Join presenter Professor Gary James Browne as he covers the following in this paediatric trauma session:
This session will be held at AEC Rozelle.
Trauma is the leading cause of death and serious injury in children accounting for 40% of deaths in developed countries. Motor vehicle accidents account for almost 50% of unintentional injury-related deaths. Almost two-thirds of injury-related deaths in children are male. Prevention strategies have resulted in most of the improvement in mortality during childhood. The advent of trauma systems has led to great improvement in paediatric injury care.
Trauma requires the provider to consider the immediate needs of the child while simultaneously anticipating what treatment they may require in the future. Haemorrhage and airway obstruction are leading causes of death in paediatric trauma patients. A systemic approach to resuscitation, built on the principles of management of catastrophic bleeding, airway, breathing, circulation, disability and exposure is essential to guide early assessment and management. Predefined massive transfusion protocols have the potential to significantly reduce mortality by treating haemorrhagic shock and coagulopathy, adhering to the principles of haemostatic resuscitation. While it is important to consider the mechanism of injury, the provider must remember, that in children, trauma is a dynamic process, requiring regular monitoring of vital signs and repeated examinations so not to miss occult injuries.
Anatomic and physiologic aspects of the paediatric patient have significant implications for outcome. Because of their small size and elastic skeleton children often sustain injuries to their internal organs with minimal or no external trauma. It is also important to be aware that in younger children where the mechanism of injury is not consistent with the pattern of injury be treated, non-accidental injury should be considered. Finally, trauma frequently places the child and his/her family under enormous psychological strain with possible long-term consequences. In order to help overcome some of these difficulties, it is important to provide early psychological support as the presence of parents or family members is not uncommon during paediatric resuscitation.
Gary is Professor of Emergency Medicine, and Chair of the Discipline of Emergency Medicine, University of Sydney. He is a practicing Emergency Physician with over 40 years of experience in trauma care. Gary is the head of an international research laboratory based at the Children’s Hospital Westmead that is focused on clinical research to better understand the mechanisms, diagnostic biomarkers and new treatments for head injury in children and adolescents. Gary is author and editor of over 250 peer reviewed papers and 20 textbooks on paediatrics and acute care. He is senior editor of the recently published 3rd edition, Textbook of Paediatric Emergency Medicine. He is senior lecturer and examiner for the Paramedic Intensive Care Program, Paediatrics, NSW Ambulance Education Centre, Roselle.
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|ANZCP Member Ticket||Free|
|Non Member Ticket||$35.00|
|Non Member Student Ticket||$35.00|