Pediatric trauma: Current concepts and treatments

Journal of Intensive Care Medicine

Volumn 17, Issue 5, 2002, Pages 230-249

  Vane, Dennis W ^a   Keller, Martin S ^b   Sartorelli, Kennith H ^a   Miceli, Alex P ^b  

^a UNIVERSITY OF VERMONT COLLEGE OF MEDICINE   (United States)

^b Cardinal Glennon Hospital   (United States)

Author keywords

Contemporary treatment; Pediatric injury

Indexed keywords

CONSERVATIVE TREATMENT; DEMOGRAPHY; FEMUR FRACTURE; GLASGOW COMA SCALE; HEAD INJURY; HEALTH CARE ACCESS; HEMODYNAMICS; HUMAN; HYPOTENSION; HYPOXIA; INTENSIVE CARE; INTRACRANIAL PRESSURE; MEDICAL PRACTICE; PRIORITY JOURNAL; REVIEW; SKULL FRACTURE; SURGEON;

EID: 2342582389     PISSN: 08850666     EISSN: 15251489     Source Type: Journal    
DOI: 10.1177/088506602237107     Document Type: Review

References (154)

1. Rivara FP. Epidemiology of violent deaths in children and adolescents in the United States. Pediatrician 1983-1985;12:3-10.
2. Eisenberg HM. Outcome after head injury: general considerations and neurobehavioral recovery: part I: general considerations. In: Becker DP, Povlishock JT, eds. Central nervous system trauma status report, National Institute of Neurological and Communicative Disorders and Stroke. Bethesda, MD: National Institutes of Health; 1985:271-280.
3. Kraus JF, Fife D, Cox P, Ramstein K, Conroy C. Incidence, severity and external causes of pediatric brain injury. Am J Dis Child 1986;140:687-693.
4. Ommaya AK, Corrao P, Letcher FS. Head injury in the chimpanzee: part 1: biodynamics of traumatic unconsciousness. J Neurosurg 1973;3902-166.
5. Adams J, Frumiento C, Shatney-Leach L, Vane DW. Mandatory admission after isolated mild closed head injury in children: is it necessary? J Pediatr Surg 2001;36:119-121.
6. Jane JA, Steward O, Gennarelli T. Axonal degeneration induced by experimental non-invasive minor head injury. J Neurosurg 1985;62:96-100.
7. Adams JH, Graham DI, Murray LS, Scott G. Diffuse axonal injury due to nonmissle head injury in humans: an analysis of 45 cases. Ann Neurol 1982;12:557-563.
8. Hahn YS, Fuchs S, Flannery AM, Barthel MJ, McLone DG. Factors influencing post-traumatic seizures in children. Neurosurgery 1988;22:864-867.
9. Godano U, Serracchioli A, Servadei F, Donati R, Piazza G. Intracranial lesions of surgical interest in minor head injuries in paediatric patients. Childs Nerv Syst 1992;8:136-138.
10. Przybylski GJ, Clyde BI, Fritz CR. Craniocervical junction subarachnoid hemorrhage associated with atlanto-occipital dislocation. Spine 1996;21:1761-1768.
11. Cardoso ER, Galbraith S. Posttraumatic hydrocephalus-a retrospective review. Surg Neurol 1985;23:261-264.
12. Duhaime AC, Gennarelli TA, Thibault LE, Bruce DA, Margulies SS, Wiser R. The shaken baby syndrome: a clinical, pathological, and biomechanical study. J Neurosurg 1987;66:409-415.
13. Duhaime AC, Bilaniuk L, Zimmerman R. The "big black brain": radiographic changes after severe inflicted head injury in infancy. J Neurosurg 1993;10:559.
14. Kaufman BA, Vogelbaum MA, Park TS. Unnecessary admission of uncomplicated skull fractures. Pediatr Neurosurg 1996;25:204.
15. Choux M. Incidence, diagnosis and management of skull fractures. In: Raymondi AJ, Choux M, Di Rocco C, eds. Head injuries in the newborn and infant. New York, NY: Springer-Verlag; 1986:163-182.
