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<p>The management of pediatric polytrauma remains a&#xa0;significant challenge, both at the accident scene and during in-hospital care. Optimal outcomes rely on thorough team preparation through targeted training and simulation exercises as well as on the use of cognitive aids such as mobile applications and emergency length-based tapes. In addition to practical skills training, in-house simulation programs have proven to be highly effective. The treatment process should consistently follow the X(c)ABCDE algorithm, ensuring a&#xa0;shared language between prehospital and in-hospital teams (X(c)<i>ABCDE</i>: <i>X</i> „critical bleeding“/kritische Blutung; (<i>c</i>) „cervical spine“/Halswirbelsäule, <i>A</i> „airway“/Atemweg; ABCDE:&#xa0;airway, breathing, circulation, disability, exposure). Recent evidence highlights several age-specific factors crucial in pediatric trauma care. These include treatment at a&#xa0;pediatric trauma center, application of the pediatric Glasgow Coma (pGCS) or AVPU scale (alert, verbal, pain, and unresponsive), use of S‑ketamine and hypertonic saline in severe traumatic brain injury, maintaining normothermia, and age-appropriate targeted radiological diagnostics. Conversely, the uncritical use of tourniquets, rigide cervical spine immobilization, excessive fluid resuscitation, permissive hypotension, and indiscriminate fracture repositioning should be avoided in pediatric patients.</p>

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Polytrauma im Kindesalter – Dos and Don’ts

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年11月6日

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  • Markus Lehner,
  • Hannah Lea Luz

摘要

The management of pediatric polytrauma remains a significant challenge, both at the accident scene and during in-hospital care. Optimal outcomes rely on thorough team preparation through targeted training and simulation exercises as well as on the use of cognitive aids such as mobile applications and emergency length-based tapes. In addition to practical skills training, in-house simulation programs have proven to be highly effective. The treatment process should consistently follow the X(c)ABCDE algorithm, ensuring a shared language between prehospital and in-hospital teams (X(c)ABCDE: X „critical bleeding“/kritische Blutung; (c) „cervical spine“/Halswirbelsäule, A „airway“/Atemweg; ABCDE: airway, breathing, circulation, disability, exposure). Recent evidence highlights several age-specific factors crucial in pediatric trauma care. These include treatment at a pediatric trauma center, application of the pediatric Glasgow Coma (pGCS) or AVPU scale (alert, verbal, pain, and unresponsive), use of S‑ketamine and hypertonic saline in severe traumatic brain injury, maintaining normothermia, and age-appropriate targeted radiological diagnostics. Conversely, the uncritical use of tourniquets, rigide cervical spine immobilization, excessive fluid resuscitation, permissive hypotension, and indiscriminate fracture repositioning should be avoided in pediatric patients.