Trauma Pediatric - part 1 pot

[...]... Registry over a 10 -year period from 19 85 to 19 96, during which 53 ,11 3 cases were enrolled While the overall mortality was lower at pediatric trauma centers versus adult trauma centers (1. 8% vs 3.9%), there was no difference in risk-adjusted mortality rate Overall mortality was also lower at trauma centers verified by the American College of Surgeons Committee on Trauma as appropriate for pediatric trauma care... through a population-based study of the epidemiology of pediatric trauma care in 19 92 that compared vital statistics and hospital discharge data abstracts from a single state for a single year, Cooper et al reported that while total pediatric trauma and burn deaths occurred at a rate of 11 .8 /10 0,000 population, in-hospital pediatric trauma and burn deaths occurred at a rate of only 2.6/ 10 0,000 population... was also found to be best at a pediatric trauma center by Hall et al in 19 96 ( 41) They reviewed the fatality rates of 17 97 children admitted to pediatric trauma centers using TRISS analysis to stratify risk While the Z-scores did not differ statistically between pediatric and adult trauma centers for penetrating injuries, the Z-score was significantly better in pediatric trauma centers for blunt injuries... Family’s Acute Grief Reaction 410 The Grieving Parents’ Defense Mechanisms 410 Next Steps: Surgery or ‘‘The Impossible Outcome’’ 411 Long-Term Bereavement 411 Coping Skills: Personal, Professional 412 Summary 415 References 416 Additional Reading 417 Index 419 Contributors Paul Babyn Department of Radiology, University of... Epidemiology of Pediatric Trauma 7 11 Orzechowski KM, Edgerton EA, Bulas DI, McLaughlin PM, Eichelberger MR Patterns of injury to restrained children in side impact motor vehicle crashes: the side impact syndrome J Trauma 2003; 54 :10 94 11 01 12 Macpherson AK, To TM, Macarthur C, Chipman ML, Wright JG, Parkin PC Impact of mandatory helmet legislation on bicycle-related head injuries in children: a population-based... References 386 23 Long-Term Outcomes in Injured Children 389 Michael Vitale and David P Mooney Pediatric Trauma: Scope of the Problem 389 The Challenge of Assessing Pediatric Outcomes 389 Volume Outcome Relationships 390 Functional Status and Quality-of-Life Assessment in a Pediatric Population 3 91 Pediatric Polytrauma: Outcomes 3 91 Outcomes of Traumatic Brain Injury... and degree of hypotension (systolic blood pressure . paper 10 9876543 21 International Standard Book Number -1 0 : 0-8 24 7-4 11 7-X (Hardcover) International Standard Book Number -1 3 : 97 8-0 -8 24 7-4 11 7-4 (Hardcover) This book contains information obtained. 10 8 Epidemiology . . . . 10 8 Pathophysiology . . . . 10 9 Component Therapy . . . . 11 1 Emergency Management . . . . 11 3 Definitive Management . . . . 11 6 Complications of Transfusion . . . . 11 7 Red. . . . . 10 The Public Health Approach to Pediatric Trauma . . . . 11 Evidence in Support of Specialized Hospital Care for Pediatric Trauma . . . . 15 Elements of Contemporary Pediatric Trauma