16. Loeser JD, Kilburn HI, Jollett T. Management of depressed skull fractures in the newborn. J Neurosurg 1976;44:62-64.
17. Jennett B, Miller JD, Braakman R. Epilepsy after non-missile depressed skull fracture. J Neurosurg 1974;41:208-216.
18. Van den Heever CM, van der Merwe DJ. Management of depressed skull fractures: selective conservative management of non-missile injuries. J Neurosurg 1989;71:186-190.
19. Rathmore MH. Do prophylactic antibiotics prevent meningitis after basilar skull fracture? Pediatr Infect Dis J 1991;10:87-91.
20. Cooper PR. Cerebrospinal fluid fistulas and pneumocephalus. In: Barrow DI, ed. Complications and sequelae of head injuries. Park Ridge, IL: American Association of Neurological Surgeons; 1992:1-12.
21. Wilberger J, Chen DA. The skull and meninges. Neurosurg Clin N Am 1991;2:341-350.
22. Leurssen TG, Chesnut RM, van Berkum-Clark M, et al. Post traumatic cerebrospinal fluid infections in the Traumatic Coma Data Bank: the incidence of the type and management of ICP monitors. In: Avezant CJ, van Eijndhoven JH, Mass AI, et al, eds. Intracranial pressure, VIII. New York, NY: Springer-Verlag; 1993:42-45.
23. Klastersky J, Sadeghi M, Brihaye J. Antimicrobial prophylaxis in patients with rhinorrhea or otorrhea: a double blind study. Surg Neurol 1976;6:111-114.
24. Pigula FA, Wald SL, Shackford SR, Vane DW. The effect of hypotension and hypoxia on children with severe head injuries. J Pediatr Surg 199;28:310-316.
25. Duhaime AC. Acute care. In: Marion DW, ed. Traumatic brain injury. New York: Theime Medical Publishers; 1999:257.
26. Duhaime AC, Rourke M. Intensive care management of children with head injuries. In: Andrews BT, Hammer GB, eds. Pediatric neurosurgical intensive care. Park Ridge, IL: American Association of Neurological Surgeons; 1997:125.
27. Bullock R, Chesnut RM, Clifton G, et al. Guidelines for the management of severe head injury. Eur J Emerg Med 1996;3:109-127.
28. Rauzzino MJ, Grabb PA, Hadley MN. Pediatric vertebral column and spinal cord injuries. Perspect Neurol Surg 1997;8:27-60.
29. Rauzzino MJ, Hadley MN. Pediatric spinal cord injuries. In: Menezes AH, Sonntag VK, eds. Principles of spinal surgery. New York, NY: McGraw-Hill; 1996:817-840.
30. Nypaver M, Treloar D. Neutral cervical spine positioning in children. Ann Emerg Med 1994;23:208-211.
31. Peclet MH, Newman KD, Eichelberger MR, Gotschall CS, Garcia VF, Bowman LM. Thoracic trauma in children: an indicator of increased mortality. J Pediatr Surg 1990;25:961-966.
32. Cooper A, Barlow B, DiScala C, String D. Mortality and truncal injury: the pediatric perspective. J Pediatr Surg 1994;29:33-38.
33. Nakayama DK, Ramenofsky ML, Rowe MI. Chest injuries in childhood. Ann Surg 1989;210:770-775.
34. Roux P, Fisher RM. Chest injuries in children: an analysis of 100 cases of blunt chest trauma from motor vehicle accidents. J Pediatr Surg 1992;27:551-555.
35. Cooper A. Thoracic injuries. Sem Pediatr Surg 1995;4:109-116.
36. Black TL, Snyder CL, Miller JP, Mann CM Jr, Copetas AC, Ellis DG. Significance of chest trauma in children. South Med J 1996;89:494-496.
37. Reilly JP, Brandt ML, Mattox KL, Pokorny WJ. Thoracic trauma in children. J Trauma 1993;34:329-331.
38. Peterson RJ, Tepas JJ III, Edwards FH, Kissoon N, Pieper P, Ceithaml EL. Pediatric and adult thoracic trauma: age-related impact on presentation and outcome. Ann Thorac Surg 1994;58:14-18.
39. Bulloch B, Schubert CJ, Brophy PD, Johnson N, Reed MH, Shapiro RA. Cause and clinical characteristics of rib fractures in infants. Pediatrics 2000;105:851.
