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Pediatric Trauma Resuscitation Practices

  • Resuscitation in Trauma (J Sperry and M Neal, Section Editors)
  • Published:
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Abstract

Purpose of Review

Trauma is the leading cause of death in children. Hemorrhagic shock is a cause of preventable mortality. Early recognition and treatment of hemorrhagic shock and coagulopathy is essential. This chapter will review current literature on pediatric trauma resuscitation.

Recent Findings.

Current pediatric literature supports limiting crystalloid administration and early use of blood products to resuscitate children in hemorrhagic shock. Both balanced and viscoelastic monitoring–guided resuscitations have been associated with improved outcomes in children; however, data is limited. Utilization of whole blood for pediatric trauma resuscitation is safe and efficient and associated with improved outcomes compared to components. Tranexamic acid may be associated with a survival advantage in injured children.

Summary

There has been much progress in the field of pediatric trauma resuscitation, but daily clinical practice still primarily relies on adult data. Ongoing high-quality data is needed to clearly define and optimize hemostatic resuscitation practices in children with hemorrhagic shock.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Authors and Affiliations

  1. University of Pittsburgh Medical Center Presbyterian Hospital, 200 Lothrop Street, Pittsburgh, PA, 15213, USA

    Katrina M. Morgan & Christine M. Leeper

  2. Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

    Katrina M. Morgan & Barbara A. Gaines

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  1. Katrina M. Morgan
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  2. Barbara A. Gaines
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Correspondence to Christine M. Leeper.

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Morgan, K.M., Gaines, B.A. & Leeper, C.M. Pediatric Trauma Resuscitation Practices. Curr Trauma Rep 8, 160–171 (2022). https://doi.org/10.1007/s40719-022-00238-0

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  • DOI: https://doi.org/10.1007/s40719-022-00238-0

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