Comparison of Vital Sign Cutoffs to Identify Children With Major Trauma

• 2024

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• Jillian Gorski; Pradip Chaudhari; Ryan Spurrier; Seth Goldstein; Suhail Zeineddin; Christian Martin-Gill; Robert Sepanski; Anne Stey; Sriram Ramgopal
PMID: 38363566DOI: 10.1001/jamanetworkopen.2023.56472

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Vital signs are crucial for assessing injured children in trauma situations. This study compared the effectiveness of Advanced Trauma Life Support (ATLS) and Pediatric Advanced Life Support (PALS) criteria with empirically derived criteria in identifying major trauma in children. The research, using data from US trauma centers, revealed that the empirically derived criteria showed a balance between sensitivity and specificity, performing similarly to PALS and better than ATLS criteria. These findings indicate that using empirically derived vital sign criteria can help identify children at high risk of trauma-related complications, potentially improving outcomes in pediatric trauma cases.

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Tags

Hazards: Everyday Emergency; Trauma

Audiences: Nurses; Physicians

Emergency Management Stage: Response

Keywords: Hospitals; Trauma Centers; Triage; Vital Signs

Institutions: Children's Hospital Los Angeles; Lurie Children’s Hospital of Chicago; Northwestern University; Pediatric Pandemic Network (PPN); University of Pittsburgh School of Medicine; University of Pittsburgh; University of Southern California; Eastern Virginia Medical School; Children's Hospital of The King's Daughters

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