40. Meller JL, Little AG, Shermeta DW. Thoracic trauma in children. Pediatrics 1984;74:813-819.
41. Allen GS, Cox CS Jr, Moore FA, Duke JH, Andrassy RJ. Pulmonary contusions: are children different? J Am Coll Surg 1997;85:229-233.
42. Dyer DS, Moore EE, Mestek MF, et al. Can chest CT be used to exclude aortic injury. Radiology 1999;213:195-202.
43. Holmes JF, Brant WE, Bogren HG, London KL, Kuppermann N. Prevalence and importance of pneumothoraces visualized on abdominal computed tomographic scan in children with blunt trauma. J Trauma 2001;50:516-520.
44. Sivit CJ, Taylor GA, Eichelberger MR. Chest injury in children with blunt abdominal trauma: evaluation with CT. Radiology 1998;171:815-818.
45. Wall SD, Federle MP, Brett CM. CT diagnosis of unsuspected pneumothorax after blunt abdominal trauma. Am J Roentgenol 1983;141:919-921.
46. Rozycki GS, Feliciano DV, Ochsner MG, et al. The role of ultrasound in patients with possible penetrating cardiac wounds: a prospective multicenter study. J Trauma 1999;46:543-551.
47. Tellez DW, Hardin WD Jr, Takahashi M, Miller J, Galvis AG, Mahour GH. Blunt cardiac injury in children. J Pediatr Surg 1987;22:1123-1128.
48. Allen GS, Cox CS Jr. Pulmonary contusion in children: diagnosis and management. South Med J 1998;91:1099-1106.
49. Weber TR, Kountzman B. Extracorporeal membrane oxygenation for nonneonatal pulmonary and multiple-organ failure. J Pediatr Surg 1998;33:1605-1609.
50. Gene A, Ozcan C, Erdener A, Mutaf O. Management of pneumothorax in children. J Cardiovasc Surg 1998;39:849-851.
51. Ildstad ST, Tollerud DJ, Weiss RG, Cox JA, Martin LW. Cardiac contusion in pediatric patients with blunt thoracic trauma. J Pediatr Surg 1990;25:287-289.
52. Golladay ES, Donahoo JS, Haller JA Jr. Special problems of cardiac injuries in infants and children. J Trauma 1979;19:526-531.
53. Slimane MA, Becmeur F, Aubert D, et al. Tracheobronchial ruptures from blunt thoracic trauma in children. J Pediatr Surg 1999;34:1847-1850.
54. Perchinsky M, Long W, Rosoff J, Campbell TJ. Traumatic rupture of the tracheobronchial tree in a 2 year old. J Pediatr Surg 1994;29:1548-1549.
55. Hancock BJ, Wiseman NE. Tracheobronchial injuries in children. J Pediatr Surg 1991;26:1316-1319.
56. Grant WJ, Meyers RL, Jaffe RL, Johnson DG. Tracheobronchial injuries after blunt chest trauma in children-hidden pathology. J Pediatr Surg 1998;33:1707-1711.
57. Sartorelli KH, McBride WJ, Vane DW. Perforation of the intrathoracic esophagus from blunt trauma in a child: report and review of the literature. J Pediatr Surg 1999;34:495-497.
58. Beaver BL, Colombani PM, Buck JR, Dudgeon DL, Bohrer SL, Haller JA Jr. Efficacy of emergency room thoracotomy in pediatric trauma. J Pediatr Surg 1987;22:19-22.
59. Sheikh AA, Culbertson CB. Emergency department thoracotomy in children: rationale for selective application. J Trauma 1993;34:323-328.
60. Rothenberg SS, Moore EE, Moore FA, Baxter BT, Moore JB, Cleveland HC. Emergency department thoracotomy in children-a critical analysis. J Trauma 1989;29:1322-1325.
61. Powell RW, Gill EA, Jurkovich GJ, Ramenofsky ML. Resuscitative thoracotomy in children and adolescents. Am Surg 1988;54:188-191.
62. Eichelberg MR, Moront M. Abdominal trauma. In: O'Neill JA, Rowe MI, Grosfeld JL, et al, eds. Pediatric surgery. 5th ed, vol 1. St Louis, Mo: Mosby; 1998:261-284.
