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Resources in Evidence Repository and Individual Compendia

Bottom Line Recommendations

Managing Trauma Patients in the Community

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Ackery A, Beno S and Wong K

Based upon an identified need for trauma education resources, we sought to create a unique video that delivers high yield information on community trauma management and transport. This project was a collaborative effort with input from a diverse group of community emergency physicians and academic pediatric and adult trauma care providers and covers important commonalities and differences when caring for diverse patient populations. Of note, the video briefly references Ontario specific trauma services, however, the core content of the video is applicable to trauma care across Canada.

Multisystem Trauma Algorithm

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TREKK Multisystem Trauma PedsPac

This point of care algorithm is to guide initial management of pediatric multisystem trauma in the Emergency Department. Published online: June 2020, Version 1.0.

Multisystem Trauma Order Set

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TREKK Multisystem Trauma PedsPac

This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.

Multisystem Trauma Checklist

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TREKK Multisystem Trauma PedsPac

This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.

Bottom Line Recommendations: Multisystem Trauma

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Beno S, TREKK Network

The purpose of this document is to provide health care professionals with key facts and recommendations for the diagnosis and treatment of multisystem trauma in children in the emergency department. Published online: January 14, 2021, Version 3.0.

Recommendations de Base: Polytrauma

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Beno S, TREKK Network

Le but du present document est de fournir aux professionnels de la sant les faits et recommandations cles pour le diagnostic et le traitement du polytrauma chez les enfants dans un service durgence. Published online: January 14, 2021, Version 3.0.

Algorithme pour le polytraumatisme pediatrique

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PedsPac de TREKK sur le polytraumatisme

This point of care algorithm is to guide initial management of pediatric multisystem trauma in the Emergency Department. Published online: June 2020, Version 1.0.

Liste de vérification pour le polytraumatisme pédiatrique

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PedsPac de TREKK sur le polytraumatisme

This checklist is for management of pediatric multisystem in the ED pre-arrival and post-departure. Published online: June 2020, Version 1.0.

Feuille d’ordonnances pré-rédigées pour le polytraumatisme pediatrique

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PedsPac de TREKK sur le polytraumatisme

This order set is for management of pediatric multisystem trauma in the ED and is adaptable to your hospitals form policy. Published online: June 2020, Version 1.0.

Clinical guidelines

Clinical Practice Guideline: Management of the paediatric patient with acute head trauma

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Farrell CA, Canadian Paediatric Society Acute Care Committee

The purpose of this statement is to describe issues related to head trauma in infants, children and youth, including clinical manifestations, initial management priorities, guidelines for imaging, and subsequent observation and treatment.

Clinical Practice Guideline: Peripheral neurovascular checklist

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SicKids Division of Orthopaedic Surgery

Peripheral Neurovascular Checklist.

Pediatric Trauma Society Clinical Practice Guidelines

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Pediatric Trauma Society,

These guidelines have been supplied by a hospital as an example of a clinical practice guideline to provide clinicians at that institution with an analytical framework for the evaluation and treatment of a particular diagnosis or condition.

ACR Appropriateness Criteria: Suspected Spine Trauma [see section "Pediatric Patients" starting page 12]

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American College of Radiology,

Clinical guidelines on radiologic procedures for suspected spine trauma.

Clinical Practice Guideline: Multidisciplinary guidelines on the identification, investigation and management of suspected abusive head trauma

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Canadian Paediatric Society

The Multidisciplinary Guidelines on the Identification, Investigation and Management of Suspected Abusive Head Trauma have been prepared in order to provide community organizations with assistance in developing local protocols for managing cases of Abusive Head Trauma. The guidelines are intended to be generic enough that large or small communities can use them to help develop a resoinse appropriate to their specific circumstances.

Overviews of systematic reviews

Preventing death from blood clots, the formation of blood clots and blood clots in the lungs in people who have had physical trauma

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Barrera LM, Perel P, Ker K, Cirocchi R, Farinella E, Morales Uribe CH,

Sixteen studies involving 3,005 people are included in this review.

Should prophylactic antibiotics be used in patients with penetrating abdominal trauma?

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Brand M, Grieve A,

No randomised controlled trials could be found that met the inclusion criteria for this review.

