摘要:

Optimal management of a severely injured child depends upon instant availability of a wide variety of emergency equipment and supplies. Some of these items are not commonly found in trauma rooms designed for adults, and others are required in a range of sizes unique to child care. After a major resuscitative effort the trauma room is a shambles from which it must be restored rapidly to receive the next trauma victim.A checklist has proven invaluable in preventing disastrous omissions when the truma room is being restocked. This list was patterned after a similar checklist used in the Emergency Department of the Parkland Hospital in Dallas and was developed for children by the Trauma Committee of the American Pediatric Surgical Association. It has been tested and refined in the Trauma Room of the Children's Hospital, Columbus, Ohio, during a 2-year period in which 100,000 children presented to the emergency department. It should be helpful in any emergency department which receives seriously injured children.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

摘要:

This paper reviews a 30-month experience with 172 patients suffering abdominal stab wounds treated at the Denver General Hospital, during a period when policy included liberal sinography and all penetrating injuries were explored. Laparotomy was performed in 87%. Of the 65 patients undergoing sinography, 62% indicated peritoneal penetration; of these, 30% had no visceral injury. An additional 10%, with minor intraperitoneal injuries, probably would not have required celiotomy. In 25 cases the stab penetrated the peritoneal cavity after first entering the chest. Peritoneal tap and peritoneal lavage were used in 10 patients. It is concluded that the cost/benefit ratio of sinography is so poor that it is rarely indicated. When doubt exists as to significant intraperitoneal pathology following an abdominal stab wound, close observation without sinography is recommended for determining indications for laparotomy.

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID

ISSN:0022-5282    

出版商:OVID    

年代:1976

数据来源: OVID