Pediatric trauma life support / 中国小儿急救医学

ABSTRACT

Traumatic injuries are the most common cause of children death and disability in the world. Trauma resuscitation is a complex and dynamic process that is best managed by experienced,highly trained teams. Advanced trauma life support(ATLS) course is the most broadly disseminated and recognized training program for the initial assessment,stabilization and management of the injured patient worldwide. Pe-diatric trauma life support(PTLS) is the section of ATLS on emergency management of childhood trauma. ATLS course provided a standardized approach to the care of critically injured patients. It introduced the air-way(A)-breathing(B)-circulation(C)-disability(D)-exposure(E) sequence of initial evaluation to trauma care and highlighting the importance of a team approach. When resuscitation efforts are well established,and the vital signs are normalizing or improving,the secondary survey can be conducted. The secondary survey is a head-to-toe evaluation of the trauma patient,including a complete history,physical examination,and the reassessment of all vital signs. The ATLS and PTLS systematic evaluation is designed to help clinicians focus on life-threatening problems and minimize the risk of missed injuries.