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> ...did you have Adult trauma MD input...i.e. experience, training...from the adult trauma docs?
> With minimal peds trauma (with high ISS) volume and consequently experience, how would/should a Peds Trauma referral institution handle this predicament.
> Adult trauma input?
--> With (I think) a mere 2-3 exceptions, UK paediatric trauma arriving at a trauma centre would be arriving at an "all age" ED. All trauma centres/units are EM in the UK and there are VERY few Children EDs which are not co-located with an adult ED.
My place is a "level 1" with around 150K per year (of which 30K paeds). Out paediatric trauma team is the adult trauma team, with a few minor changes. The adult trauma team has an EM consultant as leader, ICU/EM on airway and further members from EM, ortho and general surgery. For children, a senior anaesthesiologist is on cover for airway and ICU don't come. Also, we add a senior paediatrician or PEM person to the mix.
We consider that our systems, based on ATLS, cover all age groups quite nicely, but it's sensible to have a paediatriciam-sort involved as well.
Which role on the team is covered by which person is often changed for each patient to provide the most exposure to team members.
What one needs to do about trauma does not appear to vary that much with age.
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