Unintentional pediatric trauma in the emergency department

Beuy Joob, Viroj Wiwanitkit
2019 Journal of Medical Sciences  
Objective: The study aimed to evaluate the causes of trauma, diagnostic treatment methods, and the results in the patients who were admitted to the emergency department with pediatric thoracic and abdominal trauma. Method: In this study, between January 2014 and December 2018, 959 patients under 18 years of age who were admitted to the emergency department due to the thorax and abdominal trauma were included. Of these, 557 (58.1%) were male, with a mean age of 9.3 years (range, 1-16 years).
more » ... e, 1-16 years). Demographic characteristics, trauma patterns, and mortality results of these patients were evaluated retrospectively. Results: 933 (97.3%) of the cases were blunt, and 2 (2.7%) were penetrating traumas. Of the trauma cases, 436 (4.5%) fell from lower than one meter, 323 (33.7%) fell from higher than one meter, 174 (18.1%) were in or nonvehicle traffic accidents, 26 (2.7%) were penetrating or sharp object injuries. Mortality was most common in men. Also, mortality was observed in 11 (1.14%) cases with a fall from height and then 4 (0.4%) cases in a nonvehicle traffic accident. Abdominal organ injury was mostly in the liver, but mortality was more frequent in spleen injuries. Thoracal, lumbar and simple rib fractures were detected mostly in falls, and hemo and pneumothorax were detected in non-vehicle traffic accidents. Conclusions: Most of the thoracic and abdominal traumas can be treated by conservative methods. Mortality and morbidity rates can be decreased by determining the multidisciplinary approach of other system injuries and by giving the early decision of procedures.
doi:10.4103/jmedsci.jmedsci_167_18 fatcat:i5arxtuskrflhelgxhitwjjrmq