The Committee on Accident Prevention of the American Academy of Pediatrics, in co-operation with the Surgical Section of the same organization, has prepared the following statements to cover the emergency management of childhood skeletal trauma and burns. Both of these statements are endorsed by the Committee on Trauma of the American College of Surgeons and have been approved by the Federal Civil Defense Administration.
EMERGENCY CARE OF CHILDHOOD SKELETAL TRAUMA
1. Evaluate and splint where they lie before moving. Do not attempt reduction.
2. Move cervical injuries face up on a rigid support with manual traction applied gently by cupping chin at the time of moving. Sand bags on either side of neck to prevent turning, if possible.
3. Spine injuries should not be flexed in transportation.
4. Lower leg injuries, transport in pillow strapped with belt.
5. Upper leg injuries, transport with both legs and trunk bound to board without circulatory interference.
6. Lower arm injuries, transport with splint such as rolled newspaper, gentle compression wrapping and sling.
7. Upper arm can be bound to chest with lower arm supporting in sling.
8. Open injuries or open wounds, cover with sterile dressing, do not dust with antibiotic, but systemic antibiotic is useful. Do not attempt to retract bone back under skin. Get to surgical care promptly.
9. Do not cover distal tips of extremities if it can be avoided thus allowing a circulation check to be made from time to time.
EMERGENCY CARE OF BURNS
1. Burns are due to thermal agents (scalds or fire); chemical agents (battery acid or lye); radiation (sunburn or nuclear); and electrical energy.
- Copyright © 1957 by the American Academy of Pediatrics