{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:47:16Z","timestamp":1696063636344},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Management of an acutely injured pediatric patient with multiple traumas is a common challenge facing clinicians in pediatric emergency care. Blunt trauma is more common in the pediatric population with motor vehicle accidents being the most common cause of injury. Spinal injury, especially in young children, is only seen in 1% to 2% of cases and can be lethal. It is incumbent upon clinicians to be able to meet the challenges of patient management including airway management, providing hemodynamic support, and addressing potentially reversible causes of arrest while recognizing presenting symptoms of spinal injury. This case presents a child in trauma arrest after a motor vehicle crash requiring advanced interventions, diagnostics, and support. Her clinical course is described and reveals a complete distraction of the cervical and thoracic spine. This case illustrates pathology and management along with the importance of proper management and interventions by pediatric emergency clinicians to manage the patient and attempt to maximize the patient's outcome.<\/jats:p>","DOI":"10.1097\/pec.0000000000000748","type":"journal-article","created":{"date-parts":[[2016,6,2]],"date-time":"2016-06-02T13:56:25Z","timestamp":1464875785000},"page":"e180-e182","source":"Crossref","is-referenced-by-count":1,"title":["Trauma Arrest and Spinal Injury in a 3-Year-Old Girl"],"prefix":"10.1097","volume":"33","author":[{"given":"Kevin","family":"High","sequence":"first","affiliation":[{"name":"From the *Department of Emergency Medicine, Vanderbilt University Medical Center; \u2020Division of Emergency Medicine, and \u2021Department of Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University School of Medicine, Nashville, TN."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Walsh","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Vanderbilt University Medical Center; \u2020Division of Emergency Medicine, and \u2021Department of Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University School of Medicine, Nashville, TN."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca","family":"Kidd","sequence":"additional","affiliation":[{"name":"From the *Department of Emergency Medicine, Vanderbilt University Medical Center; \u2020Division of Emergency Medicine, and \u2021Department of Pediatrics, Division of Pediatric Emergency Medicine, Vanderbilt University School of Medicine, Nashville, TN."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"bib2-20230930","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1089\/neu.2009.1153","article-title":"Spinal cord injury in the pediatric population: a systematic review of the literature","volume":"28","year":"2011","journal-title":"J Neurotrauma"},{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.annemergmed.2010.08.038","article-title":"Factors associated with cervical spine injury in children after blunt trauma","volume":"58","year":"2011","journal-title":"Ann Emerg Med"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1053\/jpsu.2001.20022","article-title":"Characteristics of pediatric cervical spine injuries","volume":"36","year":"2001","journal-title":"J Pediatr Surg"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1053\/jpsu.2001.25665","article-title":"Cervical spine injuries in children: a review of 103 patients treated consecutively at a level 1 pediatric trauma center","volume":"36","year":"2001","journal-title":"J Pediatr Surg"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1053\/jpsu.2001.20720","article-title":"Pediatric cervical spine injuries: defining the disease","volume":"36","year":"2001","journal-title":"J Pediatr Surg"},{"key":"bib7-20230930","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1097\/00005373-199030040-00017","article-title":"Cervical spine injuries in children","volume":"30","year":"1990","journal-title":"J Trauma"},{"key":"bib8-20230930","first-page":"48","article-title":"The effects of restraint type on pattern of spine injury in children","volume":"13","year":"2015","journal-title":"J Pediatr Orthop"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"214","DOI":"10.3171\/2014.10.PEDS14242","article-title":"Operative management of traumatic cervical spine distraction and complete cord transection in a 3-year-old patient","volume":"15","year":"2015","journal-title":"J Neurosurg Pediatr"},{"key":"bib10-20230930","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1016\/j.wneu.2013.02.062","article-title":"The current role of steroids in acute spinal cord injury","volume":"82","year":"2014","journal-title":"World Neurosurg"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201712000-00025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:07:58Z","timestamp":1696061278000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201712000-00025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000000748","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]}}}