63. Jaffe D, Wesson D. Emergency management of blunt abdominal trauma in children. N Engl J Med 1991;324:1477-1482.
64. Karp MP, Cooney DR, Berger PE, Kuhn JP, Jewett TC Jr. The role of computed tomography in the evaluation of blunt abdominal trauma. J Pediatr Surg 1981;16:316-323.
65. Bond SJ, Eichelberger MR, Gotschall CS, Sivit CJ, Randolph JG. Nonoperative management of blunt hepatic and splenic injury in children. Ann Surg 1996;223:286-289.
66. Ruess L, Sivit CJ, Eichelberger MR, Taylor GA, Bond SJ. Blunt hepatic injury and splenic trauma in children: correlation of a CT injury severity scale with clinical outcome. Pediatr Radiol 1995;25:321-325.
67. Patrick DA, Bensard DD, Moore EE, Karrer FM. Nonoperative management of solid organ injuries in children results in decreased blood utilization. J Pediatr Surg 1999;34:1695-1699.
68. Coburn MC, Pfeifer J, DeLuca FG. Nonoperative management of splenic and hepatic trauma in the multiply injured pediatric and adolescent patient. Arch Surg 1995;130:332-338.
69. Keller MS, Sartorelli KH, Vane DW. Associated head injury should not prevent nonoperative management of spleen or liver injury in children. J Trauma 1996;41:471-475.
70. Allen GS, Moore FA, Cox CS Jr, Wilson JT, Cohn JM, Duke JH. Hollow visceral injury and blunt trauma. J Trauma 1998;45;69-75.
71. Sjovall A, Hirsch K. Blunt abdominal trauma in children: risks of nonoperative treatment. J Pediatr Surg 1997;32:1169-1174.
72. Fallat ME, Casale AJ. Practice patterns of pediatric surgeons caring for stable patients with traumatic solid organ injury. J Trauma 1997;43:820-824.
73. Dicker RA, Sartorelli KH, McBride WJ, Vane DW. Penetrating hepatic trauma in children: operating room or not? J Pediatr Surg 1996;31:1189-1191.
74. Partrick DA, Bensard DD, Moore EE, Terry SJ, Karrer FM. Ultrasound is an effective triage tool to evaluate blunt abdominal trauma in the pediatric population. J Trauma 1998;45:57-63.
75. Katz SJ, Lazar L, Rathaus V, Erez I. Can ultrasonography replace computed tomography in the initial assessment of children with blunt abdominal trauma. J Pediatr Surg 1996;31:649-651.
76. Krupnick AS, Teitelbaum DH, Geiger JD, et al. Use of abdominal ultrasound to assess pediatric splenic trauma: potential pitfalls in the diagnosis. Ann Surg 1997;225:408-414.
77. Bensard DD, Beaver BL, Besner GE, Cooney DR. Small bowel injury in children in blunt abdominal trauma: is diagnostic delay important? J Trauma 1996;41:476-483.
78. Karp MP, Cooney DR, Pros GA, Newman BM, Jewett TC Jr. The nonoperative management of pediatric hepatic trauma. J Pediatr Surg 1983;18:512-518.
79. Albanese CT, Meza MP, Gardner MJ, Smith SD, Rowe MI, Lynch JM. Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt trauma in children? J Trauma 1996;40:417-421.
80. Shapiro MB, Jenkins DH, Schwab CW, Rotondo MF. Damage control: collective review. J Trauma 2000;49:969-987.
81. Pitcher G. Fiber-endoscopic thoracoscopy for diaphragmatic injury in children. Sem Pediatr Surg 2001;10:17-19.
82. Gandhi RR, Stringel G. Laparoscopy in pediatric abdominal trauma. J Laparoendosc Surg 1997;1:349-351.
83. VanderKolk WE, Garcia VF. The use of laparoscopy in the management of seat belt trauma. J Laparoendosc Surg 1996;1:S45-S49.
84. Gross M, Lynch F, Canty T, Peterson B, Spear R. Management of pediatric liver injuries: a 13-year experience at a pediatric trauma center. J Pediatr Surg 1997;34:811-816.
85. Miller K, Kou D, Sivit C, Stallion A, Dudgeon DL, Grisoni ER. Pediatric hepatic trauma: does clinical course support intensive care unit stay. J Pediatr Surg 1998;33:1459-1462.
