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Principles of Primary Survey and Resuscitation in Cases of Pediatric Trauma Pubmed



Jafarpour S1, 2 ; Nassiri SJ3 ; Bidari A4 ; Chardoli M5 ; Rahimimovaghar V1, 6, 7
Authors
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Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, United States
  3. 3. Department of Pediatric Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Emergency Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Emergency Medicine, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Research Centre for Neural Repair, University of Tehran, Tehran, Iran

Source: Acta Medica Iranica Published:2015


Abstract

Trauma is a common cause of death and disability in children. Proper approach to pediatric trauma involves adherence to ABCDE sequence in the primary survey and resuscitation in order to promptly recognize and manage life-threatening conditions immediately. This readily reviewed sequence includes A: establishment and maintenance of a patent airway while maintaining cervical spine immobilization; B: evaluation of breathing, ventilation and oxygenation, immediate treatment of tension pneumothorax, open pneumothorax and massive hemothorax; C: evaluation and treatment of circulatory compromise and shock; D: Disability and Neurologic Status, assessment of signs of increased intracranial pressure and impending cerebral herniation; and E: Exposure while preventing hypothermia. Implementing these assessment and management priorities can result in more favorable outcomes. © 2015 Tehran University of Medical Sciences. All rights reserved