Prehospital and Early Clinical Care of Infants, Children, and Teenagers Compared to an Adult Cohort

Abstract

We observed typical age-dependent differences regarding the injury pattern and severity and differences referring to the preclinical and initial treatment. With respect to the high rate of serious TBI in the infants and toddlers age groups, a more focused education and training of emergency physicians and paramedics should be considered.

The golden hour of shock – how time is running out: prehospital time intervals in Germany—a multivariate analysis of 15, 103 patients from the TraumaRegister DGU®

“…Age-dependent differences between the treatment of adult and paediatric major trauma patients and a trend towards a reduced treatment time have been described earlier 21 22. However, the present model of multivariate regression shows for the first time a significant reduction of OST in children.…”

Applicability of Adult Guidelines for Withholding or Terminating Resuscitation for Prehospital Traumatic Cardiopulmonary Arrest in Pediatrics

“…15 After validation by many studies, these guidelines have become acceptable and applicable for adults. 4,14,19 In pediatrics; however, there remains a gap in the necessary research due to the paucity of pediatric data. Until now, there has been only one study assessing the applicability of these guidelines to a pediatric population.…”

“…Salvageable and nonsalvageable classification of victim aids in making this decision, preserving and customizing precious human and financial resources according to the futility of the condition as well as minimizing the risks to health care personnel and the public. [13][14][15][16][17][18] Therefore, the development and utilization of sensible guidelines for withholding or terminating resuscitation of TCPA patients based on the best available evidence should be pursued.…”

Epidemiologie, Risikostratifizierung und Behandlungsergebnisse nach schwerem kindlichen Trauma

“…Bei den mit *gekennzeichneten Werten handelt es sich um den Mittelwert. ISS = Injury Severity Score; NISS = New Injury Severity Score; GCS = Glasgow Coma Scale (modifi ziert nach Wyen et al [ 51 ] ). Prähospitale und frühe klinische Versorgung ▼ Die prähospitale Versorgung polytraumatisierter Patienten konnte in den letzten Jahrzehnten durch die Einführung ver-schiedener Leitlinien und Trainingsprogramme, hervorgehoben sei hier das "Prehospital Trauma Life Support ® -Programm -PTHLS ® ", systematisch verbessert werden [ 22 , 50 ] .…”