07.b • Acute care: issues to consider

Certain considerations regarding the management of paediatric trauma patients are often overlooked:

  • Equipment: There should be appropriately sized equipment available in the resuscitation area where the child will be received. As well as consumables, the instruments to perform the same range of procedures that are expected in an adult should also be available for children.
  • Temperature control: There should be measures in place to ensure that the child is kept warm, eg. ambient heaters, Bair Hugger available. As children have large body surface area, they lose heat at a fast rate. Therefore when a child is exposed during the resuscitation, active measures should be initiated / considered in order to ensure that the child does not become hypothermic.
    measures include:
  • keeping child covered when not being examined
  • keeping room warm
  • use of ambient heater
  • use of Bair Hugger (active warming device)
  • use of warmed fluids