Systematic reviews

Cochrane Systematic Review: Once-daily versus multiple-daily dosing with intravenous aminoglycosides for cystic fibrosis

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Smyth AR, Bhatt J

OBJECTIVES: To assess the effectiveness and safety of once-daily versus multiple-daily dosing of intravenous aminoglycoside antibiotics for the management of pulmonary exacerbations in cystic fibrosis.

Cochrane Systematic Review: Treatment of seizures in multiple sclerosis

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Koch MW, Polman SK, Uyttenboogaart M, De Keyser J

OBJECTIVES: To evaluate the efficacy and safety of antiepileptic treatments in patients with MS.

Cochrane Systematic Review: Multiple-micronutrient supplementation for women during pregnancy

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Haider BA, Bhutta ZA

OBJECTIVES: To evaluate the benefits to both mother and infant of multiple-micronutrient supplements in pregnancy and to assess the risk of adverse events as a result of supplementation.

Cochrane Systematic Review: Nutritional advice for improving outcomes in multiple pregnancies

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Ballard CK, Bricker L, Reed K, Wood L, Neilson JP

OBJECTIVES: To assess the effects of specialised diets or nutritional advice for women with multiple pregnancies (two or more fetuses).

Cochrane Systematic Review: Thromboprophylaxis for trauma patients

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Barrera LM, Perel P, Ker K, Cirocchi R, Farinella E, Morales Uribe CH

OBJECTIVES: To assess the effects of thromboprophylaxis in trauma patients on mortality and incidence of deep vein thrombosis and pulmonary embolism. To compare the effects of different thromboprophylaxis interventions and their effects according to the type of trauma.

Systematic Review: Retinal haemorrhages and related findings in abusive and non-abusive head trauma: a systematic review

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Maguire SA, Watts PO, Shaw AD, Holden S, Taylor RH, Watkins WJ, Mann MK, Temp...

Aim: To report the retinal signs that distinguish abusive head trauma (AHT) from non-abusive head trauma (nAHT).

Systematic Review: Clinical and radiographic characteristics associated with abusive and nonabusive head trauma: a systematic review

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Piteau SJ, Ward MG, Barrowman NJ, Plint AC

Objective: To systematically review the literature to determine which clinical and radiographic characteristics are associated with abusive head trauma (AHT) and nonabusive head trauma (nAHT) in children.

Systematic Review: Neuroimaging: what neuroradiological features distinguish abusive from non-abusive head trauma?

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Kemp AM, Jaspan T, Griffiths J, Stoodley N, Mann MK, Tempest V, Maguire SA

Objective: To identify the evidence base behind the neuroradiological features that differentiate abusive head trauma (AHT) from non-abusive head trauma (nAHT).

Tranexamic Acid Update in Trauma

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Ramirez RJ, Spinella PC, Bochicchio GV,

This article provides a brief overview of the history of TXA, reviews the known and proposed mechanisms of action, and examines areas of ongoing and future research aimed at addressing unanswered questions.

Massive transfusion in pediatric trauma: We need to focus more on "how"

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Skelton T, Beno S,

Literature review of massive transfusion in pediatric trauma.

Non-operative versus operative treatment for blunt pancreatic trauma in children

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Haugaard MV, Wettergren,A, Hillings JG, Gluud C, Penninga L,

Review to assess the benefits and harms of operative versus non-operative treatment of blunt pancreatic trauma in children.

Thromboprophylaxis for trauma patients

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Barrera LM, Perel P, Ker K, Cirocchi R, Farinella E, Morales Uribe CH,

Review to assess the effects of thromboprophylaxis in trauma patients on mortality and incidence of deep vein thrombosis and pulmonary embolism and to compare the effects of different thromboprophylaxis interventions and their effects according to the type of trauma.

Prophylactic antibiotics for penetrating abdominal trauma

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Brand M, Grieve A,

Review to assess the benefits and harms of prophylactic antibiotics administered for penetrating abdominal injuries for the reduction of the incidence of septic complications, such as septicaemia, intra-abdominal abscesses and wound infections.

Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma

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Stengel D, Bauwens K, Rademacher G, Ekkernkamp A, Gthoff C,

Review to assess the effects of trauma algorithms that include ultrasound examinations in patients with suspected blunt abdominal trauma.

