a Servicio de Cirugía Pediátrica, Hospital Universitario y Politécnico La Fe, . The Advanced Trauma Life Support (ATLS) protocol is the gold standard for the. Trauma pediatrico atls pdf. A clear and concise communication between the prehospital system and the hospital center is essential. The american college of. Se trata de llevar al paciente indicado, en el tiempo indicado al lugar adecuado. Se siguen las pautas ATLS Se realiza el ABCDE, la evaluación primaria, la.
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Considering that our hospital is the only pediatricco in the province with a trauma centre, it is reasonable to assume that the data we collected was appropriate for the assessment of the level of training pedjatrico our region. The implementation of AITP training courses has not translated to an overall improvement in quality indicators for the atlx of patients managed at a tertiary care hospital, with the exception of specific interventions, such as the use of a cervical collar.
Prehospital pediatric care pediiatrico traumatic emergencies. It is important to remember that while a low GCS is a risk factor for the presence of intra-abdominal injury, a high score does not rule it out, or that paediatric patients can continue to be haemodynamically stable for hours despite rupture of a solid organ. J Trauma, 40pp. In our series, gastric tube placement in severely injured patients was the indicator in which there was the least improvement, possibly because it is perceived as an aggressive intervention in paediatric patients, especially in the absence of changes in the level of consciousness, a circumstance that has already been identified in similar studies.
Lastly, we should highlight that the two groups were not comparable, so the univariate analysis may have been affected by intervening variables, as well as by the small sample size for some of the study variables when we restricted the analysis pdeiatrico subgroups of patients with a GCS or PTS of 8 or less.
Materials and methods Two cohorts of PICU admissions were reviewed, the first one during the pediafrico years immediately before the training courses started Group 1, period —and the second one during the 4 years Group 2, period — after nearly professionals were trained.
The availability of a simulation training programme in a given region does not imply that the quality of pre-hospital care is any better compared to other areas, 15 and furthermore, a direct association between the care provided by professionals trained in trauma management and improved outcomes has not been established to date, 16 mainly due to a lack of rigorous studies.
Cir Pediatr, 18pp. Pediatr Emerg Care,http: The sample we used has characteristics that are common in trauma care studies, and the inclusion of patients admitted to hospital but that did not need admission to PICU would have been a source of bias of pediartico different kind, as we would have only analysed patients admitted to our hospital, excluding those admitted to lower-level facilities, which would diminish the external validity of the results.
An Pediatr Barc77pp. Psdiatrico villatoro martinez urgencias medico quirurgicas.
Discuss the unique characteristics of the child as a trauma patient. Distribution of students by specialty March —March When it comes to the indicators used for quality assessment, several authors have remarked on the difficulty of establishing global standards for data auditing.
In addition to demographic characteristics, the variables under study included the mechanism of injury, the team that provided initial care, the Glasgow Coma Score GCS at the time of initial care and the paediatric trauma score PTS. Los grupos mostraron diferencias tanto en el mecanismo lesional como en el equipo que presta la asistencia inicial. Complementary strategies, such as the one developed in the TRAUMACAT programme, which combines educational talks with the distribution of informational posters in the emergency care area, or the use of a checklist in the care of trauma patients, 18 may contribute to reduce the number of tasks that are not performed during initial care.
Trauma care in Spain is not provided in specific centres, which means that health professionals have limited contact to trauma patients. We cannot exclude the possibility that the size of the compared groups was responsible for results not being statistically significant despite the absolute increase in the percentage of adherence to 4 out of the 5 analysed indicators.
The pts was developed to reflect the childrens vulnerability to traumatic injury. Use of cervical collar. The aim of this study was to assess the quality of the initial care provided to patients brought to a tertiary care level hospital as an indirect measure of the increase in the number of professionals trained in trauma care.
Med Intensiva, 39pp. It emphasizes the importance of the childs weight and airway. Characteristics of the pediqtrico sample. The implementation of the trauma algorithm should not be based on pediatruco Glasgow Coma Score, but on the medical history of the patient. To analyse the data, we compared categorical variables by means of the chi-square test or the Fisher exact test. Head injuries are likely to result in problems affecting atsl airway and.
As regards quality indicators, only the use of neck collar improved its compliance Trauma en pediatria s54 mx este documento es elaborado por medigraphic por secciones y una adecuada historia clinica, considerar. Ambulance without medical staff nurse or physician.
Trauma pediatrico atls pdf
The indicators we used for out-of-hospital care in our study were based on the interventions proposed by the AITP management algorithm, although other protocols may be implemented based on the age of the patient or different training programmes.
Introduction Trauma care in Spain is not provided in specific centres, which means that health professionals have limited contact to trauma patients. Prehospital pediatric care course traumatic emergencies lesson 6 in this lesson, the focus will first be on the following. Nevertheless, training by means of simulation has been proven to increase individual confidence and skills in the management of complex medical situations.
Quality of initial trauma care in paediatrics | Anales de Pediatría
Peripheral vascular catheter placement. Advanced trauma life support atls student course manual 9th. Secondly, there pediatrco a patient selection bias, as we only analysed data for patients admitted to the PICU, excluding the rest of hospitalised patients that stayed in the ward.