Trauma
Everything in the library about trauma — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Fundamentals
1 item
Pediatric Gun Violence: Pediatric Trauma Series 2017
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Experts across the country joined for this three part series on issues in pediatric trauma, from evaluation of the pediatric abdomen following blunt trauma, standardized screening for non-accidental trauma and pediatric gun violence.Dr. Mic
video22:56 · Sep 2018
Evidence & Research
2 items
Differences Between Pediatric & Adult Trauma Centers
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Dr. Richard Falcone does a JPS review of an article by Walther, et al showing that Pediatric trauma centers use less imaging than adult centers for adolescent patients. Full text: http://ow.ly/uCyu304JGaD
video3:39 · Sep 2018
Differences Between Pediatric & Adult Trauma Centers
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Dr. Richard Falcone does a JPS review of an article by Walther, et al showing that Pediatric trauma centers use less imaging than adult centers for adolescent patients. Full text: http://ow.ly/uCyu304JGaD
video3:39 · Jan 2019
Emerging & Future Directions
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Surgical Skill Acquisition in the Modern Era: Comparative Technology in...
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Telementoring leaders including Drs Steve Rothenberg, Shafi Ahmed, Brian Dunkin, Conor Delaney, Knut Magne Augestad, and Todd Ponsky,discuss cases using current available methods for surgicaltelementoring.In this session,Dr. Todd Ponsky pre
video13:39 · Jan 2019
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Every expert statement below comes from the recorded discussions, with its speaker and moment.
Differences Between Pediatric & Adult Trauma Centers
There is substantial data showing pediatric trauma centers are better for young children, but evidence for adolescents aged 15-19 is less clear.
clinicalRich Falcone0:14 ↗
A prior Ohio-only study showed no difference in outcomes for 15-19 year olds whether treated at adult or pediatric trauma centers.
epidemiologicalRich Falcone0:14 ↗
The National Trauma Data Bank study included patients aged 15-19 with injury severity scores greater than 25 over a 5-year period, totaling almost 13,000 patients.
epidemiologicalRich Falcone0:14 ↗
51% of severely injured adolescents in the study were treated at adult trauma centers and 49% at pediatric trauma centers.
epidemiologicalRich Falcone0:14 ↗
The median injury severity score (ISS) in the study population was 33.
epidemiologicalRich Falcone0:14 ↗
45% of patients in the study had Glasgow Coma Scale scores less than 8, indicating severe brain injuries.
epidemiologicalRich Falcone0:14 ↗
There was no significant difference in mortality between severely injured adolescents treated at adult versus pediatric trauma centers.
epidemiologicalRich Falcone0:14 ↗
Adolescents treated at adult trauma centers were approximately 81% more likely to have an imaging study performed compared to those at pediatric trauma centers.
epidemiologicalRich Falcone0:14 ↗
Severely injured adolescents had shorter length of stay at pediatric trauma centers compared to adult trauma centers.
epidemiologicalRich Falcone0:14 ↗
Severely injured adolescents had shorter ICU length of stay at pediatric trauma centers compared to adult trauma centers.
epidemiologicalRich Falcone0:14 ↗
More adolescents were discharged to home (as opposed to rehab or skilled nursing facilities) when treated at pediatric trauma centers compared to adult trauma centers.
epidemiologicalRich Falcone0:14 ↗
Mortality is not the most important or reliable outcome for pediatric trauma because most children survive once they reach a hospital.
opinionRich Falcone0:14 ↗
Pediatric trauma centers add value for children even up into the adolescent age range (15-19 years).
opinionRich Falcone0:14 ↗
Adult trauma centers need to achieve equivalent imaging and length of stay practices to pediatric trauma centers for adolescents, since 51% of this population presents to adult facilities.
opinionRich Falcone0:14 ↗
Pediatric trauma centers can achieve equivalent outcomes with less imaging by trusting clinical diagnosis and examination, avoiding unnecessary radiation exposure.
clinicalRich Falcone3:15 ↗
A recent study showed that referring hospitals had higher imaging rates than children's hospitals for appendicitis.
epidemiologicalTodd Ponsky2:57 ↗
Pediatric Gun Violence: Pediatric Trauma Series 2017
Over the last 25 years, mortality from pediatric trauma has decreased by about 50%.
epidemiological0:00 ↗
Trauma is still the single most common cause of death in the pediatric population and more common than all other causes combined.
epidemiological0:00 ↗
Among pediatric injury deaths at trauma centers, motor vehicle crashes are the number one cause, followed by firearms and falls (National Trauma Data Bank 2016).
epidemiological0:00 ↗
For children who reach a trauma center, firearms are the most lethal mechanism—the cause most likely to result in death.
clinical0:00 ↗
The number of firearm deaths in the pediatric population now is about the same as at the beginning of this century, showing little progress.
epidemiological0:00 ↗
Among pediatric firearm deaths by intent, homicides are most common, followed by suicide, then unintentional injuries.
epidemiological0:00 ↗
In the 15-19 age group, firearms are responsible for 84% of homicides.
epidemiological0:00 ↗
In the 15-19 age group, firearms are responsible for 46% of suicides.
epidemiological0:00 ↗
In the 15-19 age group, 25% of all deaths involve a firearm.
epidemiological0:00 ↗
Following Sandy Hook, the American Academy of Pediatrics, American College of Surgeons, and American Pediatric Surgical Association reviewed and updated their policy statements on firearm safety and injury prevention.
guideline7:00 ↗
Eight organizations, including the American Academy of Pediatrics, American Academy of Family Physicians, American College of Surgeons, American Psychiatric Association, American Public Health Association, and American Bar Association, published a white paper in the Annals of Internal Medicine advocating multidisciplinary collaboration to reduce firearm injuries.
guideline7:00 ↗
A survey of American College of Surgeons Committee on Trauma members showed that every advocacy topic related to firearms had over 50% support, and nearly half had over 90% support.
epidemiological7:00 ↗
The American Pediatric Surgical Association submitted its firearm policy statement to the entire membership for review and discussion at the annual meeting, resulting in overwhelming approval.
guideline7:00 ↗
Over the last 30-40 years, there has been a 17% reduction in motor vehicle-related deaths and a 77% increase in vehicle miles traveled, while firearm-related deaths increased by 15%.
epidemiological12:00 ↗
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