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Chapter-65 Pediatric Trauma

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Jain Peeyush
2. Dubey AP
ISBN
9788184489507
DOI
10.5005/jp/books/11182_65
Edition
3/e
Publishing Year
2011
Pages
8
Author Affiliations
1. Delhi State AIDS Control Society, 11 Lancer’s Road, Timarpur, New Delhi, India, Delhi State AIDS Control Society, 11 Lancer’s Road, Timarpur, New Delhi, e-mail: peeyushj@hotmail.com, Fortis Escorts Heart Institute, New Delhi, India, Fortis-Escorts Heart Institute, New Delhi, India, Hindu Rao Hospital and North Delhi, Municipal Corporation Medical College, New Delhi, India
2. Maulana Azad Medical College, New Delhi, India, Maulana Azad Medical College, New Delhi, e-mail: apdubey52@rediffmail.com, Maulana Azad Medical College, Delhi, Sir Ganga Ram Hospital, New Delhi, India, Maulana Azad Medical College, New Delhi, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India
Chapter keywords

Abstract

Trauma is the leading cause of death of American children more than 9 months of age. It remains the major factor in 40 percent of the deaths among children 1 to 4 years of age and 70 percent from 5 to 19 years. Mortality in trauma has a trimodal distribution with more than 50 percent of deaths occurring due to fatal injuries at the site itself. Early deaths occur within hours of injury and account for about 30 percent of the deaths. Major cause of the early deaths is internal hemorrhage. Late deaths constitute the rest 20 percent. Trauma causes injuries that range from minimum to fatal, from a splinter to a severe injury caused by motor accident. In the early stages of assessment, precise diagnosis of the anatomic injury is impossible. Head injury is the leading cause of death and disability among pediatric trauma patients.

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