European Resuscitation Council Guidelines 2000 for Advanced Paediatric Life Support

Phillips, Barbara; Zideman, David; Garcı́a-Castrillo, Luis; Félix, Miguel; Shwarz-Schwierin, Uwe

doi:10.1016/s0300-9572(00)00381-6

Cited by 55 publications

(4 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The clinical use of intraosseous access for fluid infusion in children has been well established, being used as well in scenes of accidents that involve trauma and hemorrhagic shock [38,39]. In the experimental environment, several authors proposed to investigate the efficacy of volume resuscitation with different types of solution through intraosseous access [40][41][42][43].…”

Section: Discussionmentioning

confidence: 99%

Intraosseous Hypertonic Saline Solution for Resuscitation of Uncontrolled, Exsanguinating Liver Injury in Young Swine

Carrera

Pacheco²,

Caruso³

et al. 2004

Eur Surg Res

View full text Add to dashboard Cite

Fluid resuscitation administered before hemorrhage control for trauma victims sustaining blunt abdominal injury is controversial. Prehospital fluid resuscitation is limited by difficulty in delivering large volumes of fluid in the field and time delays associated with gaining vascular access. Venous access is often a clinical dilemma in severely hypovolemic children. Intraosseous infusion is considered a useful technique for the administration of fluids in emergency situations when peripheral intravascular access is not possible. This study investigated the effectiveness of intraosseous versus intravenous infusion of hypertonic saline solution in an uncontrolled hemorrhagic shock swine model. We also tested the effect of the different sites of infusion on the intra-abdominal bleeding. Relevant hemodynamic parameters were monitored and blood samples were collected. After liver injury, 20 anesthetized immature pigs were randomized to three groups: intraosseous access, intravenous access and control. After 20 min of uncontrolled hemorrhage, the hypertonic saline solution begins in the intraosseous access and intravenous access groups of animals. Thirty minutes later, the animals were killed and intra-abdominal blood loss was measured. All the pigs presented lower pressures and lower cardiac output after 20 min of hemorrhagic shock. The intravenous and intraosseous access groups did not show a better hemodynamic performance after 10 min of fluid resuscitation. At the end of the experiment, all animals were hemodynamically similar without an improved answer to a fluid resuscitation. There were no significant differences between groups regarding intra-abdominal blood loss. It was concluded that the hypertonic saline solution in this experimental model did not promote hemodynamic improvement and there were no differences between the two sites of fluid resuscitation regarding intra-abdominal blood loss.

show abstract

Section: Discussionmentioning

confidence: 99%

Intraosseous Hypertonic Saline Solution for Resuscitation of Uncontrolled, Exsanguinating Liver Injury in Young Swine

Carrera

Pacheco²,

Caruso³

et al. 2004

Eur Surg Res

View full text Add to dashboard Cite

show abstract

“…The clinical use of intraosseal access in children is well established, and can even be used for volume expansion in cases of trauma and hemorrhagic shock. 1,[21][22][23][24] The third step is the identification of a possible source of occult bleeding in the abdominal, pelvic and chest cavities. The presence of hemothorax confirms the diagnosis of a source of occult bleeding, which is usually detected on clinical and radiological examination.…”

Section: Primary Surveymentioning

confidence: 99%

Avaliação e transporte da criança traumatizada

Schvartsman

Carrera²,

Abramovici³

2005

J. Pediatr. (Rio J.)

View full text Add to dashboard Cite

Suggested citation: Schvartsman C, Carrera R, Abramovici S. Initial assessment and transportation of an injured child. J Pediatr (Rio J). 2005;81(5 Suppl):S223-S229. AbstractObjectives: Since trauma has a great impact on mortality and preventable morbidity among children and adolescents, in addition to its social consequences, the aim of this study is to evaluate peculiarities regarding prehospital, in-hospital, and interhospital assessment of injured pediatric patients. Sources of data:The Cochrane database was searched for systematic reviews and controlled trials, the MEDLINE and LILACS databases were used for the last 5 years, and review of older reference sections in significant publications using trauma, pediatric trauma, primary survey, secondary survey, in-hospital assessment, prehospital and transportation as keywords.Summary of the findings: There are different strategies that constitute the systematic assessment of the injured pediatric patient. Nevertheless, almost all strategies involve knowing the peculiarities about the pediatric population, with regard to age, to the growth and development process, and finally, to the minimally acceptable and available resources. Conclusions:The most important principle is to do no further harm. If the peculiarities about airway maintenance, ventilation, circulation with hemorrhage control, disability, exposure up to secondary survey and preparation of prehospital and interhospital transportation are properly taken care of, better results will certainly be obtained.J Pediatr (Rio J). 2005;81(5 Suppl):S223-S229: Trauma, pediatric trauma, primary survey, secondary survey, inhospital assessment, prehospital and interhospital transportation.

