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Paediatric Trauma in Settings of Limited Resource

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Pediatric Trauma Care

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Abstract

Trauma is the leading cause of death and disability across the globe. The principles of caring for the injured child are unchanged in the developing world, but the available resources can be minimal. This chapter will apply the Advanced Trauma Life Support pathways to encourage the reader to prepare techniques and equipment to be able to continue to provide high level trauma care in humanitarian or deployed settings. The authors are primarily African surgeons at a tertiary referral paediatric trauma center in Kenya.

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References

  1. Sminkey L. World report on child injury prevention. Inj Prev. 2008;14:69. https://doi.org/10.1136/ip.2007.018143.

    Article  CAS  Google Scholar 

  2. Bourgeois FT, Olson KL, Ioannidis JPA, Mandl KD. Association between pediatric clinical trials and global burden of disease. Pediatrics. 2014;133:78–87. https://doi.org/10.1542/peds.2013-2567.

    Article  Google Scholar 

  3. Ankomah J, Stewart BT, Oppong-Nketia V, Koranteng A, Gyedu A, Quansah R, et al. Strategic assessment of the availability of pediatric trauma care equipment, technology and supplies in Ghana. J Pediatr Surg. 2015;50:1922–7. https://doi.org/10.1016/j.jpedsurg.2015.03.047.

    Article  Google Scholar 

  4. Rivara FP. The global problem of injuries to children and adolescents. Pediatrics. 2009;123:168–9. https://doi.org/10.1542/peds.2008-2413.

    Article  Google Scholar 

  5. Haller JA Jr. Pediatric trauma. JAMA. 1983;249:47.

    Article  Google Scholar 

  6. Abdur-Rahman LO, van As AB, Rode H. Pediatric trauma care in Africa: the evolution and challenges. Semin Pediatr Surg. 2012;21:111–5. https://doi.org/10.1053/j.sempedsurg.2012.01.003.

    Article  Google Scholar 

  7. Ademuyiwa AO, Usang UE, Oluwadiya KS, Ogunlana DI, Glover-Addy H, Bode CO, et al. Pediatric trauma in sub-Saharan Africa: challenges in overcoming the scourge. J Emerg Trauma Shock. 2012;5:55–61. https://doi.org/10.4103/0974-2700.93114.

    Article  Google Scholar 

  8. Hofman K, Primack A, Keusch G, Hrynkow S. Addressing the growing burden of trauma and injury in low- and middle-income countries. Am J Public Health. 2005;95:13–7. https://doi.org/10.2105/AJPH.2004.039354.

    Article  Google Scholar 

  9. Stewart R. Advanced trauma life support. vol. 48. 2018. https://doi.org/10.1111/j.1365-2044.1993.tb07025.x.

  10. Adeloye D. Prehospital trauma care systems: potential role toward reducing morbidities and mortalities from road traffic injuries in Nigeria. Prehosp Disaster Med. 2012;27:536–42. https://doi.org/10.1017/S1049023X12001379.

    Article  Google Scholar 

  11. Manyumwa P, Chimhundu-Sithole T, Marange-Chikuni D, Evans FM. Adaptations in pediatric anesthesia care and airway management in the resource-poor setting. Paediatr Anaesth. 2020;30:241–7. https://doi.org/10.1111/pan.13824.

    Article  Google Scholar 

  12. Hardwick WC, Bluhm D. Digital intubation. J Emerg Med. 1984;1:317–20. https://doi.org/10.1016/0736-4679(84)90159-8.

    Article  CAS  Google Scholar 

  13. High K. Digital intubation—YouTube. Vanderbilt Univ Emerg Med. 2015. https://www.youtube.com/watch?v=Yb1sGsUAZ-E. Accessed 11 May 2021.

  14. Mace SE, Khan N. Needle cricothyrotomy. Emerg Med Clin North Am. 2008;26:1085–101. https://doi.org/10.1016/j.emc.2008.09.004.

    Article  Google Scholar 

  15. Wolbrink T. Demonstration of bubble CPAP for the low resource environment by Traci Wolbrink for OPENPediatrics. 2017. https://www.youtube.com/watch?v=rjmdNspYoy4. Accessed 11 May 2021.

