الفهرس | Only 14 pages are availabe for public view |
Abstract Pediatric trauma is the first cause of death in children, reِpresenting -as a total- more than all other causes of death combined; it also represents the leading cause of permanent disability in this population. RTA is the most common mechanism of injury. The principles of trauma care are the same for children and adults, but there is a difference in care to get optimal treatment of the injured pediatric patient that requires special knowledge of the his unique anatomy and physiology. In polytrama, the ideal management comes in the Advanced Trauma Life Support (ATLS)-based primary survey with the side-byside resuscitation to discover and treat life-threatening injuries that compromise oxygenation and circulation. On arrival at the hospital, evaluation of the child‘s airway, breathing, and circulation is done. Trauma scoring systems have been developed, as instruments designed to quantify trauma severity and estimate the survival probability. Trauma scores may be anatomical (using scores that indicate anatomical injury severity, for example, the Abbreviated injury scale (AIS), Injury severity score (ISS), etc.), physiologic scores or scales (measuring the injury acute dynamic component, for example, Trauma score (TS), Revised trauma score (RTS), etc.) or combined scores or models, for example, Trauma score-injury severity score (TRISS). |