The American Journal of Surgery
Volume 188, Issue 6 , Pages 671-678 , December 2004

The utility of routine trauma laboratories in pediatric trauma resuscitations

Presented at the 56th Annual Meeting of the Southwestern Surgical Congress, Monterey, California, April 18–21, 2004

  • Martin S. Keller, M.D.

      Affiliations

    • Department of Pediatric Surgery, Cardinal Glennon Children’s Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-314-577-5629; fax: +1-314-268-6454.
    • ,
  • C. Eric Coln, M.D.

      Affiliations

    • Department of Pediatric Surgery, Cardinal Glennon Children’s Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA
    • ,
  • Jennifer A. Trimble, B.S.

      Affiliations

    • Department of Pediatric Surgery, Cardinal Glennon Children’s Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA
    • ,
  • M. Christine Green, R.N.

      Affiliations

    • Department of Pediatric Surgery, Cardinal Glennon Children’s Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA
    • ,
  • Thomas R. Weber, M.D.

      Affiliations

    • Department of Pediatric Surgery, Cardinal Glennon Children’s Hospital, 1465 South Grand Boulevard, St. Louis, MO 63104, USA

Received 20 July 2004 ,Revised 7 August 2004

References 

  1. Maksoud JG , Moront ML , Eichelberger MR . Resuscitation of the injured child . Semin Pediatr Surg . 1995;4:93–99
  2. Jaffe D , Wesson D . Emergency management of blunt trauma in children . N Engl J Med . 1991;324:1477–1482
  3. Isaacman DJ , Scarfone RJ , Kost SI , et al.   Utility of routine laboratory testing for detecting intra-abdominal injury in the pediatric trauma patient . Pediatrics . 1993;92:691–694
  4. Holmes JF , Sokolove PE , Brant WE , et al.   Identification of children with intra-abdominal injuries after blunt trauma . Ann Emerg Med . 2002;39:500–509
  5. Bryant MS , Tepas JJ , Talbert JL , Mollitt DL . Impact of emergency room laboratory studies on the ultimate triage and disposition of the injured child . Am Surg . 1988;54:209–211
  6. Namias N , McKenney MG , Martin LC . Utility of admission chemistry and coagulation profiles in trauma patients (a reappraisal of traditional practice) . J Trauma . 1996;41:21–25
  7. Ford EG , Karamanoukian HL , McGrath N , et al.   Emergency center laboratory evaluation of pediatric trauma victims . Am Surg . 1990;56:752–757
  8. Frankel HL , Rozycki GS , Ochsner MG , et al.   Minimizing admission laboratory testing in trauma patients (use of a microanalyzer) . J Trauma . 1994;37:728–736
  9. Parish RA , Watson M , Rivara FP . Why obtain arterial blood gases, chest x-rays and clotting studies in injured children? Experience in a regional trauma center . Pediatr Emerg Care . 1986;2:218–221
  10. Soldin SJ , Brugnara C , Wong EC . Pediatric Reference Ranges . 4th ed.. Washington, DC: AACC Press, Inc; 2003;
  11. Gunn VL , Nechyba C . The Harriet Lane Handbook . 16th ed.. Philadelphia, PA: Mosby, Inc; 2002;
  12. Keller MS , Fendya DG , Weber TR . Glasgow coma scale predicts coagulopathy in pediatric trauma patients . Semin Pediatr Surg . 2001;10:12–16
  13. Lazar L , Erez I , Gutermacher M , Katz S . Brain concussion produces transient hypokalemia in children . J Pediatr Surg . 1997;32:88–90
  14. Beal AL , Scheltema KE , Beilman GJ , Deuser WE . Hypokalemia following trauma . Shock . 2002;18:107–110
  15. Cochran A , Scaife ER , Hansen KW , Downey EC . Hyperglycemia and outcome from pediatric traumatic brain injury . J Trauma . 2003;55:1035–1038
  16. Paret G , Tirosh R , Lotan D , et al.   Early prediction of neurological outcome after falls in children (metabolic and clinical markers) . J Acc Emer Med . 1999;16:186–188
  17. Polderman KH , Bloemers FW , Peerdeman SM , Girbes ARJ . Hypomagnesemia and hypophosphatemia at admission in patients with severe head injury . Crit Care Med . 2000;28:2022–2025
  18. Hulka F , Mullins RJ , Frank EH . Blunt brain injury activates the coagulation process . Arch Surg . 1996;131:923–928
  19. Simon HK , Muehlberg A , Linakis JG . Serum amylase determinations in pediatric patients presenting to the ED with acute abdominal pain or trauma . Am J Emerg Med . 1994;12:292–295
  20. Adamson WT , Thomas PB , Wagstaff P , Tagge EP , Otherson HB . Serum amylase and lipase alone are not cost-effective screening methods for pediatric pancreatic trauma . J Pediatr Surg . 2003;38:354–357

PII: S0002-9610(04)00421-0

doi: 10.1016/j.amjsurg.2004.08.056

The American Journal of Surgery
Volume 188, Issue 6 , Pages 671-678 , December 2004

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