Selective computed tomography (CT) versus routine thoracoabdominal CT for high-energy blunt-trauma patients

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Van Vugt R, Keus F, Kool D, Deunk J, Edwards M,

Review to assess the effects of routine thoracoabdominal CT compared with selective thoracoabdominal CT on mortality in blunt high-energy trauma patients.

Cochrane Systematic Review: Antifibrinolytic drugs for acute traumatic injury

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Roberts I, Shakur H, Ker K, Coats T; CRASH-2 Trial collaborators

OBJECTIVES: To quantify the effects of antifibrinolytic drugs on mortality, vascular occlusive events, surgical intervention and receipt of blood transfusion after acute traumatic injury.

Cochrane Systematic Review: Bradykinin beta-2 receptor antagonists for acute traumatic brain injury

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Ker K, Blackhall K

OBJECTIVES: The objective was to assess the safety and effectiveness of beta-2 receptor antagonists for TBI.

Cochrane Systematic Review: Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury

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Sahuquillo J, Arikan F

OBJECTIVES: To assess the effects of secondary decompressive craniectomy (DC) on outcome and quality of life in patients with severe TBI in whom conventional medical therapeutic measures have failed to control raised ICP.

Cochrane Systematic Review: Hyperventilation therapy for acute traumatic brain injury

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Schierhout G, Roberts I

OBJECTIVES: To quantify the effect of hyperventilation on death and neurological disability following head injury.

Cochrane Systematic Review: Progesterone for acute traumatic brain injury

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Ma J, Huang S, Qin S, You C

OBJECTIVES: To assess the effectiveness and safety of progesterone in people with acute TBI.

Cochrane Systematic Review: Primary closure versus delayed closure for non bite traumatic wounds within 24 hours post injury

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Eliya-Masamba MC, Banda GW

OBJECTIVES: To determine the effect on time to healing of primary closure versus delayed closure for non bite traumatic wounds presenting within 24 hours post injury. To explore the adverse effects of primary closure compared with delayed closure for non bite traumatic wounds presenting within 24 hours post injury.

Key studies

Key Study: Multiple interventions improve analgesic treatment of supracondylar humerus fractures in a pediatric emergency department

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Porter, RN, Chafe, RE, Newhook, LA and Murnaghan, KD

To measure the effectiveness of a set of interventions in improving the rate and timeliness of analgesic medication administration, as well as appropriate backslab immobilization (application of a moldable plaster or fiberglass splint), in a pediatric ED.

Focused Assessment with Sonography for Trauma (FAST) in Children Following Blunt Abdominal Trauma: A Multi-Institutional Analysis

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Calder BW, Vogel AM, Zhang J, Mauldin PD, Huang EY, Savoie KB, Santore MT, Ts...

A study to investigate the role of FAST for intra-abdominal injury (IAI) and IAI requiring acute intervention (IAI-I) in children after blunt abdominal trauma (BAT).

Predictors of Intrathoracic Injury after Blunt Torso Trauma in Children Presenting to an Emergency Department as Trauma Activations

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McNamara C, Mironova I, Lehman E, Olympia RP,

Retrospective chart review to identify predictors of thoracic injury in children presenting as trauma activations to a Level I trauma center after blunt torso trauma, and to compare these predictors with those previously reported in the literature.

Effect of Family Presence on Advanced Trauma Life Support Task Performance During Pediatric Trauma Team Evaluation

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O'Connell KJ, Carter EA, Fritzeen JL, Waterhouse LJ, Burd RS,

We performed a retrospective video review of consecutive pediatric trauma evaluations.

Massive transfusion in pediatric trauma: analysis of the National Trauma Databank

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Shroyer MC, Griffin RL, Mortellaro VE, Russell RT,

We aim to define the incidence of MT in a large US civilian pediatric trauma population, identify predictive parameters of MT, and the mortality associated with MT.

Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX)

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Eckert MJ, Wertin TM, Tyner SD, Nelson DW, Izenberg S, Martin MJ,

This is a retrospective review of all pediatric trauma admissions to the North Atlantic Treaty Organization Role 3 hospital, Camp Bastion, Afghanistan, from 2008 to 2012.

Key Study: Diagnostic accuracy of bedside emergency ultrasound screening for fractures in pediatric trauma patients

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Sinha, TP, Bhoi, S, Kumar, S, Ramchandani, R, Goswami, A, Kurrey, L, & Ga...

