The utility of a "trauma 1 OP" activation at a level 1 pediatric trauma center.

Purpose: To expedite flow of injured children suspected to require operative intervention, a "trauma 1 OP" (T1OP) activation classification was created. The purpose of this study was to review this strategy at a level 1 pediatric trauma center.

Methods: A retrospective review of T1OP activations between 2003 and 2015 was performed.

Factors Associated with Time to Arrival at a Regional Pediatric Trauma Center.

Objective: The goal of this study was to test the hypothesis that the prehospital time between injury and arrival at a trauma center for critically injured children is associated with patient injury severity and mode of transport.

Methods: Secondary analysis of prospectively collected data on children 0-17 years of age admitted with traumatic injuries to a designated Level I pediatric trauma center from January 1, 2006 through September 30, 2007 was conducted. Multivariate regression methods were used to assess for factors independently associated with prehospital time.

Infant car safety seats and risk of head injury.

Background/purpose: We observed a high incidence of traumatic brain injuries (TBI) in properly restrained infants involved in higher speed motor vehicle crashes (MVCs). We hypothesized that car safety seats are inadequately protecting infants from TBI.

Methods: We retrospectively queried scene crash data from our State Department of Transportation (2007-2011) and State Department of Public Health data (2000-2011) regarding infants who presented to a trauma center after MVC.

Source of admission and outcomes for critically injured children in the mountain states.

Objective: To determine whether mortality and length of stay at a pediatric trauma center differ between patients admitted by interhospital transfer and those admitted directly from the injury scene.

Design: Analysis of prospectively collected data from a pediatric trauma center database.

Setting: A designated regional level I pediatric trauma center.

Utility of a cervical spine clearance protocol after trauma in children between 0 and 3 years of age.

Object: Cervical spine clearance after trauma in children 0-3 years of age is deceptively difficult. Young children may not be able to communicate effectively, and severe injuries may require intubation and sedation. Currently, no published guidelines are available to aid in decision-making in these complex situations.

The effect of family presence on the efficiency of pediatric trauma resuscitations.

Study Objective: Family presence has broad professional organizational support and is gaining acceptance. We seek to determine whether family presence prolonged pediatric trauma team resuscitations as measured by time from emergency department arrival to computed tomographic (CT) scan, and to resuscitation completion.

Methods: A prospective trial offered families of pediatric trauma patients family presence on even days and no family presence on odd days.

Significant reduction in delayed diagnosis of injury with implementation of a pediatric trauma service.

Background: The occurrence of delayed diagnosis of injury (DDI) among pediatric trauma patients represents a breakdown in trauma care. Although some DDI may be unavoidable, the rate of DDI may be used as a measure of quality improvement.

Objective: We sought to investigate DDI in admitted pediatric trauma patients while a designated pediatric trauma response team was used and compare this with the prior incidence of DDI (4.

Alternative model for a pediatric trauma center: efficient use of physician manpower at a freestanding children's hospital.

Background: Freestanding children's hospitals may lack resources, especially surgical manpower, to meet American College of Surgeons trauma center criteria, and may organize trauma care in alternative ways.

Materials And Methods: At a tertiary care children's hospital, attending trauma surgeons and anesthesiologists took out-of-hospital call and directed initial care for only the most severely injured patients, whereas pediatric emergency physicians directed care for patients with less severe injuries. Survival data were analyzed using TRISS methodology.

Hyperglycemia and outcomes from pediatric traumatic brain injury.

Background: The clinical significance of hyperglycemia after pediatric traumatic brain injury is controversial. This study addresses the relationship between hyperglycemia and outcomes after traumatic brain injury in pediatric patients.

Methods: We identified trauma patients admitted during a single year to our regional pediatric referral center with head regional Abbreviated Injury Scale scores > or = 3.