Is the golden hour optimally used in South Africa for children presenting with polytrauma?

BACKGROUND: The major paediatric public health problem worldwide is injury or trauma. In 2004, 950 000 children died as a result of injury. OBJECTIVE: The aim of this study was to evaluate the logistics of medical care after paediatric polytrauma within the first hours after arrival into a trauma unit - the so-called Golden Hour. METHODS: Children presenting with polytrauma to the Trauma Unit at the Red Cross War Memorial Children's Hospital between May 2011 and August 2011 were considered for inclusion in the study. RESULTS: Fifty-five children were included in the final analysis. The median duration of stay in the Trauma Unit was 205 minutes (interquartile range 135 - 274). CONCLUSION: Several factors were identified that unnecessarily prolonged the time that patients stayed in the trauma unit following arrival in hospital for polytrauma management.

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Bibliographic Details
Main Authors: Zuidgeest,J, Jonkheijm,A, van Dijk,M, van As,A
Format: Digital revista
Language:English
Published: South African Medical Association 2013
Online Access:http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742013000300025
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