86. Siplovich L, Kawar B. Changes in the management of pediatric blunt splenic and hepatic injuries. J Pediatr Surg 1997;32:1464-1465.
87. Demetriades D, Gomez H, Chahwan S, et al. Gunshot injuries to the liver: the role of selective nonoperative management. J Am Coll Surg 1999;188:343-348.
88. Buckman RF, Miraliakbari R, Badellino MM. Juxtahepatic venous injuries: a critical review of reported management strategies. J Trauma 2000;48:978-984.
89. Donvan AJ, Berne TV. Liver. In: Donovan AJ, ed. Trauma surgery: techniques in thoracic, abdominal, and vascular surgery. St Louis, Mo: Mosby; 1994:111-135.
90. Pachter HL, Spencer FC, Hofstetter SR, Coppa GF. Experience with the finger technique to achieve intrahepatic hemostasis in 75 patients with severe injury to the liver. Ann Surg 1983;197:771-777.
91. Carrillo EH, Platz A, Miller FB, Richardson JD, Polk HC Jr. Non-operative management of blunt hepatic trauma. Br J Surg 1998;85:461-468.
92. Christensen R. Invasive radiology for pediatric trauma. Sem Pediatr Surg 2001;10:7-11.
93. Moulton SL, Anderson DS, Lynch FP. Blunt bile duct injuries in children. J Pediatr Surg 1993;28:795-797.
94. Francke EL, Neu UC. Postsplenectomy infection. Surg Clin North Am 1981;61:135-155.
95. Jugenburg M, Haddock G, Freedman MH, Ford-Jones L, Ein SH. The morbidity and mortality of pediatric splenectomy: does prophylaxis make a difference? J Pediatr Surg 1999;34:1064-1067.
96. Frumiento C, Sartorelli KH, Vane DW. Complications of splenic injury: expansion of the nonoperative theorem. J Pediatr Surg 2000;35:788-791.
97. Taylor GA, Eichelberger MR, Potter BM. Hematuria: a marker of abdominal injury in children after blunt trauma. Ann Surg 1988;208:688-693.
98. Lynch JM, Meza P, Gardner MJ, Albanese CT. Computed tomography grade of splenic injury is predictive of the time required for radiographic healing. J Pediatr Surg 1997;32:1093-1095.
99. Emery KH, Babcock DS, Borgman AS, Garcia VF. Splenic injury diagnosed with CT: US follow-up and healing rate in children and adolescents. Radiology 1999;212:515-518.
100. Davis KA, Fabian TC, Croce MA. Improved success in management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms. J Trauma 1998;44:1006-1015.
101. Gow KW, Murphy JJ III, Blair GK, Stringer DA, Culham JA, Fraser GC. Splanchnic artery pseudo-aneurysms secondary to blunt abdominal trauma in children. J Pediatr Surg 1996;31:812-815.
102. Nagar H, Kessler A, Weiss J. Traumatic intraparenchymal splenic pseudoaneurysms in a child: non-operative management. J Trauma 1997;43:552-555.
103. Shilyansky K, Sena LM, Kreller M, et al. Nonoperative management of pancreatic injuries in children. J Pediatr Surg 1998;33:343-349.
104. Arkovitz MS, Johnson N, Garcia VF. Pancreatic trauma in children: mechanisms of injury. J Trauma 1997;42:49-53.
105. Takishima T, Sugimoto K, Asari Y, et al. Characteristics of pancreatic injury in children: a comparison with such injury in adults. J Pediatr Surg 1996;31:896-900.
106. Keller MS, Strafford PW, Vane DW. Conservative management of pancreatic trauma in children. J Trauma 1997;42:1097-1100.
107. Cogbill TH, Moore EE, Morris JA Jr, et al. Distal pancreatectomy for trauma: a multicenter experience. J Trauma 1991;31:1600-1606.
108. Lucaya J, Vazquez E, Caballero F, Chait PG, Daneman A, Wesson D. Non-operative management of traumatic pancreatic pseudocysts associated with pancreatic duct laceration in children. Pediatr Radiol 1998;28:5-8.
109. Nadler EP, Gardner M, Schall LC, Lynch JM, Ford HR. Management of blunt pancreatic injury in children. J Trauma 1999;47:1098-1103.
