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3 results

  • Comparative Analysis of Burn Injuries in Toddler and Preschool Children: Implications for Triage and Outcome Assessment

  • Mehmet Ozel, Sarper Yilmaz, Ali Cankut Tatliparmak, Rohat Ak
  • Journal:
    Disaster Medicine and Public Health Preparedness / Volume 18 / 2024
    Published online by Cambridge University Press:
    24 October 2024, e143
    • Article
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  • Objective

    This study aims to compare the demographic, clinical characteristics, and outcomes of burn injuries in toddler and preschool children, and to validate the American Burn Association (ABA) Burn Triage Decision Matrix in the Turkish pediatric population.

    Methods

    A retrospective analysis was conducted on 684 pediatric burn patients (494 toddlers, 190 preschoolers) admitted to our burn center over a 5-year period. Variables including gender, burn etiology, burn area, depth, treatment modalities, complications, length of hospital stay, and mortality were analyzed. The performance of the ABA Burn Triage Decision Matrix was evaluated in both groups.

    Results

    Scalding was the predominant cause of burns in both groups, with a significant difference in the involvement of anterior trunk (p = 0.027). The mean Total Body Surface Area (TBSA) was comparable between the groups (p = 0.286). There was no significant difference in mortality rates (p = 0.385), treatment modalities, and complications. The ABA Burn Triage Decision Matrix demonstrated consistency in triaging the severity of burn injuries, with a notable discrepancy observed in the moderate risk category of toddler group.

    Conclusions

    This study highlights the distinct characteristics and outcomes of burn injuries in different pediatric age groups. The ABA Burn Triage Decision Matrix’s validation suggests its utility in enhancing triage accuracy and resource allocation in pediatric populations, especially in disaster-prone regions.

  • 5 - Plain Radiography of the Cervical Spine

  • from PART I - PLAIN RADIOGRAPHY
  • Edited by J. Christian Fox, University of California, Irvine
  • Book:
    Clinical Emergency Radiology
    Published online:
    07 December 2009
    Print publication:
    29 September 2008, pp 91-105

  • Summary

    EDs each year with potential cervical spine (C-spine) injury, prompting approximately 800,000 C-spine radiographs. C-spine or neck radiographs are often useful in evaluating non-traumatic conditions commonly presenting to the ED. C-spine injuries are present in only 2% to 6% of blunt trauma victims and in even fewer non-traumatic ED patients, but the potential for catastrophic outcomes of missed C-spine injuries has led to a high index of suspicion by emergency physicians. C-spine injury is relatively uncommon in the pediatric population; however, rates of mortality and neurological damage are alarmingly high. The pitfall of pediatric C-spine radiography lies in the condition known as spinal cord injury without radiographic abnormality. A growing body of evidence and an increasing amount of authorities are now advocating a shift to computed tomography (CT)-based screening of blunt trauma victims for C-spine injury. CT has been shown to be up to 100% sensitive in multiple studies.

  • Principles of Disaster Planning for the Pediatric Population

  • Gwenn M. Allen, Steven J. Parrillo, Jean Will, Johnathon A. Mohr
  • Journal:
    Prehospital and Disaster Medicine / Volume 22 / Issue 6 / December 2007
    Published online by Cambridge University Press:
    28 June 2012, pp. 537-540
    Print publication:
    December 2007

  • Unique physiological, developmental, and psychological attributes of children make them one of the more vulnerable populations during mass-casualty incidents. Because of their distinctive vulnerabilities, it is crucial that pediatric needs are incorporated into every stage of disaster planning. Individuals, families, and communities can help mitigate the effects of disasters on pediatric populations through ongoing awareness and preventive practices. Mitigation efforts also can be achieved through education and training of the healthcare workforce. Preparedness activities include gaining Emergency Medical Services for Children Pediatric Facility Recognition, conducting pediatric disaster drills, improving pediatric surge capacity, and ensuring that the needs children are incorporated into all levels of disaster plans. Pediatric response can be improved in a number of ways, including: (1) enhanced pediatric disaster expertise; (2) altered decontamination protocols that reflect pediatric needs; and (3) minimized parent-child separation. Recovery efforts at the pediatric level include promoting specific mental health therapies for children and incorporating children into disaster relief and recovery efforts. Improving pediatric emergency care needs should be at the forefront of every disaster planner's agenda.