Glascow Coma Scale Modified For Pediatric Patients

Accidental Trauma Of Infancy Key Points

Key Points:
1. Evaluation of pediatric trauma should follow the ABCDEF algorithm similar to adults with the unique physiologic response of the infant to trauma taken into consideration (eg, normal blood pressure maintained in a shock state, greater risk for hypothermia).

2. Family presence during infant resuscitation is recommended and may help families better cope with the emotional turmoil of their family member being injured.

3. Diagnostic studies are not always necessary for the infant victim of accidental injury, and the utility of specific laboratory and imaging studies is highly case-specific.

4. Safe disposition of an injured infant is a clinical judgment. Discharge from the emergency department can be appropriate in special circumstances of minor trauma with appropriate supervision and follow-up. Suspicion of any non-accidental trauma or abuse should be reported as mandated by law. Child protective services should be involved to aid in the safe placement of children suspected of abuse. Admission should be made when medically indicated.