110. Meier DE, Coln CD, Hicks BA, Guzzetta PC. Early operation in children with pancreas transection. J Pediatr Surg 2001;36:341-344.
111. Firstenberg MS, Volsko TA, Sivit C, Stallion A, Dudgeon DL, Grisoni ER. Selective management of pediatric pancreatic injuries. J Pediatr Surg 1999;34:1142-1147.
112. Kouchi K, Tanabe M, Yoshida H, et al. Nonoperative management of blunt pancreatic injury in childhood. J Pediatr Surg 1999;34:1736-1739.
113. Amirata E, Livingston DH, Elcavage J. Octreotide acetate decreases pancreatic complications after pancreatic trauma. Am J Surg 1994;168:345-347.
114. Plancq MC, Villamizar J, Ricard J, Canarelli JP. Management of pancreatic and duodenal injuries in pediatric patients. Pediatr Surg Int 2000;16:35-39.
115. Jewett TC Jr, Caldarola V, Karp MP, Allen JE, Cooney DR. Intramural hematoma of the duodenum. Arch Surg 1988;123:54-58.
116. Wessel LM, Scholz S, Jester I, et al. Management of kidney injuries in children with blunt abdominal trauma. J Pediatr Surg 2000;35:1326-1330.
117. Brown SL, Elder JS, Spirnak JP. Are pediatric patients more susceptible to major renal injury from blunt trauma? A comparative study. J Urol 1998;160:138-140.
118. Schmidlin FR, Iselin CE, Naimi A, et al. The higher injury risk of abnormal kidneys in blunt renal trauma. Scand J Urol Nephrol 1998;32:388-392.
119. Morey AF, Bruce JE, McAninch JW. Efficacy of radiographic imaging in pediatric blunt renal trauma. J Urol 1996;156:2014-2018.
120. Smith SD, Gardner MJ, Rowe MI. Renal artery occlusion in pediatric blunt abdominal trauma. J Trauma 1993;35:903-910.
121. Santucci RA, McAninch JW, Safir M, Mario LA, Service S, Segal MR. Validation for the American Association for the Surgery of Trauma organ injury severity scale for the kidney. J Trauma 2001;50:195-200.
122. Drianno RM, Muir G, Delbos O, Guiter J. Management of major renal lacerations: surgical or nonoperative approach? Eur Urol 1996;30:335-339.
123. Levy JB, Baskin LS, Ewalt DU. Nonoperative management of blunt pediatric major renal trauma. Urology 1993;42:418-424.
124. Husmann DA, Gilling PJ, Perry MO, Morris JS, Boone TB. Major renal lacerations with devitalized fragment following blunt abdominal trauma: a comparison between nonoperative and expectant versus surgical management. J Urol 1993;150:1774-1777.
125. Harris BH, Stylianos S. Operative management of abdominal injuries in children. Sem Pediatr Surg 2000;10:20-22.
126. Canty TG, Canty TG Jr, Brown C. Injuries of the gastrointestinal tract from blunt trauma in children: a 12-year experience at a designated pediatric trauma center. J Trauma 1999;46:223-240.
127. Nance ML, Keller MS, Stafford P. Predicting hollow visceral injury in the pediatric blunt trauma patient with solid visceral injury. J Pediatr Surg 2000;35:1300-1303.
128. Tso EL, Beaver BL, Haller A. Abdominal injuries in restrained pediatric passengers. J Pediatr Surg 1993;28:915-919.
129. Lam JPH, Eunson GJ, Orr JD. Delayed presentation of handlebar injuries in children. Br Med J 2001;322:1288-1289.
130. Strouse PJ, Close BJ, Marshall KW, Cywes R. CT of bowel and mesenteric trauma in children. Radiographics 1999;19:1237-1250.
131. Hulka F, Mullins RJ, Leonardo V, Harrison MW, Silberberg P. Significance of peritoneal fluid as an isolated finding on abdominal computed tomographic scan in pediatric trauma patients. J Trauma 1998;44:1069-1072.
132. Shankar KR, Lloyd DA, Kitteringham L, Carty HM. Oral contrast with computed tomography in the evaluation of blunt abdominal trauma in children. Br J Surg 1999;86:1073-1077.