Objective: To assess the diagnostic accuracy of bedside ultrasound for fractures in pediatric trauma patients.

Key Study: Are CT scans obtained at referring institutions justified prior to transfer to a pediatric trauma center?

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Benedict LA, Paulus JK, Rideout L, Chwals WJ

To assess whether pediatrictraumapatientsinitially evaluated at referring institutions met Massachusetts statewidetraumafield triage criteria for stabilization and immediate transfer to a PediatricTraumaCenter (PTC) without pre-transfer CT imaging.

Key Study: Validation of a clinical prediction rule for pediatric abusive head trauma

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Hymel KP, Armijo-Garcia V, Foster R, Frazier TN, Stoiko M, Christie LM, Harpe...

To reduce missed cases of pediatric abusive head trauma (AHT), Pediatric Brain Injury Research Network investigators derived a 4-variable AHT clinical prediction rule (CPR) with sensitivity of .96. Our objective was to validate the screening performance of this AHT CPR in a new, equivalent patient population.

Key Study: Early coagulopathy is an independent predictor of mortality in children after severe trauma

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Whittaker B, Christiaans SC, Altice JL, Chen MK, Bartolucci AA, Morgan CJ, Ke...

To determine whether early coagulopathy affects the mortality associated with severe civilian pediatrictrauma,traumapatientsyounger than 18 years admitted to a pediatric intensive care unit from 2001 to 2010 were evaluated.

Coagulopathy is prevalent and associated with adverse outcomes in transfused pediatric trauma patients

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Hendrickson JE, Shaz BH, Pereira G, Atkins E, Johnson KK, Bao G, Easley KA, J...

A study to evaluate coagulopathy in pediatric trauma patients on presentation to the emergency department, and to quantify the relationship with mortality.

Key Study: Use of intranasal fentanyl for the relief of pediatric orthopedic trauma pain

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Saunders M, Adelgais K, Nelson D

Objectives: The objective was to evaluate the use of a single 2 g/kg dose of intranasal fentanyl as analgesia for painful orthopedic injuries in children presenting to a pediatric emergency department (ED).

Key Study: A randomized, controlled trial of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma

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Clark E, Plint AC, Correll R, Gaboury I, Passi B

Objective: Our goal was to determine which of 3 analgesics, acetaminophen, ibuprofen, or codeine, given as a single dose, provides the most efficacious analgesia for children presenting to the emergency department with pain from acute musculoskeletal injuries.

Key Study: Altered lower extremity fracture characteristics in obese pediatric trauma patients

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Gilbert, SR, MacLennan, PA, Backstrom, I, Creek, A & Sawyer, J

Objective: To determine whether there are differences in fracture patterns and femur fracture treatment choices in obese versus nonobese pediatric trauma patients.

Key Study: Bruising characteristics discriminating physical child abuse from accidental trauma

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Pierce MC, Kaczor K, Aldridge S, O'Flynn J, Lorenz DJ

Our objective was to conduct a pilot study to identify discriminating bruising characteristics and to model those findings into a decision tool for screening children at high risk forabuse.

Key Study: Prior opportunities to identify abuse in children with abusive head trauma

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Letson MM, Cooper JN, Deans KJ, Scribano PV, Makoroff KL, Feldman KW, Berger RP

Infants with minor abusive injuries are at risk for more serious abusive injury, including abusive head trauma (AHT). Our study objective was to determine if children with AHT had prior opportunities to detect abuse and to describe the opportunities.

Key Study: Abusive head trauma: recognition and the essential investigation

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Kemp AM

This article describes the evidence base behind the associated historical, clinical and neuroradiological features of abusive head trauma and spinal injury in physical abuse and sets out an algorithm of essential investigations that should be performed in any infant or young child where abusive head trauma is suspected.

Key Study: Femur fractures in the pediatric population:abuse or accidental trauma?

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Baldwin K, Pandya NK, Wolfgruber H, Drummond DS, Hosalkar HS

We sought to determine whether accidental femur fractures in pediatric patients younger than age 4 could be distinguished from child abuse using a combination of presumed risk factors from the history, physical examination findings, radiographic findings, and age.

