title: Pediatric Polytrauma Management.
abstract: Caring for pediatric trauma patients requires an understanding of the distinct anatomy and pathophysiology of the pediatric population compared to adult trauma patients. Initial evaluation, management, and resuscitation are performed as a multidisciplinary approach including pediatric physicians, trauma surgeons, and pediatric intensive care physicians. Head injury severity is the principle determinant of outcome and mortality in polytraumatized children. Abdominal injuries rarely require surgery in contrast to adults, but need to be detected. Spine and pelvic injuries as well as injuries of the extremities require age-adapted surgical procedures. However, the degree of recovery in polytraumatized children is often remarkable, even after apparently devastating injuries. Maximal care should, therefore, be rendered under the assumption that a complete recovery will be made.
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany.
authors.forename: Heike
authors.initials: H
authors.lastname: Jakob
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Lustenberger
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany.
authors.forename: Dorien
authors.initials: D
authors.lastname: Schneidmüller
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany.
authors.forename: Anna L
authors.initials: AL
authors.lastname: Sander
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany.
authors.forename: Felix
authors.initials: F
authors.lastname: Walcher
authors.affiliation: Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Frankfurt/Main, Germany. marzi@trauma.uni-frankfurt.de.|Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe University Medical School, Theodor-Stern-kai 7, 60590, Frankfurt/Main, Germany. marzi@trauma.uni-frankfurt.de.
authors.forename: Ingo
authors.initials: I
authors.lastname: Marzi
keywords: Critical care; Injury pattern; Pediatric polytrauma; Trauma room management
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