At 08:49, an accident was reported involving a 9-year-old boy, named Martin, who has been hit by a car traveling approximately 30 kilometers an hour whilst crossing the road on his bicycle. On the scene, the boy is conscious of some respiratory distress 10 minutes after the incident. His left leg appears to be deformed, more likely associated with the fractured tibia, fibula, or both. A man holding the boy’s helmeted head, maintaining spinal alignment and who claimed that he is the driver of the car and a trained first aider, said that Martin complained about tightness in his chest and that he has asthma.
To start with, it is important to emphasize that the term “trauma” is being used in this study according to its medical definition as a serious or critical bodily injury, wound or shock (MedicineNet.com, 2011). Trauma is the leading cause of childhood mortality because, after the age of 5 years, rapid neuromuscular development, frequent social interactions with other children, a wider range of activities, and less parental supervision predisposes them to greater risk. Pediatric trauma is more difficult to handle than in adults as presented in Staheli’s (2003, pp. 105-107) ‘Pediatric Orthopaedic Secrets’ book of the contributions made by Dr. Cummings about child versus adult trauma management:
Between 30% to 70% of trauma deaths in children are due to head injury because anatomically, children’s head is larger in proportion to the body than in adults and their neck muscles are weaker, thus the cervical spine is more susceptible to injury. their skulls are thinner, and scalps are more vascular than those of adults.
At the moment the health care provider reaches the scene, it is a standard operating procedure that he/she will introduce himself/herself in the crowd while conducting the primary survey and clearing the site for potential harm. Assessment of pediatric trauma in pre-hospital settings .should be done rapidly to make sure that the injured child will be transported right away to the nearest facility where in-depth assessment, management, and treatment shall be given. . .