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Paediatric Trauma Center in Bhubaneswar

Paediatric Trauma

Paediatric Trauma Center in Bhubaneswar

At Manipal Hospitals in Bhubaneswar, Odisha, our paediatric and Child Care department is equipped to handle a wide range of paediatric trauma cases with specialised care and expertise. Paediatric trauma refers to injuries sustained by children due to accidents or incidents such as falls, car accidents, or sports-related injuries. Children's bodies are different from adults, requiring a unique approach to trauma care.

Our team at paediatric trauma center in Bhubaneswar includes emergency medicine physicians, paediatric surgeons, and trauma nurses. They are dedicated to providing comprehensive care to children who have suffered traumatic injuries. We focus on rapid assessment, stabilisation, and treatment, ensuring that each child receives the immediate attention they need. Our state-of-the-art facilities and advanced diagnostic tools allow for accurate and swift intervention, which is crucial in managing trauma cases effectively.

We also prioritise the emotional and psychological well-being of our young patients, offering support and counselling to help them and their families cope with the stress and anxiety that can accompany traumatic injuries. Whether it’s a minor injury or a more severe case, our goal is to provide compassionate, high-quality care that promotes healing and recovery. 

 

FAQ's

The leading causes of paediatric trauma include motor vehicle accidents, falls, sports-related injuries, burns, drowning, and non-accidental trauma (abuse). These incidents can result in a variety of injuries, ranging from minor to life-threatening.

Common types of injuries seen in paediatric trauma cases include head injuries (such as traumatic brain injuries), fractures, abdominal injuries (including solid organ injuries), burns, spinal cord injuries, and soft tissue injuries. The severity of these injuries can vary widely depending on the mechanism of the injury and the child's age and overall health.

Imaging is vital in diagnosing and managing head injuries by providing detailed views of the brain and skull. CT scans are often used first for their speed in detecting fractures, bleeding, and swelling, crucial for immediate treatment decisions, including surgery. MRI offers more detailed images of brain tissues, helpful in assessing subtle injuries and planning long-term care. Imaging also aids in monitoring treatment progress and assessing the severity of injuries. However, considerations like radiation exposure in CT scans, especially for children, are important factors in choosing the appropriate imaging modality.

Modern interventions for managing paediatric traumatic brain injury, include controlled hypothermia and hypertonic saline infusion. Controlled hypothermia has been shown to decrease mortality and improve neuronal function, while hypertonic saline helps decrease intracranial pressure and provides neuroprotection.

Blunt solid organ injuries, particularly intraabdominal injuries, are significant in paediatric trauma, with motor vehicle crashes being a major cause. Nonoperative management is standard in most cases, but early recognition of nonoperative management (NOM) failure is crucial for timely intervention and improved outcomes.

Pancreatic and duodenal injuries, although rare, may necessitate operative intervention in paediatric trauma cases. Factors such as pancreatic ductal injury and early identification play a crucial role in determining the need for surgery. Nonoperative management is often preferred, but surgical intervention may be required for cases of ductal injury and associated complications.
 

The management strategies, including nonoperative management for solid organ injuries and modern interventions for traumatic brain injury, have significant implications for improving outcomes in paediatric trauma patients. Further research is needed to refine these strategies and enhance understanding in areas such as imaging guidelines, trauma-induced coagulopathy, and long-term outcomes following paediatric trauma.

Anatomical variances in children, including thinner cranial bones and a relatively larger head-to-torso ratio, render their heads more susceptible to traumatic injury. These factors result in reduced protection for the brain against external forces, increasing the likelihood of head trauma in children compared to adults.

Controlled hypothermia has emerged as a promising intervention for managing paediatric traumatic brain injury, as it has been shown to decrease mortality and improve neuronal function by reducing neuronal metabolism. Current guidelines suggest initiating controlled hypothermia within 24 hours of trauma and maintaining it for up to 48 hours to optimise its neuroprotective effects.

The decision between operative and nonoperative management for pancreatic and duodenal injuries in paediatric trauma depends on various factors, including the extent of the injury, the presence of ductal involvement, and the hemodynamic stability of the patient. While nonoperative management is preferred in many cases, surgical intervention may be necessary for those with ductal injuries or unstable hemodynamics.

Modern interventions like percutaneous drainage and angioembolization play crucial roles in the nonoperative management of blunt renal injuries in paediatric trauma. These interventions help mitigate complications and facilitate renal healing by providing effective drainage of fluid collections and controlling haemorrhage, thus promoting successful outcomes without the need for surgical intervention in many cases.

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