Citation

Soreide K, Kruger AJ, Lycke Ellingsen C, Tjosevik KE. Scand. J. Trauma Resusc. Emerg. Med. 2009; 17(1): 3.

Copyright

(Copyright © 2009, Scandinavian Networking Group on Trauma and Emergency Management, Publisher Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/1757-7241-17-3

PMID

19161621

PMCID

PMC2637226

Abstract

BACKGROUND: Trauma is the most prevalent cause of death in the young. Insight into cause and time of fatal pediatric and adolescent trauma is important for planning trauma care and preventive measures. Our aim was to analyze cause, severity, mode and seasonal aspects of fatal pediatric trauma. METHODS: Review of all consecutive autopsies for pediatric fatal trauma during a 10-year period within a defined population. RESULTS: Of all pediatric trauma deaths (n=36) 70% were males. Median age was 13 years (range 2-17). Blunt trauma predominated (by road traffic accidents) with most (n=15; 42%) being "soft" victims, such as pedestrians/bicyclist and, 13 (36%) drivers or passengers in motor vehicles. Penetrating trauma caused only 3 deaths. Prehospital deaths (58%) predominated. 15 children (all intubated) reached hospital alive and had severely deranged vital parameters: 8 were hypotensive (SBP< 90 mmHg), 13 were in respiratory distress, and 14 had GCS<8 on arrival. Emergency procedures were initiated (i.e. neurosurgical decompression, abdominal surgery or pelvic fixation for hemorrhage) in 12 patients. Probability of survival (Ps) was <33% in over 75% of the fatalities. A bimodal death pattern was evident; the initial peak by CNS injuries and exsanguinations, the latter peak by CNS alone. Most fatalities occurred during spring (53%) or summertime (25%). CONCLUSION: Fatal pediatric trauma occurs most frequently in boys during spring/summer, associated with severe head injuries and low probability of survival. Preventive measures appear mandated in order to reduce this mortality in this age group.

Language: en