Key Study: Child abuse and orthopaedic injury patterns:analysis at a level I pediatric trauma center

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Pandya NK, Baldwin K, Wolfgruber H, Christian CW, Drummond DS, Hosalkar HS

The purpose of our study was to describe the patterns of orthopaedic injury for child abuse cases detected in the large urban area that our institution serves, and to compare the injury profiles of these victims of child abuse to that of general (accidental) trauma patients seen in the emergency room and/or hospitalized during the same time period.

Key Study: Analysis of missed cases of abusive head trauma

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Jenny C, Hymel KP, Ritzen A, Reinert SE, Hay TC

Objectives: To determine how frequently AHT was previously missed by physicians in a group of abused children with head injuries and to determine factors associated with the unrecognized diagnosis.

High ratio plasma resuscitation does not improve survival in pediatric trauma patients

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Cannon JW, Johnson MA, Caskey RC, Borgman MA, Neff LP,

This study sought to evaluate the effect of a high ratio PLAS to PRBC resuscitation strategy in massively transfused pediatric patients with combat injuries.

Consequences of Pediatric Undertriage and Overtriage in a Statewide Trauma System

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Hewes HA, Christensen M, Taillac PP, Mann NC, Jacobsen KK, Fenton SJ,

Study to quantify the magnitude of pediatric traumatic injury undertriage (hospital mortality risk) and overtriage (early trauma center discharge after transfer) in a statewide trauma system.

Family Presence During Trauma Resuscitation: Family Members' Attitudes, Behaviors, and Experiences

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O'Connell K, Fritzeen J, Guzzetta CE, Clark AP, Lloyd C, Scott SH, Aldridge M...

Observational mixed-methods study to measure attitudes, behaviors, and experiences of family members of pediatric patients during the resuscitation phase of trauma care, including family members who were present and those who were not.

The Spleen Not Taken: Differences in management and outcomes of blunt splenic injuries in teenagers cared for by adult and pediatric trauma teams in a single institution

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O'Connor S, Doud AN, Sieren LM, Miller PR, Zeller KA,

A retrospective chart review was performed to determine if more liberal use of angioembolization increases the success rate of NOM of blunt splenic injury in adolescents.

Examination of Pediatric Radiation Dose Delivered After Cervical Spine Trauma

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Somppi LK, Frenn KA, Kharbanda AB,

Chart review investigating the utility of x-rays in diagnosing CSIs compared with other forms of imaging.

Use of Oral Contrast for Abdominal Computed Tomography in Children With Blunt Torso Trauma

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Ellison AM, Quayle KS, Bonsu B, Garcia M, Blumberg S, Rogers A, Wootton-Gorge...

This was a planned subanalysis of a prospective, multicenter study of children (<18 years) with blunt torso trauma.

The Use of CT Scan in Hemodynamically Stable Children with Blunt Abdominal Trauma: Look before You Leap

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Nellensteijn DR, Greuter MJ, El Moumni M, Hulscher JB,

We set out to determine the diagnostic value of computed tomographic (CT) scans in relation to the radiation dose, tumor incidence, and tumor mortality by radiation for hemodynamically stable pediatric patients with blunt abdominal injury.

Massive transfusion in paediatric and adolescent trauma patients: incidence, patient profile, and outcomes prior to a massive transfusion protocol

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Livingston MH, Singh S, Merritt NH,

We performed a retrospective review of paediatric trauma patients treated at London Heath Sciences Centre between January 1, 2006, and December 31, 2011.

The impact of blood product ratios in massively transfused pediatric trauma patients

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Nosanov L, Inaba K, Okoye O, Resnick S, Upperman J, Shulman I, Rhee P, Demetr...

Retrospective analysis assessed patients seen at a level I trauma center between 2003 and 2010 aged 18 years requiring massive packed red blood cell (PRBC) transfusion, defined as transfusion of 50% total blood volume.

Implementation of a pediatric trauma massive transfusion protocol: one institution's experience

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Hendrickson JE, Shaz BH, Pereira G, Parker PM, Jessup P, Atwell F, Polstra B,...

A study examining whether MTP would improve outcomes in children, through a balanced blood product resuscitation.

Evaluation for intra-abdominal injury in children after blunt torso trauma: can we reduce unnecessary abdominal computed tomography by utilizing a clinical prediction model?

