Does a trauma-management system improve outcome for children with life-threatening injuries?
The authors describe the management system at their statewide pediatric trauma centre. The system includes nonoperative management of liver and splenic injuries, allowing more aggressive treatment of head injuries. The large volume of injuries treated, combined with weekly morbidity and mortality conferences and the establishment of a registry that records injury severity scores, aids the development and evaluation of new techniques in pediatric trauma care.
D002648:Child; D006746:Hospital Bed Capacity, 500 and over; D006801:Humans; D008099:Liver / Q000293:injuries; D008396:Maryland; D010043:Outcome and Process Assessment, Health Care; D013154:Spleen / Q000293:injuries; D014187:Transportation of Patients; D014193:Trauma Centers / Q000458:organization & administration*; D014947:Wounds and Injuries / Q000628:therapy*