title: Paediatric trauma resuscitation: an update.
abstract: OBJECTIVE
  Paediatric trauma is the leading cause of mortality in children. Paediatric trauma resuscitation is the first and foremost step towards a successful treatment and subsequent recovery. Significant advances have taken place in the last years in relation to this field of trauma care.
  
  
  METHODS
  In this narrative review, we attempt to summarise the recent development in the concepts of fluid resuscitation, massive transfusion, permissive resuscitation, management of coagulopathy and use of tranexamic acid, literature pertaining to implementation of transfusion protocols in the paediatric population and education related to the paediatric trauma resuscitation.
  
  
  CONCLUSIONS
  The current evidence although emerging is still sparse and high-quality studies are needed to shed more light on most of the above domains of resuscitation.
authors.affiliation: Academic Department of Trauma and Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK.|NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, West Yorkshire, Leeds, LS7 4SA, UK.
authors.forename: T H
authors.initials: TH
authors.lastname: Tosounidis
authors.affiliation: Academic Department of Trauma and Orthopaedic Surgery, University of Leeds, Clarendon Wing, Floor A, Great George Street, Leeds General Infirmary, Leeds, LS1 3EX, UK. pgiannoudi@aol.com.|NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, West Yorkshire, Leeds, LS7 4SA, UK. pgiannoudi@aol.com.
authors.forename: P V
authors.initials: PV
authors.lastname: Giannoudis
mesh_terms: D000933:Antifibrinolytic Agents / Q000627:therapeutic use*; D001778:Blood Coagulation Disorders / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D001803:Blood Transfusion / Q000379:methods*; D002648:Child; D002985:Clinical Protocols; D019317:Evidence-Based Medicine; D005440:Fluid Therapy / Q000379:methods*; D006801:Humans; D015601:Injury Severity Score; D012151:Resuscitation / Q000379:methods / Q000639:trends; D014148:Tranexamic Acid / Q000627:therapeutic use*; D014947:Wounds and Injuries / Q000150:complications / Q000628:therapy*
chemical_list: D000933:Antifibrinolytic Agents; D014148:Tranexamic Acid
keywords: Paediatric injury; Paediatric mortality; Paediatric resuscitation; Paediatric trauma