Pediatric Vascular Trauma Practice Patterns and Resource Availability: A Survey of ACS-Designated Pediatric Trauma Centers

AbstractBackgroundVariation exists in pediatric vascular trauma management. We aim to determine practice patterns for vascular trauma management at American College of Surgeons (ACS) verified pediatric trauma centers and evaluate the resources available for management of vascular trauma at both freestanding children’s hospitals (FSCH) and pediatric hospitals within general adult hospitals (PHGAH).MethodsPediatric surgeons and trauma medical directors at ACS designated pediatric surgery trauma centers completed a survey designed to evaluate anticipated management of traumatic arterial injuries and resource availability. Hospital setting comparisons were made using Fisher’s exact tests and t-tests. Binomial tests were used to compare pediatric and vascular surgeons’ responses to clinical vignettes. P-values ≤0.05 were significant.Results176 of 414 (42%) pediatric surgeons participated. Vascular surgeons are more likely to operatively manage vascular trauma at all anatomic sites except subclavian artery when compared to pediatric surgeons, regardless of hospital setting (p

from Emergency Medicine via xlomafota13 on Inoreader http://ift.tt/2FF2rlx