PROVIDENCE – Hasbro Children’s Hospital, the pediatric division of Rhode Island Hospital, has been designated a Level 1 Pediatric Trauma Center by the American College of Surgeons (ACS). This is the first time the hospital has been verified specifically for the care of injured children. Rhode Island Hospital has been a Level 1 Adult Trauma Center for more than 20 years, and has been reverified....

Many of injured children will require surgical treatment with involvement of the anesthesiologist. The anesthesia providers may have to take care of pediatric patients on following occasions: 1- Initial stabilization in the emergency department 2- Providing sedation and monitoring for imaging 3- Preoperative management of emergent surgical procedures such as laparotomy or craniotomy 4- Manageme...

In order to care for an ill or injured child, it is crucial that every emergency department (ED) has a minimum set of personnel and resources because the majority of children are brought to the geographically nearest ED. In addition to adequate preparation for basic pediatric emergency care, a comprehensive, specialized healthcare system should be in place for a critically-ill or injured victim...

pediatric cervicofacial actinomycosis is a rare occurrence consequent to dental infections and manipulations or maxillofacial trauma. the clinical presentation ranges from multiple draining sinuses to swellings resembling tumors and cysts. the present unusual case had congenital dermoid cyst of mid upper lip with actinomyces israelii infection identified on microscopy, culture, and histopatholo...

Spleen injuries are among the most frequent trauma-related injuries. At present, they are classified according to the anatomy of the injury. The optimal treatment strategy, however, should keep into consideration the hemodynamic status, the anatomic derangement, and the associated injuries. The management of splenic trauma patients aims to restore the homeostasis and the normal physiopathology ...

BACKGROUND Injury is the leading cause of childhood morbidity and mortality in the US. The associated costs exceed $20 billion annually. This study examined disparities in disadvantaged populations of critically injured pediatric patients admitted to a level 1 pediatric trauma center. STUDY DESIGN A retrospective study was conducted of all trauma patients admitted to the pediatric intensive c...

BACKGROUND Diagnosis of vascular injury in pediatric trauma is challenging as clinical signs may be masked by physiologic compensation. We aimed to (1) investigate the prevalence of noniatrogenic pediatric venous injuries, (2) discuss options in management of traumatic venous injury, and (3) investigate mortality from venous injury in pediatric trauma. Our objective was to provide the practicin...

Trauma in children has been a concern but given little attention. Lately however, in Oman, it has been widely discussed in light of prevention of road traffic accidents and home accidents. Trauma in children comes only second to acute infection responsible for morbidity in children, with an annual cost of over £200 millions per year in UK.1 However, there are no cost figures from gulf countries...

BACKGROUND Minimally invasive surgery (MIS) for trauma in pediatric cases remains controversial. Recent studies have shown the validity of using minimally invasive techniques to decrease the rate of negative and nontherapeutic laparotomy and thoracotomy. The purpose of this study was to evaluate the diagnostic accuracy and therapeutic options of MIS in pediatric trauma at a level I pediatric tr...

OBJECTIVE To analyze the management of pediatric trauma and the efficacy of the Pediatric Trauma Score (PTS) in classifying injury severity and predicting prognosis. DESIGN A retrospective case series. SETTING The Children's Hospital of Eastern Ontario, a major pediatric trauma centre. PATIENTS One hundred and forty-nine traumatized children with 2 or more injuries to 1 body system or a s...