  16. Canepa CA, Harris NS. Ultrasound in austere environments. High Alt Med Biol. 2019;20:103–11. https://doi.org/10.1089/ham.2018.0121.

    Article  Google Scholar 

  17. Oehme F. How to do it: construct a thoracic drainage for emergency situations in rural Africa—YouTube. 2017. https://www.youtube.com/watch?v=ToLpv3vaElg. Accessed 11 May 2021.

  18. Bar-El Y, Lieberman Y, Yellin A. Modified urinary collecting bags for prolonged underwater chest drainage. Ann Thorac Surg. 1992;54:995–6. https://doi.org/10.1016/0003-4975(92)90675-T.

    Article  CAS  Google Scholar 

  19. Shehu BB, Mahmud MR. Craniocerebral and spinal trauma. Pediatric Surgery: A Comprehensive Text for Africa; Ameh E, Bickler S, Lakhoo K, eds. GHO publications, Seattle, WA, 2011, p. 190–9. http://www.global-help.org/publications/books/help_pedsurgeryafrica30.pdf.

  20. Roberts TT, Leonard GR, Cepela DJ. Classifications in brief: American Spinal Injury Association (ASIA) impairment scale. Clin Orthop Relat Res. 2017;475:1499–504. https://doi.org/10.1007/s11999-016-5133-4.

    Article  Google Scholar 

  21. Leonard JC, Kuppermann N, Olsen C, Babcock-Cimpello L, Brown K, Mahajan P, et al. Factors associated with cervical spine injury in children after blunt trauma. Ann Emerg Med. 2011;58:145–55. https://doi.org/10.1016/j.annemergmed.2010.08.038.

    Article  Google Scholar 

  22. Gichuki N. Situation analysis of the provision of prehospital emergency medical Services in the Nairobi County, Kenya. Unpublished Master’s Thesis, Jomo Kenyatta University; 2019. http://ir.jkuat.ac.ke/bitstream/handle/123456789/5127/pdf8.pdf?sequence=1&isAllowed=y.

  23. Alegbeleye BJ. Traditional bone setting practices in the Northwest Region of Cameroon. East Cent Afr J Surg. 2019;24(1):47–60.

    Google Scholar 

  24. Robinson P, O’Meara MJ. Thomas splint, it’s origin and use in trauma. Bone Jt J. 2009;91(4):540–4.

    Article  CAS  Google Scholar 

  25. Villamaria CY, Morrison JJ, Fitzpatrick CM, Cannon JW, Rasmussen TE. Wartime vascular injuries in the pediatric population of Iraq and Afghanistan: 2002-2011. J Pediatr Surg. 2014;49:428–32. https://doi.org/10.1016/j.jpedsurg.2013.10.002.

    Article  Google Scholar 

  26. Klinkner DB, Arca MJ, Lewis BD, Oldham KT, Sato TT. Pediatric vascular injuries: patterns of injury, morbidity, and mortality. J Pediatr Surg. 2007;42:178–83. https://doi.org/10.1016/j.jpedsurg.2006.09.016.

    Article  Google Scholar 

  27. Nthumba PM. Burns in sub-Saharan Africa: a review. Burns. 2016;42:258–66. https://doi.org/10.1016/j.burns.2015.04.006.

    Article  Google Scholar 

  28. Albertyn R, Bickler SW, Rode H. Paediatric burn injuries in Sub Saharan Africa—an overview. Burns. 2006;32:605–12. https://doi.org/10.1016/j.burns.2005.12.004.

    Article  CAS  Google Scholar 

  29. Karan A, Amado V, Vitorino P, Kulber D, Taela A, DeUgarte DA. Evaluating the socioeconomic and cultural factors associated with pediatric burn injuries in Maputo, Mozambique. Pediatr Surg Int. 2015;31:1035–40. https://doi.org/10.1007/s00383-015-3761-5.

    Article  Google Scholar 

  30. Oladele AO, Olabanji JK. Burns in Nigeria: a review. Ann Burns Fire Disasters. 2010;23:120–7.

    CAS  Google Scholar 

  31. Brusselaers N, Agbenorku P, Hoyte-Williams PE. Assessment of mortality prediction models in a Ghanaian burn population. Burns. 2013;39:997–1003. https://doi.org/10.1016/j.burns.2012.10.023.

