Warwick Teague and Andy Sloas argue similar cases in their #SMACCChicago Cage match 'All Paeds Trauma Should be Managed in a Paediatric Trauma Centre’. An interesting insight into Paeds trauma centres in Australia and America. Teague and Sloas offer valuable idea’s on timely and affective treatment of paediatric trauma patients.

1. Dr Warwick Teague
Director of Trauma Services
Consultant Paediatric & Burns Surgeon

6. Matter of do or die?1
Evidence? Key references will be provided.
Show me yours and I’ll show you mine!
• Survival in paediatric vs
adult trauma centres?
Compelling data in favour
Confusing qualifications
Go figure…

8. • Survival in paediatric vs
adult trauma centres?
Compelling data in favour
Confusing qualifications
Go figure…
Survival is better (or as good) in a paediatric centre,… BUT
Conclusion?
Matter of do or die?1
Evidence? Key references will be provided.
Show me yours and I’ll show you mine!

9. • Children who survive severe trauma
need highest quality care
Iatrogenic morbidity applying adult services
to paediatric patients
Examples include CT radiation, splenectomy
Matter or life or death2
Relax,… If I gave you all the references
here you might not come to the debate!

11. • Children who survive severe trauma
need highest quality care
Iatrogenic morbidity applying adult services
to paediatric patients
Examples include CT radiation, splenectomy
.
Child specific care is unique to paediatric centres,… AND
Conclusion
Matter or life or death2
Relax,… If I gave you all the references
here you might not come to the debate!

12. • Quality of care is not just about
clinical capacity or competence,…
Quality of experience
Kid-centered environment
Matter of laugh in life3
It wouldn’t be a paediatric talk
without a few cartoon graphics.

15. “Clown Doctors now touch the
lives of over 100,000 people every
year. We are now part of hospital
life in all major children's hospitals
around Australia.”
www.humourfoundation.com.au

17. • Quality of care is not just about
clinical capacity or competence,…
Quality of experience
Kid-centered environment
.
Injured children need more than good doctors,… AND
Matter of laugh in life3
Conclusion?
It wouldn’t be a paediatric talk
without a few cartoon graphics.

18. • Who is looking after the parents and siblings
in your adult trauma centre?
Family support worker
Real needs, real deficits
Too sentimental? Build a bridge.
Cry and you cry alone?4

20. • Who is looking after the parents and siblings
in your adult trauma centre?
Family support worker
Real needs, real deficits
Conclusion?
Too sentimental? Build a bridge.
A severely injured child has a traumatised family to care for.
Cry and you cry alone?4

21. • Where would I take my own severely
injured child?
No brainer
No exceptions ?!?
Exceptions are OK
You can finds flaws in most arguments, but as
often as not, you’ve missed the point,… it is a CHILD!
The ultimate test5

22. • Where would I take my own severely
injured child?
No brainer
No exceptions ?!?
Exceptions are OK
.Conclusion?
You can finds flaws in most arguments, but as
often as not, you’ve missed the point,… it is a CHILD!
Paediatric trauma centers are the best place for injured kids.
The ultimate test5

23. … SMACCDown!
Paediatric trauma centers are the best place for injured kids.
Countdown
A severely injured child has a traumatised family to care for.
Injured children need more than good doctors,………. AND
Child specific care is unique to paediatric centres,…… AND
Survival is better (or as good) in a paediatric centre,… BUT

24. Thank you for your attention
Acknowledgements

25. Thank you
Paediatric trauma centers are the best place for injured kids.
Countdown
A severely injured child has a traumatised family to care for.
Injured children need more than good doctors,………. AND
Child specific care is unique to paediatric centres,…… AND
Survival is better (or as good) in a paediatric centre,… BUT

27. S T O P, D R O P &
R U N ?
PEDIATRIC TRAUMA
BYPASSANDREW SLOAS, DO, RDMS, FACEP, FAAEM, FAAP
ASSISTANT PROFESSOR OF ADULT AND PEDIATRIC EMERGENCY
MEDICINE
VANDERBILT UNIVERSITY

28. SU R E. . .
I T ’ S ALWAYS SAF E

29. http://goo.gl/tZxVYu

30. http://goo.gl/tZxVYu

31. CABO
ATLANTIS

34. http://goo.gl/a6D29Phttp://goo.gl/CROVdD http://goo.gl/zdMTZfhttp://goo.gl/irNhGH http://goo.gl/PF3QkL

35. S TAY & P L AY
S c o o p & R u n

36. 1
0 5
30
60
15
5
77

37. -5 7
m i n u t e s

38. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Damage
Control
Hospital (DC
Normotensive/Responsive
Circulation Hypotensive/U
nresponsive
Pediatric Trauma Destination Algorithm

39. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Circulation
Pediatric Trauma Destination Algorithm
Damage
Control
Hospital (DC
Normotensive/Responsive
Hypotensive/U
nresponsive

40. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Circulation
Pediatric Trauma Destination Algorithm
Damage
Control
Hospital (DC
Normotensive/Responsive
Hypotensive/U
nresponsive

41. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Circulation
Pediatric Trauma Destination Algorithm
Damage
Control
Hospital (DC
Normotensive/Responsive
Hypotensive/U
nresponsive

42. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Damage
Control
Hospital (DC
Circulation
Pediatric Trauma Destination Algorithm
Normotensive/Responsive
Hypotensive/U
nresponsive

43. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Damage
Control
Hospital (DC
Circulation
Pediatric Trauma Destination Algorithm
Normotensive/Responsive
Hypotensive/U
nresponsive

44. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Damage
Control
Hospital (DC
Circulation
Pediatric Trauma Destination Algorithm
Normotensive/Responsive
Hypotensive/U
nresponsive

45. Airway
Apneic
Labored
Physiologic Barrier
SGA/BVM/ET & Hypoxic
Patent
Bleeding
Controlled
Hemorrhage NOT
controllable
Trauma Center
Damage
Control
Hospital (DC
Circulation
Pediatric Trauma Destination Algorithm
Normotensive/Responsive
Hypotensive/U
nresponsive

46. W H E R E W E N E E D T O G O
Stripes ~ 1981

47. http://goo.gl/XL5GxUhttp://goo.gl/HSPrro

48. http://goo.gl/GWj9Dn

49. http://goo.g

50. http://goo.g

51. http://goo.gl/cCwERJhttp://goo.gl/AQ4lRm

52. http://goo.gl/cCwERJ

55. http://goo.gl/lJQv2x https://goo.gl/RFEIaH

57. andrew@pemed.org
@pemedpodcast
www.pemed.org

58. andrew@pemed.org
@pemedpodcast
www.pemed.org

59. http://goo.gl/Dl2MjF
Duke 2013
Toronto, Prehosp Emerg Care. 2011