Background. Operative blunt duodenal trauma is rare in pediatric patients. Management is controversial with some recommending pyloric exclusion for complex cases. We hypothesized that primary closure without diversion may be safe even in complex (Grade II-III) injuries. Methods. A retrospective review of the American College of Surgeons' Trauma Center database for the years 2003-2011 was perfor...

BACKGROUND Contemporary war-related studies focus primarily on adults with few reporting the injuries sustained in local pediatric populations. The objective of this study is to characterize pediatric vascular trauma at US military hospitals in wartime Iraq and Afghanistan. METHODS Review of the Department of Defense Trauma Registry (DoDTR) (2002-2011) identified patients (1-17 years old) tre...

Severe traumatic brain injury (TBI) is a leading cause of morbidity and mortality in children. In 2003 and 2012, the Brain Trauma Foundation established and refined evidence-based guidelines for management of severe TBI in children. A recent multicenter study demonstrated an association between TBI guideline adherence and improved discharge survival. However, this study also showed large variat...

Abstract Background A pediatric trauma registry for the Kingdom of Bahrain would be a novel public health tool Bahraini system. The aim this study was to explore epidemiology at national level by describing distribution injury in Kingdom, and quantifying burden shouldered population. Methods This multicenter observational cross-sectional conducted using data from Pediatric Trauma Registry (PTR)...

INTRODUCTION Children with blunt abdominal trauma (BAT) are often hospitalized despite no intervention. We identified factors associated with emergency department (ED) disposition of children with BAT and differing computed tomography (CT) findings. METHODS We surveyed pediatric and general emergency physicians (EPs), pediatric and trauma surgeons regarding care of 2 hypothetical asymptomatic...

  Abstract   Objective: To evaluate and review our experience with pediatric spinal injuries and   factors affecting outcome, the authors conducted a retrospective clinical study of 43   cases (32 boys, 11 girls) of pediatric spine injuries treated during four years (January   1999 to December 2003).   Methods: Forty-three children with spinal injuries were studied retrospectively   over four y...

To identify anatomic and physiologic characteristics of children which are different from adults and to explain major patterns and responses of different types of injuries and to apply ATLS principles in management of injured kids and to emphasize on injury prevention to reduce the impact of injury in children. Children have larger head, smaller jaw, shorter, narrower, funnel shaped airway, sof...

The present paper reviews pediatric posttraumatic stress disorder, emphasizing the relational basis of the disorder and highlighting the missing link between juvenile delinquency and trauma. The first part of the paper defines trauma and the diagnostic criteria for PTSD, noting child-specific features. The second part reviews the literature emphasizing the relational and attachment relevant nat...