    Article  CAS  Google Scholar 

  32. Tyson AF, Boschini LP, Kiser MM, Samuel JC, Mjuweni SN, Cairns BA, et al. Survival after burn in a sub-Saharan burn unit: challenges and opportunities. Burns. 2013;39:1619–25. https://doi.org/10.1016/j.burns.2013.04.013.

    Article  Google Scholar 

  33. Grudziak J, Snock C, Mjuweni S, Gallaher J, Cairns B, Charles A. The effect of pre-existing malnutrition on pediatric burn mortality in a sub-Saharan African burn unit. Burns. 2017;43:1486–92. https://doi.org/10.1016/j.burns.2017.03.022.

    Article  Google Scholar 

  34. Dale EL, Mueller MA, Wang L, Fogerty MD, Guy JS, Nthumba PM. Epidemiology of operative burns at Kijabe Hospital from 2006 to 2010: pilot study of a web-based tool for creation of the Kenya Burn Repository. Burns. 2013;39:788–95. https://doi.org/10.1016/j.burns.2012.09.003.

    Article  Google Scholar 

  35. Subrahmanyam M. Topical application of honey for burn wound treatment—an overview. Ann Burns Fire Disasters. 2007;20:137–9.

    CAS  Google Scholar 

  36. Hudson DA, Renshaw A. An algorithm for the release of burn contractures of the extremities. Burns. 2006;32:663–8. https://doi.org/10.1016/j.burns.2006.02.009.

    Article  Google Scholar 

  37. Adedeji TO, Tobih JE, Olaosun AO, Sogebi OA. Corrosive oesophageal injuries: a preventable menace. Pan Afr Med J. 2013;15:11. https://doi.org/10.11604/pamj.2013.15.11.2495.

    Article  Google Scholar 

  38. Contini S, Scarpignato C, Rossi A, Strada G. Features and management of esophageal corrosive lesions in children in Sierra Leone: lessons learned from 175 consecutive patients. J Pediatr Surg. 2011;46:1739–45. https://doi.org/10.1016/j.jpedsurg.2011.03.017.

    Article  Google Scholar 

  39. Butchart A, Mikton C, Dahlberg LL, Krug EG. Global status report on violence prevention 2014. Inj Prev. 2015;21:213. https://doi.org/10.1136/injuryprev-2015-041640.

    Article  Google Scholar 

  40. Sham M, Singh D, Wankhede U, Wadate A. Management of child victims of acute sexual assault: surgical repair and beyond. J Indian Assoc Pediatr Surg. 2013;18:105–7. https://doi.org/10.4103/0971-9261.116043.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. AIC Kijabe Hospital, Kijabe, Kenya

    Bethleen Waisiko, Jason Axt & Chelsea Shikiku

  2. Pan African Academy of Christian Surgeons, Dallas, TX, USA

    Bethleen Waisiko, Jason Axt, Chelsea Shikiku & Jacob Stephenson

  3. Uniformed Services University of Health Sciences, Bethesda, MD, USA

    Jacob Stephenson

  4. USAF 48th Medical Group, RAF Lakenheath, UK

    Jacob Stephenson

Authors
  1. Bethleen Waisiko
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  2. Jason Axt
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  3. Chelsea Shikiku
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  4. Jacob Stephenson
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Editor information

Editors and Affiliations

  1. Geisinger Medical Center, Danville, VA, USA

    Alfred P. Kennedy Jr

  2. University of California, San Diego, La Jolla, CA, USA

    Romeo C. Ignacio

  3. Prisma Health/Greenville Memorial Hospital, Greenville, SC, USA

    Robert Ricca

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Waisiko, B., Axt, J., Shikiku, C., Stephenson, J. (2022). Paediatric Trauma in Settings of Limited Resource. In: Kennedy Jr, A.P., Ignacio, R.C., Ricca, R. (eds) Pediatric Trauma Care . Springer, Cham. https://doi.org/10.1007/978-3-031-08667-0_6

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  • DOI: https://doi.org/10.1007/978-3-031-08667-0_6

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08666-3

  • Online ISBN: 978-3-031-08667-0

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