Principles of Primary Survey and Resuscitation in Cases of Pediatric Trauma

• Main Authors: Saba Jafarpour, Seyed Javad Nassiri, Ali Bidari, Mojtaba Chardoli, Vafa Rahimi-Movaghar
• Format: Article
• Language: English
• Published: Tehran University of Medical Sciences 2014-12-01
• Series: Acta Medica Iranica
• Subjects: Resuscitation; Pediatric; Trauma
• Online Access: https://acta.tums.ac.ir/index.php/acta/article/view/4501

Trauma is a common cause of death and disability in children. Proper approach to pediatric trauma involves adherence to ABCDE sequence in the primary survey and resuscitation in order to promptly recognize and manage immediately life threatening conditions. This readily reviewed sequence includes A: establishment and maintenance of a patent airway while maintaining cervical spine immobilization; B: evaluation of breathing, ventilation and oxygenation, immediate treatment of tension pneumothorax, open pneumothorax and massive hemothorax; C: evaluation and treatment of circulatory compromise and shock; D: Disability and Neurologic Status, assessment of signs of increased intracranial pressure and impending cerebral herniation; and E: Exposure while preventing hypothermia. Implementing these assessment and management priorities can result in more favorable outcomes.