Children's compact size and anatomical features make them susceptible to specific injuries and multisystem trauma. Here the common mechanisms and their associated injury patterns are discussed:
Click on each label below to learn how to review anatomical features.
Pedestrian Struck
Upper leg / pelvis as car strikes.
Torso - abdomen and chest - injured by hood.
Head injury as thrown to the ground.
Automobile Occupant
Lap belt - bowel, spine & solid organ injury.
Unrestrained - multisystem trauma, head & neck.
Ejected - much higher chance of death.
Fall from Bicycle
Head, neck, extremities.
Abdomen if fall over handlebars.
Fall from Height
Distance, landing and position affect injury pattern.
Upper and lower extremities.
Head and neck.
Greater height - multisystem and severe trauma.
> 20 ft or 3 x patient height
Sports Injuries
Usually due to blunt trauma.
Most result from falls, collisions, being struck by an object or overexertion.
Most deaths are due to TBI.
Protective equipment, especially helmets can prevent many injuries.
Cricoid Ring
The cricoid ring is the narrowest portion of the airway, creating a funnel-like shape. The use of uncuffed endotracheal tubes helps prevent complications such as stenosis and is recommended in children under 9 years of age. Needle cricothyrotomy is recommended for those under 12 years old.
Trachea
Due to a shorter tacheal length, providers should take care to avoid mainstem bronchus intubation. Children have narrow airways, making them susceptible to partial or complete obstruction due to edema or hemorrhage.