Study Guide
Pediatric Polytrauma
Key Points:
- Trauma is the leading cause of death in the United States for children between the ages of 1 and 14.
- Critical differences in the physiologic effects of multi-system injury exist between children and adults.
- The orthopedist’s role in managing hemodynamic instability, vascular insult, and neurologic damage is essential.
- Unlike patients who present with isolated injuries, operative indications and postoperative immobilization differ in the multiply injured pediatric patient.
- Early fracture stabilization is important in managing children with polytrauma and open fractures to protect soft tissues, reduce pain and facilitate rehabilitation.
Description:
Trauma is the leading cause of death in the United States for children between the ages of 1 and 14 and costs our society more than 81 billion dollars per year. (Danseco, 2000) With nearly 63% of pediatric polytrauma patients presenting with extremity fractures, the role of the orthopaedic surgeon in managing these patients is critical. (Loder, 1987) Although rarely a cause of mortality, orthopaedic injuries in these patients can cause long-term morbidity. (Demetrediase, 2003)Epidemiology:
Clinical Findings:
Imaging Studies:
Treatment:
Complications:
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