verification/consultation program verified Nemours AI DuPont Hospital for Children, a freestanding children's hospital, as a PTC. We evaluated the impact of the addition of the PTC to the state trauma system on pediatric traumatic splenectomy rates. METHODS: The study cohort comprised DTS trauma registry recorded children younger than 16 years with spleen injury (ICD-9 codes 865...
May 2015: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25810960/analysis-of-pediatric-trauma-data-from-a-hospital-based-trauma-registry-in-qatar
#13
Khalid A Alyafei, Fatihi Toaimah, Ayman El Menyar, Hassan Al Thani, Bashir Youssef, Muneera Mollazehi, Rafael Consunji
BACKGROUND: Trauma is the leading killer in the young age children, but data about the injury burden on pediatric population are lacking. The aim of this study is to describe the epidemiology and outcome of the traumatic injuries among children in Qatar. MATERIALS AND METHODS: This is a retrospective analysis of a trauma registry database, which reviewed all cases of serious traumatic injury (ISS ≥ 9) to children aged 0-18 years who were admitted to the national pediatric Level I trauma center at the Hamad General Hospital (HGH), over a period of one year...
January 2015: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/25678810/the-epidemiological-profile-of-pediatric-patients-admitted-to-the-general-intensive-care-unit-in-an-ethiopian-university-hospital
#14
Teshome Abebe, Mullu Girmay, Girma G/Michael, Million Tesfaye
BACKGROUND: In least developing countries, there are few data on children's critical care. This makes the provision of aid and improvement of outcome difficult. OBJECTIVES: To describe admission and outcome patterns of children managed in a general intensive care unit at Jimma University Specialized Hospital (JUSH), Ethiopia, over a 5-year period. METHODS: A retrospective cross-sectional study design was used. All children from birth to 14 years of age who were admitted to the general ICU of the hospital from 2009-2013 were included...
2015: International Journal of General Medicine
https://www.readbyqxmd.com/read/25376101/diagnostic-imaging-in-pediatric-polytrauma-management
#15
REVIEW
Vittorio Miele, Ilenia Di Giampietro, Stefania Ianniello, Fabio Pinto, Margherita Trinci
Trauma is the cause of over 45% of deaths in children aged 1 to 14 years. Since multiple injuries are common among children, the emergency physician has to assess all the organs of a high-energy injured child, independent of mechanism of the trauma. Even if the principles of polytrauma management are identical both in children and in adults, the optimal pediatric patient care requires a specific understanding of some important anatomical, physiological, and psychological differences that play a significant role in the assessment and management of a pediatric patient...
January 2015: La Radiologia Medica
https://www.readbyqxmd.com/read/25220000/controversies-in-orthopaedic-trauma-management-of-fractures-of-shaft-of-femur-in-children-between-6-and-12-years-of-age
#16
REVIEW
A Jain, A Aggarwal, D Gulati, M P Singh
The management of femoral shaft fractures in children is largely directed by the age and built of the child. There is wide consensus on the non operative treatment of children less than six years of age. Operative treatment is recommended for children more than 12 years of age, only the surgical options vary. The age group of 6-12 years remains a controversial area with multiple studies advocating different lines of treatment. We studied the literature on treatment of femoral shaft fractures in 6 to 12 year age group over the past 25 years through PubMed search and found 79 studies dealing with management of paediatric shaft femur fractures in this age group...
January 2014: Kathmandu University Medical Journal (KUMJ)
https://www.readbyqxmd.com/read/25116009/-biomarkers-in-pediatric-polytrauma
#17
REVIEW
H Andruszkow, R Pfeifer, K Horst, P Kobbe, H-C Pape, F Hildebrand
BACKGROUND: Trauma represents one of the leading causes of death in children. Beside an injury pattern that differs from adult trauma patients, children seem to develop multiple organ dysfunction syndrome (MODS) less frequently. Compared to adult MODS, pediatric MODS has also been described to occur earlier in the posttraumatic course. METHOD: Biomarkers for early identification of patients at high-risk for posttraumatic complications are of high clinical relevance...
August 2014: Der Unfallchirurg
https://www.readbyqxmd.com/read/24823079/external-fixation-in-child-traumatology
#18
EDITORIAL
J Quintin, H Evrard, P Gouat, C Cornil, F Burny
The authors present their experience of Hoffmann® external fixation in pediatric traumatology. Fractures of the lower limb are the most frequent (47 tibias, 13 femurs); a few fractures involved the upper extremity. The Hoffmann device constituted the complete treatment, using a light configuration frame in order to obtain elastic fixation and periosteal healing. Pin reactions are more frequent where the pin tract penetrates large soft tissue structures, as at the proximal femur. Only one refracture occurred after healing...
March 1, 1984: Orthopedics
https://www.readbyqxmd.com/read/24711819/perioperative-and-intensive-care-management-of-pediatric-tracheal-tear
#19
Sanjay M Bhananker, Ramesh Ramaiah
Management of tracheal tears can prove to be challenging in the perioperative setting. This is a rare condition that can be life threatening. Here, we present a case of seven-year-old boy involved in a high-speed motor vehicle collision. The child sustained multiple injuries including a near fatal head injury, multiple facial fractures, and a tracheal injury associated with pneumomediastinum. Due to the imminent threat of brainstem herniation while being imaged in the CT scanner, the patient underwent an emergent craniotomy to evacuate his evolving intracranial bleed...
2014: Case Reports in Medicine
https://www.readbyqxmd.com/read/24429505/intraoperative-secondary-insults-during-extracranial-surgery-in-children-with-traumatic-brain-injury
#20
Yasuki Fujita, Nelson N Algarra, Monica S Vavilala, Sumidtra Prathep, Suchada Prapruettham, Deepak Sharma
PURPOSE: Data on intraoperative secondary insults in pediatric traumatic brain injury (TBI) are limited. METHODS: We examined intraoperative secondary insults during extracranial surgery in children with moderate-severe TBI and polytrauma and their association with postoperative head computed tomography (CT) scans, intracranial pressure (ICP), and therapeutic intensity level (TIL) scores 24 h after surgery. After IRB approval, we reviewed the records of children <18 years with a Glasgow Coma Scale score <13 who underwent extracranial surgery within 72 h of TBI...
July 2014: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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