Paediatric/Trauma ICL: Adolescent Trauma: Differing Perspectives from the Adult and Paediatric Surgeon: Case Discussion

OrthoMedia ◽  
2021 ◽  
Author(s):  
Roisin Begley ◽  
Philip Aidan Martin ◽  
Jeff Morgan ◽  
Zoe Roberts ◽  
Stephen Mullen

The management of paediatric trauma patients can be complex, involving a coordinated multidisciplinary approach. Paediatricians form an integral part of the trauma team and are often tasked with managing circulation. In this article, we will discuss the assessment of catastrophic haemorrhage and ‘circulation’ through the viewpoint of a paediatrician via a case discussion. This will include initial investigations and management, noting the time critical nature in identifying and stopping catastrophic haemorrhage. The discussion will comment on how to address hypovolaemic shock and touch on the role of imaging.


2020 ◽  
Vol 68 (3) ◽  
Author(s):  
Rachel A. Coles ◽  
Samantha J. Goh ◽  
Daniel Livingstone ◽  
Asif Qasim

2019 ◽  
Author(s):  
Team DFTB
Keyword(s):  

Author(s):  
Z Roberts ◽  
JA Collins ◽  
DR James ◽  
MD Lyttle ◽  
D Roland ◽  
...  
Keyword(s):  

Author(s):  
Yasmin Moussavi ◽  
Gro Janne Wergeland ◽  
Tormod Bøe ◽  
Bente Storm Mowatt Haugland ◽  
Marit Larsen ◽  
...  

AbstractAmong youth in foster care (N = 303, aged 11–17 years), we investigated prevalence of internalizing symptoms; associations between symptom level and maltreatment types and numbers; and the interaction between gender and maltreatment, on internalizing symptoms. Youth completed Spence Children Anxiety Scale, Short Mood Feelings Questionnaire, and Child and Adolescent Trauma Screen. Compared to community samples, symptom levels above clinical cut-off was more frequent, with social- and generalized anxiety (ES = 0.78–0.88) being most prevalent among youth in foster care. Girls reported more internalizing symptoms (ES = 0.59–0.93). Sexual abuse and neglect were associated with a broader range of internalizing symptoms (ES = 0.35–0.64). Increased incidence of maltreatment was associated with increased levels of symptoms (ES = 0.21–0.22). Associations between maltreatment and symptom level were stronger for girls. This study stresses the importance of broad screening of maltreatment and internalizing symptoms to meet the needs of youth in foster care.


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