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Streck CJ Jr, Jewett BM, Wahlquist AH, Gutierrez PS, Russell WS,

A retrospective chart review of all blunt "trauma alerts" for patients younger than 16 years during an 18-month period was performed at a Level I trauma center.

Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma

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Holmes JF, Mao A, Awasthi S, McGahan JP, Wisner DH, Kuppermann N,

We conducted a prospective observational study of children with blunt torso trauma who were evaluated for intra-abdominal injury with abdominal computed tomography (CT), diagnostic laparoscopy, or laparotomy at a Level I trauma center during a 3-year period to validate a previously derived prediction rule.

The use of routine laboratory studies as screening tools in pediatric abdominal trauma

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Capraro AJ, Mooney D, Waltzman ML,

We undertook a retrospective medical record review of all children with potential major blunt abdominal trauma who entered the Children's Hospital (Boston, MA) trauma registry from July 1996 to August 1999.

Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial

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Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA,

The study was a randomized controlled clinical trial conducted during a 6-month period at 2 Level I trauma centers.

Association between the "seat belt sign" and intra-abdominal injury in children with blunt torso trauma

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Sokolove PE, Kuppermann N, Holmes JF,

The authors performed a prospective, observational study of children at risk for IAI who presented to a Level 1 trauma center following a motor vehicle collision (MVC) during a two-year period.

Contrast extravasation predicts the need for operative intervention in children with blunt splenic trauma

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Nwomeh BC, Nadler EP, Meza MP, Bron K, Gaines BA, Ford HR,

A retrospective analysis of 343 patients admitted with blunt splenic injury to our Level I pediatric trauma center over a 7-year period was performed.

Identification of children with intra-abdominal injuries after blunt trauma

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Holmes JF, Sokolove PE, Brant WE, Palchak MJ, Vance CW, Owings JT, Kuppermann N,

The study was a prospective observational series of children younger than 16 years old who sustained blunt trauma and were at risk for intra-abdominal injuries during a 2(1/2)-year period at an urban Level I trauma center.

Prevalence and importance of pneumothoraces visualized on abdominal computed tomographic scan in children with blunt trauma

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Holmes JF, Brant WE, Bogren HG, London KL, Kuppermann N,

We conducted a prospective observational cohort study of children less than 16 years old with blunt trauma undergoing both abdominal CT scan and chest radiography in the emergency department of a Level I trauma center over a 28-month period.

Blunt renal trauma in the pediatric population: indications for radiographic evaluation

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Stein JP, Kaji DM, Eastham J, Freeman JA, Esrig D, Hardy BE,

We retrospectively evaluated the abdominal and pelvic CT scans of 412 children sustaining blunt abdominal trauma between June 1985 and June 1990.

Key Study: External validation of clinical decision rules for children with wrist trauma

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Mulders MA, Walenkamp MM, Dubois BF, Slaar A, Goslings JC, Schep NW

The primary aim of this study was to provide an overview of all existing non-validated clinical decision rules for wrist trauma in children and to externally validate these rules in a different cohort of patients.

Key Study: Diagnostic value of ultrasonography in elbow trauma in children: Prospective study of 34 cases

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Burnier M, Buisson G, Ricard A, Cunin V, Pracros JP, Chotel F

This study evaluated the diagnostic contribution of ultrasonography in the treatment of acute elbow injuries in children and the strategic and economic impact of using this tool alongside radiography.

Key Study: Adherence behavior in an acute pediatric hand trauma population: A pilot study of parental report of adherence levels and influencing factors

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Cole T, Underhill A, Kennedy S

The hand is a common site of injury in children; however, little is known regarding adherence to hand trauma management in this population.

Key Study: Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study

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Kuppermann N, Holmes JF, Dayan PS, Hoyle JD, Atabaki SM, Holubkov R, Nadel FM...

CT imaging ofhead-injured children has risks of radiation-induced malignancy. Our aim was to identify children at very low risk of clinically-important traumatic brain injuries (ciTBI) for whom CT might be unnecessary.

