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Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop...

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5/4/2015 1 Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s Golisano Children’s Hospital
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Page 1: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

1

PediatricTrauma

TraumaREACHWorkshopMay5th,2015

TamerA.Ahmed,MDPediatricTraumaMedicalDirector

Upstate’sGolisano Children’sHospital

Page 2: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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Page 3: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

3

PediatricTrauma– ABCs

•Airway

•Breathing

•Circulation

Page 4: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

4

Whatcanwedobetter?

PediatricTrauma

34

65

79

0

20

40

60

80

100

1997 2009 2014

Pediatric Trauma Systems in North America ‐ 2014

Page 5: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

5

PediatricTrauma

Whyarekidsdifferent?

PediatricTraumaSystem

NewYorkState

• 21%ofPrehospital traumacare• 5‐10%Prehospital transports• 30%EDvisits• 12%inHospitaltraumacare• 50%ofhospitalsseelessthan10pediatricpatientsperyear

Page 6: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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PediatricTraumaCenter

• Mortality– Improvedmortality– Improvedoutcome

• TraumaticBrainInjury– LowermortalityratesinPTCcomparedtoATC

• Solidorganinjuries– IncidenceofoperativeinterventionlowerinPTC

• DecreasedMortalityinmultisysteminjuredpatients

PediatricTraumaCenter‐ Resources

• PediatricTraumaService

• PediatricEmergencyPhysician

• PediatricCriticalCarePhysician&PICU

• PediatricSpecialists– ENT– Orthopedics– Neurosurgery

• PediatricRadiology• PediatricNursing• PediatricTraumasystem

• ChildLifeandFamilySupportSystems

• PediatricSocialWork• Pediatricinjurypreventionandeducation

PediatricTraumaSystem

• AvailabilityofResources

• Communication

• Feedback

• PediatricSpecific

Page 7: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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PediatricTrauma

• 50%ofpediatrictraumadeathsoccurinthefieldbeforethevictimevenreachesatraumacenter

• NationalPediatricTraumaRegistryshowedthatabout70%ofthedeathswerecausedbycentralnervoussystem(CNS)injury

• Areasofimprovement?

Noquickanswers

• Resources

• Geography

“Thetruthis:thebettertheytakecareoftrauma…period…thebettertheywilltakecareofkids.”

‐ ToddMaxson,MD

Page 8: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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AssessmentandReassessment

• ABC’s• Immobilization• Transfer?• Scan?• Operate?

PediatricTrauma– ABCs

•Airway

•Breathing

•Circulation

Page 9: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

9

PediatricTrauma– ABCs

•Airway

– Inadequateoxygenationandventilation– Twomajorcausesofearlydeath

• Airwaycompromise• Inadequatevolumeresuscitation

PediatricTrauma– ABCs

•Breathing

– Rapidshallowbreaths

– Infantsareobligatenasalbreathers

PediatricTrauma– ABCs

•Breathing

– RespiratoryRate– RespiratoryEffort– Breathsounds– Skincolor,capillaryrefill,pulseoximetry

Page 10: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

10

PediatricTrauma– ABCs

•Circulation

PediatricTrauma– ABCs

•Circulation

PediatricTrauma– ABCs

•Circulation

Page 11: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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PediatricTrauma– ABCs

•Disability

HowSickisthisKid?

HowSickisthisKid?

Page 12: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

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HowSickisthisKid?

Whatdoyouneed?

• EMS

• Localhospital

• PediatricTraumaCenter

CalltoAction

• EstablishmentofRegionalPediatricTraumaTransferProtocols

• Collaboration

• YOURHELP!

Page 13: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

13

PediatricTraumaCenter

• Pediatric Subspecialties

• Education

• Rehab services

• Education/outreach

• Public Health

• Treatment

• Stabilization/Transfer

• Communication of needs

• EMS

• Prevention programs

• Education

Pre‐hospital

Area Hospital

GCHPost Trauma

Resources

PediatricTrauma

• TamerAhmed– PediatricTraumaMedicalDirector

– Office:315‐464‐2878– Cell:315‐200‐7538– Email:[email protected]

• SteveAdkisson– PediatricTraumaProgramCoordinator

– Office:315‐464‐4773– Cell:315‐396‐1038– Email:[email protected]

Page 14: Trauma Reach Workshop - Pediatric Trauma.pptx [Read-Only]...Pediatric Trauma Trauma REACH Workshop May 5th, 2015 Tamer A. Ahmed, MD Pediatric Trauma Medical Director Upstate’s GolisanoChildren’s

5/4/2015

14


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