NEWER CONCEPTS IN EMERGENCY CARE OF CHILDREN WITH MAJOR INJURIES

[摘要] Childhood trauma and other life-threatening emergencies require facilities operational on a 24-hour basis, with surgical and medical components, x-ray facilities, and blood and chemistry laboratories organized to provide primary resuscitation and initial management for extensive and multiple injuries in children. Staffed to provide high quality treatment for simpler injuries and emergency illnesses in children, a trauma unit should represent a complete emergency treatment center for children; it should be tied administratively and professionally to the intensive care units within the larger medical complex.From this type of organizational framework and a physically separate trauma unit for children, improved teamwork and more efficient management of multiple injuries should result. The basic principles of rapid, careful evaluation and sequential correction of altered physiology remain the back-bone of successful therapy in children. The unique metabolic demands and miniature anatomic relationships, especially of small children, present the physician with a special challenge and a tremendous responsibility. Rewards for the successful management of multiple trauma are high–the younger the injured child, the greater is our total investment in his welfare and in his future.

[学科分类] 儿科学