Polytrauma

Abstract

Major polytrauma in children results in higher mortality compared to adults. The mechanism of injury defines the associated injuries. Prompt resuscitation, which begins within the "platinum half-hour" and continued in dedicated PICUs will improve outcomes. Primary survey should include cervical spine stabilization and hemorrhage control with routine ABCDE. Emphasis on airway management with alternative plan in case of difficult airway has been defined. Focus has also shifted to damage control resuscitation including permissive hypotension and damage control surgery. CT scan can be the "tunnel of death" for unstable patients. FAST has replaced it as the bedside diagnostic of choice.