trauma reach workshop - pediatric trauma.pptx [read-only]...pediatric trauma trauma reach workshop...
TRANSCRIPT
![Page 1: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s](https://reader035.vdocument.in/reader035/viewer/2022062307/5fe9ec9ba1b3915c9800251e/html5/thumbnails/1.jpg)
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PediatricTrauma
TraumaREACHWorkshopMay5th,2015
TamerA.Ahmed,MDPediatricTraumaMedicalDirector
Upstate’sGolisano Children’sHospital
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PediatricTrauma– ABCs
•Airway
•Breathing
•Circulation
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Whatcanwedobetter?
PediatricTrauma
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1997 2009 2014
Pediatric Trauma Systems in North America ‐ 2014
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PediatricTrauma
Whyarekidsdifferent?
PediatricTraumaSystem
NewYorkState
• 21%ofPrehospital traumacare• 5‐10%Prehospital transports• 30%EDvisits• 12%inHospitaltraumacare• 50%ofhospitalsseelessthan10pediatricpatientsperyear
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PediatricTraumaCenter
• Mortality– Improvedmortality– Improvedoutcome
• TraumaticBrainInjury– LowermortalityratesinPTCcomparedtoATC
• Solidorganinjuries– IncidenceofoperativeinterventionlowerinPTC
• DecreasedMortalityinmultisysteminjuredpatients
PediatricTraumaCenter‐ Resources
• PediatricTraumaService
• PediatricEmergencyPhysician
• PediatricCriticalCarePhysician&PICU
• PediatricSpecialists– ENT– Orthopedics– Neurosurgery
• PediatricRadiology• PediatricNursing• PediatricTraumasystem
• ChildLifeandFamilySupportSystems
• PediatricSocialWork• Pediatricinjurypreventionandeducation
PediatricTraumaSystem
• AvailabilityofResources
• Communication
• Feedback
• PediatricSpecific
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PediatricTrauma
• 50%ofpediatrictraumadeathsoccurinthefieldbeforethevictimevenreachesatraumacenter
• NationalPediatricTraumaRegistryshowedthatabout70%ofthedeathswerecausedbycentralnervoussystem(CNS)injury
• Areasofimprovement?
Noquickanswers
• Resources
• Geography
“Thetruthis:thebettertheytakecareoftrauma…period…thebettertheywilltakecareofkids.”
‐ ToddMaxson,MD
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AssessmentandReassessment
• ABC’s• Immobilization• Transfer?• Scan?• Operate?
PediatricTrauma– ABCs
•Airway
•Breathing
•Circulation
![Page 9: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s](https://reader035.vdocument.in/reader035/viewer/2022062307/5fe9ec9ba1b3915c9800251e/html5/thumbnails/9.jpg)
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PediatricTrauma– ABCs
•Airway
– Inadequateoxygenationandventilation– Twomajorcausesofearlydeath
• Airwaycompromise• Inadequatevolumeresuscitation
PediatricTrauma– ABCs
•Breathing
– Rapidshallowbreaths
– Infantsareobligatenasalbreathers
PediatricTrauma– ABCs
•Breathing
– RespiratoryRate– RespiratoryEffort– Breathsounds– Skincolor,capillaryrefill,pulseoximetry
![Page 10: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s](https://reader035.vdocument.in/reader035/viewer/2022062307/5fe9ec9ba1b3915c9800251e/html5/thumbnails/10.jpg)
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PediatricTrauma– ABCs
•Circulation
PediatricTrauma– ABCs
•Circulation
PediatricTrauma– ABCs
•Circulation
![Page 11: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s](https://reader035.vdocument.in/reader035/viewer/2022062307/5fe9ec9ba1b3915c9800251e/html5/thumbnails/11.jpg)
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PediatricTrauma– ABCs
•Disability
HowSickisthisKid?
HowSickisthisKid?
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HowSickisthisKid?
Whatdoyouneed?
• EMS
• Localhospital
• PediatricTraumaCenter
CalltoAction
• EstablishmentofRegionalPediatricTraumaTransferProtocols
• Collaboration
• YOURHELP!
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PediatricTraumaCenter
• Pediatric Subspecialties
• Education
• Rehab services
• Education/outreach
• Public Health
• Treatment
• Stabilization/Transfer
• Communication of needs
• EMS
• Prevention programs
• Education
Pre‐hospital
Area Hospital
GCHPost Trauma
Resources
PediatricTrauma
• TamerAhmed– PediatricTraumaMedicalDirector
– Office:315‐464‐2878– Cell:315‐200‐7538– Email:[email protected]
• SteveAdkisson– PediatricTraumaProgramCoordinator
– Office:315‐464‐4773– Cell:315‐396‐1038– Email:[email protected]
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