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Pediatric trauma
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Pediatric trauma : ウィキペディア英語版
Pediatric trauma

Pediatric trauma refers to a traumatic injury that happens to an infant, child or adolescent. Because of anatomical and physiological differences between children and adults the care and management of this population differs.
==Anatomic and physiologic differences in children==
There are significant anatomical and physiological differences between children and adults. For example, the internal organs are closer in proximity to each other in children than in adults; this places children at higher risk of traumatic injury.
Children present a unique challenge in trauma care because they are so different from adults - anatomically, developmentally, physiologically and emotionally. A study published in early 2006 in the (Journal of Pediatric Surgery ) concluded that the risk of death for injured children is significantly lower when care is provided in pediatric trauma centers rather than in non-pediatric trauma centers. Yet only about 10% of injured children are treated at pediatric trauma centers. The highest mortality rates occur in children who are treated in rural areas without access trauma centers.
An important part of managing trauma in children is weight estimation. A number of methods to estimate weight exist, including the Broselow tape, Leffler formula, and Theron formula. Of these three methods, the Broselow tape is the most accurate for weight estimation in children ≤25 kg,〔 while the Theron formula performs better with patients weighing >40 kg.〔
Due to basic geometry, a child's weight to surface area ratio is lower than an adult's, children more readily lose their body heat through radiation and have a higher risk of becoming hypothermic.〔 Smaller body size in children often makes them more prone to poly traumatic injury.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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