show abstract

“…No insucesso, o acesso intraósseo é um método factível e permite infusão adequada. O uso clínico do acesso intra-ósseo na criança já está bem estabelecido, figurando inclusive como acesso para reposição volêmica em cenários que envolvem trauma e choque hemorrágico 1,[21][22][23][24] .…”

Section: Exame Primáriounclassified

Initial assessment and transportation of an injured child

Schvartsman¹,

Carrera²,

Abramovici³

2005

J Pediatr (Rio J)

View full text Add to dashboard Cite

Como citar este artigo: Schvartsman C, Carrera R, Abramovici S. Avaliação e transporte da criança traumatizada. J Pediatr (Rio J). 2005;81(5 Supl):S223-S229. AbstractObjectives: Since trauma has a great impact on mortality and preventable morbidity among children and adolescents, in addition to its social consequences, the aim of this study is to evaluate peculiarities regarding prehospital, in-hospital, and interhospital assessment of injured pediatric patients. Sources of data:The Cochrane database was searched for systematic reviews and controlled trials, the MEDLINE and LILACS databases were used for the last 5 years, and review of older reference sections in significant publications using trauma, pediatric trauma, primary survey, secondary survey, in-hospital assessment, prehospital and transportation as keywords.Summary of the findings: There are different strategies that constitute the systematic assessment of the injured pediatric patient. Nevertheless, almost all strategies involve knowing the peculiarities about the pediatric population, with regard to age, to the growth and development process, and finally, to the minimally acceptable and available resources. Conclusions:The most important principle is to do no further harm. If the peculiarities about airway maintenance, ventilation, circulation with hemorrhage control, disability, exposure up to secondary survey and preparation of prehospital and interhospital transportation are properly taken care of, better results will certainly be obtained.J Pediatr (Rio J). 2005;81(5 Supl):S223-S229: Trauma, pediatric trauma, primary survey, secondary survey, in-hospital assessment, prehospital and interhospital transportation. ResumoObjetivos: Devido ao impacto determinado pelo trauma na população infanto-juvenil no que diz respeito à mortalidade, morbidade e conseqüências sociais geradas, nossos objetivos concentram-se nas peculiaridades da avaliação pré-hospitalar, em ambiente hospitalar e ainda durante o transporte do paciente traumatizado pediátrico. Fontes de dados:Pesquisa eletrônica realizada nas bases Cochrane para revisões sistemáticas e estudos controlados, MEDLINE e LILACS nos últimos 5 anos e revisão de referências anteriores em publicações significativas, utilizando as seguintes palavras-chave: trauma, trauma pediátrico, exame primário, exame secundário, atendimento hospitalar, transporte pré-hospitalar e inter-hospitalar.Síntese dos dados: Diferentes estratégias compõem a sistematização do atendimento de crianças e adolescentes traumatizados. Entretanto, quase todas comportam a necessidade de conhecer as particularidades da população a ser tratada, no que diz respeito à idade, ao processo de crescimento e desenvolvimento e, finalmente, compondo o atendimento com os recursos minimamente aceitáveis e disponí-veis.Conclusões: O princípio de maior importância diz respeito a não determinar lesão adicional. Mantendo a visão sistemática das diferentes peculiaridades quanto à abordagem das vias aéreas, ventilação, circulação com controle de hemorragias, e...

show abstract

European Resuscitation Council Guidelines 2000 for Advanced Paediatric Life Support

Cited by 55 publications

References 7 publications

Intraosseous Hypertonic Saline Solution for Resuscitation of Uncontrolled, Exsanguinating Liver Injury in Young Swine

Intraosseous Hypertonic Saline Solution for Resuscitation of Uncontrolled, Exsanguinating Liver Injury in Young Swine

Avaliação e transporte da criança traumatizada

Initial assessment and transportation of an injured child

Contact Info

Product

Resources

About