133. Stafford RE, McGonial MD, Weigelt JA, Johnson TJ. Oral contrast solution and computed tomography for blunt abdominal trauma: a randomized study. Arch Surg 1999;134:622-636.
134. Lim-Dunham JE, Narra J, Benya EC, Donaldson JS. Aspiration after administration of oral contrast material in children undergoing abdominal CT for trauma. Am J Roentgenol 1997;169:1015-1018.
135. Jamieson DH, Babyn PS, Pearl R. Imaging gastrointestinal perforation in pediatric blunt trauma. Pediatr Radiol 1996;26:188-194.
136. Holmes JF, London KL, Brant WE, Kuppermann N. Isolated intraperitoneal fluid on abdominal computed tomography in children with blunt trauma. Acad Emerg Med 2000;7:335-341.
137. Beierle EA, Chen MK, Whalen TV, Doolin EJ. Free fluid on abdominal computed tomography scan after blunt trauma does not mandate exploratory laparotomy in children. J Pediatr Surg 2000;35:990-993.
138. Brownstein MR, Bunting T, Meyer AA, Fakhry SM. Diagnosis and management of blunt small bowel injury: a survey of the membership of the American Association for the Surgery of Trauma. J Trauma 2000;48:402-407.
139. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays < 8 hours produce morbidity and mortality in blunt small bowel injury: an analysis of the time to operative intervention in 198 patients from a multicenter experience. J Trauma 2000;48:408-415.
140. Harris BH, Stylianos S. Operative management of abdominal injuries in children. Sem Pediatr Surg 2000;10:20-22.
141. Synder C. Abdominal and genitourinary trauma. In: Ashcraft KW, et al, eds. Pediatric surgery. 3rd ed. Philadelphia, PA: WB Saunders; 2000:204-216.
142. Naranja RJ Jr, Gregg JR, Dormans JP, Drummond DS, Davidson RS, Hahn M. Pediatric fracture without radiographic abnormality: description and significance. Clin Orthop 1997;342:141-146.
143. Perry JF, McClellan RJ. Autopsy findings in 127 patients following fatal traffic accidents. Surg Gynecol Obstet 1963;56:933-938.
144. Ismail N, Bellemare JF, Mollitt DL, DiScala C, Koeppel B, Tepas JJ III. Death from pelvic fracture: children are different. J Pediatr Surg 1996;31:82-85.
145. Reichard SA, Helikson MA, Shorter N, White RI Jr, Shemeta DW, Haller JA Jr. Pelvic fracture in children3/4review of 120 patients with a new look at general management. J Pediatr Surg 1980;15:727-734.
146. McIntyre RC Jr, Bensard DD, Moore EE, Chambers J, Moore FA. Pelvic fracture geometry predicts risk of life-threatening hemorrhage in children. J Trauma 1993;35:423-429.
147. Upperman JS, Gardner M, Gaines B, Schall L, Ford HR. Early functional outcome in children with pelvic fractures. J Pediatr Surg 2000;35:1002-1005.
148. Rang M. Children's fractures. 2nd ed. Philadelphia, Pa: JB Lippincott; 1983.
149. Lynch JM, Gardner MJ, Gains B. Hemodynamic significance of pediatric femur fractures. J Pediatr Surg 1996;31:1358-1361.
150. Heinrich SD, Drvaric DM, Darr K, MacEwen GD. The operative stabilization of pediatric diaphyseal femur fracture with flexible intramedullary nails: a prospective analysis. J Pediatr Orthop 1994;14:501-507.
151. Linhart WE, Roposh A. Elastic stable intramedullary nailing for unstable femoral fractures in children: preliminary results of a new method. J Trauma 1999;47:372-378.
152. Beuss E, Kaelin A. One hundred pediatric femoral fractures: epidemiology, treatment attitudes, and early complications. J Pediatr Orthop B 1998;7:186-192.
153. Buford D, Christensen K, Weatherall P. Intramedullary nailing of femoral fractures in adolescents. Clin Orthop 1998;350:85-89.
154. Flynn JM, Hresko T, Reynolds RA, Blasier RD, Davidson R, Kasser J. Titanium elastic nails for pediatric femur fractures: a multicenter study of early results. J Pediatr Orthop 2001;21:4-8.