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Trauma is the leading cause of death in children in the United States (United States Department of Health and Human Services CfDCaP, National Center for Health Statistics. Multiple cause of death by single race 2018–2020. 2020. http://wonder.cdc.gov/ucd-icd10.html ), with the highest rates of fatal injury being related to firearms, followed by motor vehicle injury (Chao SSJ, Ruscher K, Armstrong L, Jeziorczak P, Vogel A, Forrester JA, Forrester JD, Taylor J, Vanover M, Wood L. Injury Prevention. Pediatric surgery NaT. American Pediatric Surgical Association. 2022. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829738/all/Injury_Prevention ; Lee LK, Douglas K, Hemenway D, N Engl J Med, 386(16):1485–7, 2022. https://doi.org/10.1056/NEJMp2200169 ). Other common causes of injury in children are drowning, suffocation, falls, and burns (Chao SSJ, Ruscher K, Armstrong L, Jeziorczak P, Vogel A, Forrester JA, Forrester JD, Taylor J, Vanover M, Wood L. Injury Prevention. Pediatric surgery NaT. American Pediatric Surgical Association. 2022. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829738/all/Injury_Prevention ).Beyond the mortality related to injury, there is significant morbidity with estimates of over 8 million children treated for injury in the emergency department each year (Myers SR, Branas CC, French B, Nance ML, Carr BG, Pediatr Emerg Care, 35(1):1–7, 2019. https://doi.org/10.1097/PEC.0000000000000902 ). The approach to managing a child after trauma has unique nuances that make it different from adult trauma, and which will be highlighted throughout this chapter. Importantly, this chapter is not a comprehensive resource for detailed management of pediatric injuries. Rather it is intentionally a brief overview of “high yield” facts illustrating unique differences in the management of pediatric trauma.

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Trauma in Children

  • 章节

  • 发表日期：

    2025年

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  • Christopher S. Muratore,
  • Priyanka V. Chugh

摘要

Trauma is the leading cause of death in children in the United States (United States Department of Health and Human Services CfDCaP, National Center for Health Statistics. Multiple cause of death by single race 2018–2020. 2020. http://wonder.cdc.gov/ucd-icd10.html ), with the highest rates of fatal injury being related to firearms, followed by motor vehicle injury (Chao SSJ, Ruscher K, Armstrong L, Jeziorczak P, Vogel A, Forrester JA, Forrester JD, Taylor J, Vanover M, Wood L. Injury Prevention. Pediatric surgery NaT. American Pediatric Surgical Association. 2022. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829738/all/Injury_Prevention ; Lee LK, Douglas K, Hemenway D, N Engl J Med, 386(16):1485–7, 2022. https://doi.org/10.1056/NEJMp2200169 ). Other common causes of injury in children are drowning, suffocation, falls, and burns (Chao SSJ, Ruscher K, Armstrong L, Jeziorczak P, Vogel A, Forrester JA, Forrester JD, Taylor J, Vanover M, Wood L. Injury Prevention. Pediatric surgery NaT. American Pediatric Surgical Association. 2022. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829738/all/Injury_Prevention ).Beyond the mortality related to injury, there is significant morbidity with estimates of over 8 million children treated for injury in the emergency department each year (Myers SR, Branas CC, French B, Nance ML, Carr BG, Pediatr Emerg Care, 35(1):1–7, 2019. https://doi.org/10.1097/PEC.0000000000000902 ). The approach to managing a child after trauma has unique nuances that make it different from adult trauma, and which will be highlighted throughout this chapter. Importantly, this chapter is not a comprehensive resource for detailed management of pediatric injuries. Rather it is intentionally a brief overview of “high yield” facts illustrating unique differences in the management of pediatric trauma.