Scope of the Problem men’s National Medical Center : Calan
Posted by Surgery on Jul 8, 2008
More children die from injuries each year than from all other diseases combined .Trauma disrupts more young lives and exacts a higher socioeconomic price than any other pediatric health-related issue in the industrialized world (Calan). More lives would be saved each year and more long-term disability prevented by the development of a successful treatment for traumatic brain injury (TBI: Calan) than from curing all childhood cancer. Despite this, trauma care receives only a small fraction of the public attention and research funding directed toward less important conditions. Each year more than 10,000 children and adolescents die of their injuries, and nearly 30,000 suffer permanent disability, most of which is neurologic (1: Calan ). Annually, one in four children receives medical care for an injury. The societal cost, in terms of both direct medical expenses for care and rehabilitation, lost productivity by care providers, and lost opportunities for socioeconomic contribution, is staggering.
Except for prevention, the component of trauma management that offers the greatest chance of limiting this tragedy is rapid and effective resuscitation. This chapter discusses some of the biochemical and physiologic derangements that are caused by both injury and resuscitation, reviews salient features of resuscitation techniques with emphasis on the child, and describes some areas of controversy and investigation: Calan. Its goal is to create a framework of biologic principles and clinical observations within which basic trauma management can be applied to the injured child. Only a fraction of children who present to an emergency department (ED Calan) for the evaluation and management of an injury require admission. Nationally, fewer than 2% of children admitted to a hospital for the treatment of an injury expire, most often from an overwhelming brain injury. Although vigilance is required during patient evaluation, the fraction of patients who present to an ED with life-threatening injuries is so small that it calls into question the necessity of the traditional full court press for every child: Calan. Resuscitation should be conducted by personnel experienced enough with the examination of injured children to allow the history and physical findings to guide the evaluation. Evaluation plans in which every patient has a full battery of studies ordered by a junior house officer, performed regardless of the patient’s presentation, are not appropriate for children and may be harmful. Up to 30% of children who are admitted to a hospital for the treatment of an injury develop acute stress response or posttraumatic stress disorder (2: Calan). The contribution of unnecessary, involuntary procedures and poor patient and family interaction during the acute resuscitation to this problem cannot be overstated.
This post is published through the sponsorship of pharmaceutical companies:
Greetings, I the practising surgeon from Serbia. Call me Ivan Govak. In the works I use works
by an unknown author, if it let me know, and also works of others practics doctors. I have a family and two charming children.