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The most common cause of health issues and mortality in children is trauma or injury. The emergency response team's ability to start emergency care and revive a child quickly determines the child's chances of survival.
Leading the way in managing paediatric crises, the Paediatric Trauma Department at Manipal Hospitals is the Centre of Excellence in Paediatrics and Child Care. With us, children with severe injuries receive the best treatment. Whether it's a fall, burns, brain damage, chest trauma, or spinal trauma, our paediatric trauma care team is available around the clock to determine the severity of the situation and start treating patients right away. Our experts have received extensive training in adhering to Paediatric Trauma Treatment protocols, which include securing the airway and providing enough fluids to ensure proper circulation. Trauma imaging, which includes X-rays and CT or MRI scans, is used to evaluate internal injuries. Our interdisciplinary paediatric trauma team of carers transfers the child to our Paediatric Intensive Care Unit for further care as soon as the extent of the damage is determined.
Any injury that the child gets in the head or brain during their birth, childhood, or early teenage years is called Paediatric Trauma. Traumas mostly happen due to sudden falls or accidents. Traumas are one of the leading life-threatening conditions in children, as they directly affect the brain if the injury is severe.
Some early signs and symptoms of trauma injury include:
Physical Indications
Headache(s)
Light sensitivity, sound sensitivity
Vomiting or feeling nauseous
Experiencing fatigue or drowsiness
Lightheadedness
Breathlessness
Double or hazy eyesight
Signs of Cognitive (Brain) Functioning
Feeling disoriented or unclear
Sluggish processing or sluggish thinking
Memory problems
Unable to focus
The types of airway defects that a child may have include:
Blockage of the upper airways at the voice box
Obstruction of the lower airways that arises at the intersection of the larynx and small passageways
Partial blockage of the airway that permits some air to flow
Total blockage of the airways prevents the passage of any air; respiration is impacted
The foreign item immediately causes acute airway blockage
Chronic airway blockages that may not appear for a long time or that will not go away quickly
Falls, car crashes, poisonings, burns from hot liquids or steam, and poisonings are the most common types of Paediatric Trauma injuries.
The doctor treating your kid will inquire about the nature of the injury as well as any following symptoms. Your kid could have a physical and neurological assessment, depending on the extent of the damage. Their memory, reasoning, attitude, conduct, eyesight, and focus will all be tested by the physician. Your child's reflexes, sensation, muscle strength, balance, and coordination will also be tested. Rarely, a CT or MRI scan may be required to assist in determining the severity.
Assisting with immediate medical requirements, creating a safe environment, and offering emotional support are the first objectives of care for children who have suffered trauma injuries. The treatment approach includes providing symptomatic relief and performing necessary procedures if required.
The treatment approaches for Paediatric Trauma include:
Resting
Icing the site of injury
Antibiotic cream applied topically
Application of bandages and secondary dressings to prevent bleeding
Stitches
Keeping the child in the hospital under observation
Prompt surgical intervention when required.
For children that have minor injuries, the doctors might just ask that they take adequate rest with the least physical activities until they heal completely.
Teaching your children about all forms of safety measures is incredibly essential. Ensuring your child is safely fastened up in an age-appropriate seatbelt is crucial for every car journey. If they are involved in activities like cycling or skating, ensure that they have all the safety equipment with them. Very specific care should be taken for toddlers, as they are at the highest risk of getting traumatised. All harmful things, such as electronics, metals, lighters, and sports equipment, should be kept away from toddlers. They should be constantly supervised at home and any spot that is risky for your child should be secured by taking appropriate measures.
If the trauma injury was caused by a serious event, there are several things that the child may experience even after recovering, which include:
Recalling the experience through flashbacks, nightmares, intrusive memories, etc.
The constant fear that the injury/accident might happen again
Constant feelings of unhappiness
Not wanting to go outside and preferring to stay inside more often
Not getting involved in their regular hobbies
Not memorising some particular events from the trauma
Sleeplessness
Irritability
Unconsciousness
Overprotectiveness for self
Difficulty in focusing
If you feel that there has been a major negative impact of the trauma on your child, there are several things that you can do to help them recover, such as:
Reassuring your children that it was just an accident and that it can happen to anyone. Also, it is preventable if you take proper safety measures.
Assisting them in all possible activities until they gain their confidence back.
Provide them with safety equipment and also teach them all the safety measures to be taken to avoid any such incidents in the future.
Accompanying them in their choice of activity also helps children recover, as they understand it's harmless.
Arranging small outings with their friends to encourage them to socialise and involve themselves in outdoor activities.
A concussion is a type of brain injury that alters brain function and can cause symptoms including headaches, lightheadedness, and disorientation. With relaxation, a gradual return to school, and regular activities, symptoms often go away in a few days to a month. The symptoms might occasionally linger longer. Concussions are common for children who are involved in sports such as football and hockey. It can happen due to any severe injury that the child gets in the head.
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