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Jornal de Pediatria
On-line version ISSN 1678-4782
SCHVARTSMAN, Claudio; CARRERA, Renato and ABRAMOVICI, Sulim. Initial assessment and transportation of an injured child. J. Pediatr. (Rio J.) [online]. 2005, vol.81, n.5, suppl., pp. s223-s229. ISSN 1678-4782. http://dx.doi.org/10.1590/S0021-75572005000700013.
OBJECTIVES: Since trauma has a great impact on mortality and preventable morbidity among children and adolescents, in addition to its social consequences, the aim of this study is to evaluate peculiarities regarding prehospital, in-hospital, and interhospital assessment of injured pediatric patients. SOURCES OF DATA: The Cochrane database was searched for systematic reviews and controlled trials, the MEDLINE and LILACS databases were used for the last 5 years, and review of older reference sections in significant publications using trauma, pediatric trauma, primary survey, secondary survey, in-hospital assessment, prehospital and transportation as keywords. SUMMARY OF THE FINDINGS: There are different strategies that constitute the systematic assessment of the injured pediatric patient. Nevertheless, almost all strategies involve knowing the peculiarities about the pediatric population, with regard to age, to the growth and development process, and finally, to the minimally acceptable and available resources. CONCLUSIONS: The most important principle is to do no further harm. If the peculiarities about airway maintenance, ventilation, circulation with hemorrhage control, disability, exposure up to secondary survey and preparation of prehospital and interhospital transportation are properly taken care of, better results will certainly be obtained.
Keywords : Trauma; pediatric trauma; primary survey; secondary survey; in-hospital assessment; prehospital and interhospital transportation.