NICE clinical guideline NG39: Major trauma: assessment and initial management

Background Major trauma is the most frequent cause of death in the UK for children aged between 1 and 18 years. It is responsible for 31% of deaths in children aged 1–4 years, increasing to 48% of deaths in young people aged 15–18 years.1 The most common mechanism of injury is high-energy blunt trauma from road traffic collisions. This mechanism is responsible for 41% of injury deaths in children (1–9 years old) and 77% among young people (10–18 years old).2 One of the great advances in outcomes for children has been the development of paediatric major trauma centres (MTCs) within trauma networks. Prehospital teams will follow defined algorithms to divert severely injured children to MTCs. However, 25% of severely injured children will be brought by their parents in their own vehicles to non-MTC hospitals.3 Hospital trauma care for children and young people comprises a multispecialty team,...
Source: Archives of Disease in Childhood - Education and Practice - Category: Pediatrics Authors: Tags: Guideline review, Resuscitation, Trauma, Injury Source Type: research