Essex and Herts Air Ambulance: a focused case series for pre-hospital practice

Due to the relative infrequency of major trauma in the paediatric population, along with the presence of family members during the resuscitation, management of trauma in this age group can be both emotive and highly challenging. Through comprehensive assessment, targeted resuscitation and considered triage to an appropriate paediatric trauma facility, pre-hospital care clinicians can help to improve outcomes in the paediatric trauma patient (Simpson et al, 2012; Nystrup et al, 2015).This article aims to provide a structured, evidence-based approach to the assessment and management of the injured child in the pre-hospital setting. We report the case of a 10-year old female involved in a pedestrian versus van road traffic collision (RTC). The principles of systematic assessment and holistic management of the paediatric trauma patient are discussed. We also discuss where an extended care service such as a Helicopter Emergency Medical Service may be of assistance.

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