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SYMPOSIUM ON PEDIATRIC TRAUMA
Year : 2012  |  Volume : 2  |  Issue : 3  |  Page : 135-142

Vascular access, fluid resuscitation, and blood transfusion in pediatric trauma


1 Department of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, WA, USA
2 Department of Anesthesiology and Pain Medicine, School of Medicine; Harborview Medical Center; Seattle Children's Hospital, University of Washington, Seattle, WA, USA
3 Department of Anesthesiology and Pain Medicine, School of Medicine; Harborview Medical Center, University of Washington, Seattle, USA

Correspondence Address:
Nathaniel Greene
Department of Anesthesiology and Pain Medicine, School of Medicine, University of Washington, Seattle, WA 98195
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5151.100890

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Trauma care in the general population has largely become protocol-driven, with an emphasis on fast and efficient treatment, good team communication at all levels of care including prehospital care, initial resuscitation, intensive care, and rehabilitation. Most available literature on trauma care has focused on adults, allowing the potential to apply concepts from adult care to pediatric care. But there remain issues that will always be specific to pediatric patients that may not translate from adults. Several new devices such as intraosseous (IO) needle systems and techniques such as ultrasonography to cannulate central and peripheral veins have become available for integration into our pre-existing trauma care system for children. This review will focus specifically on the latest techniques and evidence available for establishing intravenous access, rational approaches to fluid resuscitation, and blood product transfusion in the pediatric trauma patient.


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