Abstract
In the past two years several guidelines for suggested components of emergency medical systems for children have been suggested, and for the first time, specific standards of pediatric trauma care have also been formulated. The American Academy of Pediatrics new Provisional Committee on Emergency Medicine has been charged with the responsibility of developing national standards of emergency care for children and are currently at work on such a landmark document. We have had a functioning statewide system for the management of life threatening injuries in children for the past 10 years. In 1985, 320 children were admitted to our trauma center. The evolution, organization, and current status of the Maryland system is described in this report. Hopefully it may serve as one successful model which could be modified for use in other regions of the country.
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References
Gratz RR (1979) Accidental injury in childhood: a literature review on pediatric trauma. J Trauma 19:551
Haller JA (1983) Pediatric trauma, the no. 1 killer of children. JAMA 249:47
Haller JA, Shorter N, Miller D, Colombani P, Hall J, Buck J (1983) Organization and function of a regional pediatric trauma center: does a system of management improve outcome? J Trauma 23:691
Haller JA, Signer RD, Gollady ES, Shaker IJ, White JJ (1976) Use of a trauma registry in the management of children with lifethreatening injuries. J Pediatr Surg 11:381
Haller JA (1978) An overview of pediatric trauma. In: Touloukian J (ed) Pediatric trauma. Wiley, New York, p 3
Mahoney WJ, D'Souza BJ, Haller JA, Rogers MC, Epstein MH, Freeman JM (1983) Long-term outcome of children with severe head trauma and prolonged coma. Pediatrics 71:756
Colombani PM, Buck JR, Dudgeon DL, Miller D, Haller JA (1985) One-year experience in a regional pediatric trauma center. J Pediatr Surg 20:8
Beaver B, Fal A, Fishman E, Colombani PM, Buck JR, Dudgeon DL, Haller JA (1987) The efficacy of computed tomography in evaluating abdominal injuries in children with major head trauma. J Pediatr Surg 22
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Haller, J.A., Beaver, B. A model: systems management of life threatening injuries in children for the state of Maryland, USA. Intensive Care Med 15 (Suppl 1), S53–S56 (1989). https://doi.org/10.1007/BF00260888
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DOI: https://doi.org/10.1007/BF00260888