Lesiones gastrointestinales en trauma abdominal contuso en ninos. Name the most common traumatic injuries among children. In the first few minutes after the accident, cardiorespiratory arrest can occur due to airway obstruction or inadequate ventilation, massive blood. Blunt abdominal trauma is the commonest cause of intra abdominal injuries in children. Assess children with trauma according to specific priorities. Asistencia inicial al traumatismo pediatrico y reanimacion. A clear and concise communication between the prehospital system and the hospital center is essential. The use of computerized axial tomography and nonoperative management of haemoperitoneum are two significant. Pediatric blunt abdominal trauma university of new mexico.
Abdominal trauma may involve penetrating or blunt injuries. This is a retrospective study of 31 patients with isolated parenchymatous abdominal organ injuries in children that were consecutively admitted and managed over the interval of four years january 2010 december 20 in our clinic. Oct 17, 2019 marwan a, harmon cm, georgeson ke, smith gf, muensterer oj. The aim of this paper is to discuss the mechanisms of production and the different diagnostic methods to help us make the best therapeutic decision. The use of computerized axial tomography and nonoperative management of. It can be done in 3 min, is noninvasive, portable, can be performed during the resuscitation, and does not offer a radiation dose. Trauma abdominal bazo e higado, organos mas frecuentemente. Penetrating injuries include gunshot and shrapnel injuries, impalements, and knifings. Identifying children at very low risk of clinically. Marwan a, harmon cm, georgeson ke, smith gf, muensterer oj. Posible rotura diferida en traumatismos toracoabdominales izquierdos. Evans pt, phelps hm, zhao s, van arendonk kj, greeno al, collins kf, et al. Abdominal trauma is a major challenge for surgeons working in emergency services.
A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. It is important to remember that while a low gcs is a risk factor for the presence of intraabdominal injury, a high score does not rule it out, or that paediatric patients can continue to be haemodynamically stable for hours despite rupture of a solid organ. Blunt abdominal trauma is the commonest cause of intraabdominal injuries in children. The provider must consider the mechanism of trauma in assessing risk of injury. Abdominal trauma is responsible for about 10% of all deaths related to trama.
Severe face, chest and abdominal injuries the safest place for a child is in a car seat in the back seat of the car unique problems in the pediatric population. Initial assessment and management of pediatric trauma patients. Use of laparoscopy in the management of pediatric abdominal trauma. Focused abdominal sonography for trauma fast has become a useful part of the initial trauma evaluation.
Serie monografica manejo inicial del politraumatismo. Trauma abdominal en pediatria by lorena jauregui on prezi. Abdominal traumatism can occur initially with subtle and deceiving signs. Therapeutic laparoscopy for pediatric abdominal trauma. The use of a pediatric abdominal trauma protocol improves. Although this age group is included in studies that addressed pediatric blunt abdominal trauma, preverbal children are underrepresented and not specifically substratified. Introduction trauma care in spain is not provided in specific centres, which means that health professionals have limited contact to trauma patients. Identifying children at very low risk of clinically important.
Blunt trauma related to mvcs causes more than 50% of the abdominal injuries in children and is also the most lethal. Severe face, chest and abdominal injuries the safest place for a child is in a car seat in the back seat of the car. Blunt trauma in paediatric patients experience from a. Abdomen, contusion, intestino, pediatria, tomografia computarizada, trauma, viscera hueca. Paediatric surgery clinic, nis, is a trauma referral centre for the region of southeast serbia.
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