The management of pediatric patient with head injury in an adult-oriented Emergency Department

• Authors: Ewa Bućko , Patrycja Sosnowska-Sienkiewicz , Przemysław Lebioda , Przemysław Mańkowski

Abstracts

EN

Introduction: Head trauma is the most common cause of death or permanent injury in the pediatric population. The lack of experience in dealing with a minor patient, as well as the lack of knowledge of anatomical and physiological differences make it necessary to introduce simple algorithms. It helps to facilitate decision-making process while facing this challange.
Aim: The aim of the work is to present the possible struggles that a doctor of the Hospital Emergency Department for adults may encounter when admitting a pediatric patient with a head injury. The article also recommends methods of management in the case of particular types of craniocerebral trauma.
Material and methods: The paper discusses the recommended management of a pediatric patient with the head injury treated by a team with limited experience in the field, based on a review of the literature – available studies and publications from the last 15 years – as well as the authors’ own experience.
Conclusions: In case of the pediatric head trauma there is a need to develop a patient examination scheme, paying attention to the specific anatomical and physiological differences resulting from the patient's age. It is also recommended to introduce an algorithm that allows to limit and reasonably use imagining – mostly CT scan – in pediatric patients (CHALICE, CATCH and PECARN algorithms).

Keywords

EN

children; craniocerebral trauma; head trauma

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2022
• Volume: 95
• Issue: 2
• Pages: 39-45

Dates

published

2023

Contributors

author

Ewa Bućko

author

Patrycja Sosnowska-Sienkiewicz

author

Przemysław Lebioda

author

Przemysław Mańkowski

Identifiers

DOI

10.5604/01.3001.0015.8206

Biblioteka Nauki

58661397