Key Study: Pediatric Supracondylar Humerus Fractures: AAOS Appropriate Use Criteria Versus Actual Management at a Pediatric Level 1 Trauma Center

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Wang, JH, Morris, WZ, Bafus, BT and Liu, RW

The purpose of this study was to characterize management of supracondylar humerus fractures (SCHFs) at a level 1 trauma center and identify factors contributing to divergence in management from American Academy of Orthopedic Surgeons (AAOS) the Appropriate Use Criteria (AUC) recommendations.

Key Study: Utility of complete trauma series radiographs in alert pediatric patients presenting to Emergency Department of a Tertiary Care Hospital

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Alam Khan T1,Jamil Khattak Y,Awais M,Alam Khan A,Husen Y,Nadeem N,Rehman A.

To assess the utility of trauma series radiographs in the management of alert pediatric patients with traumatic injury and to ascertain whether it is necessary to acquire the entire trauma series in these children.

Key Study: A randomized, controlled trial of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma

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Clark, E, Plint, AC, Correll, R, et al

To determine which of 3 analgesics, acetaminophen, ibuprofen, or codeine, given as a single dose, provides the most efficacious analgesia for children presenting to the emergency department with pain from acute musculoskeletal injuries.

Key Study: Drug use and screening in pediatric trauma

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Martin KLV, K. N.; Girotti, M. J.; Stewart, T. C.; Parry, N. G.

This article will describe the pharmacology of cannabis, effects of various dosage formulations, therapeutics benefits and risks of cannabis for pain and muscle spasm, and safety concerns of medical cannabis use.

Key Study: Substance abuse in adolescent trauma

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Loiselle JMB, M. D.; Templeton, J. M., Jr.; Schwartz, G.; Drott, H.

To determine if there is a significant prevalence of drug or alcohol use among adolescents evaluated for significant acute trauma.

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Emergency Medicine Cases Podcast: Pediatric Trauma

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Dr. Sue Beno, Dr. Faud Alnaji

Management of the pediatric trauma patient is challenging regardless of where you work. In this EM Cases episode, two leading pediatric trauma experts, Dr. Sue Beno from Hospital for Sick Children in Toronto and Dr. Faud Alnaji from Children’s Hospital of Eastern Ontario in Ottawa answer such questions as: what are the most important physiologic and anatomic differences between children and adults that are key to managing the trauma patient? How much fluid should be given prior to blood products? What is the role of POCUS in abdominal trauma? Which patients require abdominal CT?

Preparing Patient for Transport Checklist

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TREKK PedsPac

This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published online: July 2018, Version 2.0.

Liste de Controle du Transport du Patient

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PedsPac de TREKK

This transport checklist is to guide preparation for patient transport to a tertiary site. Included in the checklist are equipment considerations and important information to communicate to the receiving site. Published: July 2018, Version 2.0.

TREKK.ca Past Events

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TRIK Training

Apr 22, 2018 - Apr 24, 2018  | Announcement  | Team: News and Events  |  



TREKK.ca Info Pages

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New Resources for Multisystem Trauma

Posted: Jul 14, 2020  | Announcement  | Team: News and Events 



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Managing trauma patients in Community EDs

Posted: Mar 08, 2018  | Announcement  | Team: News and Events 



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CanadiEM Blog: TREKK Series | Multisystem Trauma

Posted: Sep 08, 2016  | Blog  | Team: News and Events 



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New! Multisystem Trauma Bottom Line Recommendations

Posted: Apr 02, 2015  | Announcement  | Team: News and Events 
Tags: Multiple Trauma



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New resources available on trekk.ca!

Posted: Jul 10, 2015  | Resource  | Team: News and Events 



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Improving mental health care transitions for children and youth

Posted: Jul 12, 2016  | Announcement  | Team: News and Events 



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Child Health Research Days 2017

Posted: Aug 14, 2017  | Announcement  | Team: News and Events 



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TREKK Education Session - Brandon, Manitoba

Posted: Apr 09, 2019  | Announcement  | Team: News and Events 



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TREKK at CAEP 2018

Posted: Feb 06, 2018  | Announcement  | Team: News and Events 



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Caring for Kids New to Canada

Posted: Jul 11, 2013  | Story  | Team: News and Events 
Tags: Pediatrics



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Brain Awareness Week

Posted: Mar 11, 2019  | Announcement  | Team: News and Events 



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Brain Injury Awareness Month 2019

Posted: Jun 13, 2019  | Announcement  | Team: News and Events 




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