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Journal of Intensive Care Medicine
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Pediatric Trauma: Current Concepts and Treatments

Dennis W. Vane

Division of Pediatric Surgery, University of Vermont College of Medicine, Burlington, VT, Dennis.Vane{at}vtmednet.org

Martin S. Keller

Cardinal Glennon Children's Hospital, St. Louis, Mo

Kennith H. Sartorelli

Division of Pediatric Surgery, University of Vermont College of Medicine, Burlington, VT

Alex P. Miceli

Cardinal Glennon Children's Hospital, St. Louis, Mo

Injured children represent a complex management problem for the trauma surgeon. Physiologic and psychological factors have been shown to influence outcome; however, more importantly, injury patterns and treatment algorithms differ from those recommended for adults. Children often do well after major injuries, but surgeons must use appropriate treatment to maximize the physiologic responses and the innate healing abilities of the growing child. Historically, surgeons have defined childhood as prepubertal, but a child's physiologic response to injury extends well into the third decade of life, making treatment of a 20-year-old similar to that of a 10-year-old, rather than that of a 40-year-old. The distribution of pediatric trauma facilities across the country has limited the access of the injured child to these centers. Adult centers more often serve as the first and definitive treatment provider for children. This article reviews the current concepts of trauma treatments for children. It is hoped that the adult trauma surgeons caring for injured children might gain information that will be of assistance in their daily practice.

Key Words: contemporary treatment • pediatric injury

Journal of Intensive Care Medicine, Vol. 17, No. 5, 230-249 (2002)
DOI: 10.1177/088506602237107
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Home page
 J Intensive Care MedHome page
N. R. Feins
Pediatric Trauma Updated
J Intensive Care Med, September 1, 2002; 17(5): 256 - 258.
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