Articles: emergency-medical-services.
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Treatment of pediatric trauma begins at the moment of injury (with the arrival of the first person who assists the victim), continues through transport of the patient to the hospital and administration of definitive medical care, and concludes with a rehabilitation program that is aimed at returning the child to a pre-accident life-style. Community hospitals can reduce morbidity and mortality associated with pediatric trauma by implementing specific organizational concepts and procedures used at established pediatric trauma centers. ⋯ Morbidity and mortality could be further reduced with a national system of comprehensive regional treatment centers designed specifically for children. PAs who are familiar with the specific needs of seriously injured children can significantly influence community and professional responses to this growing area of medicine.
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This report was prepared by a task force of the Committee on Trauma of the American College of Surgeons. In June of 1986, the Board of Regents of the American College of Surgeons approved this report and authorized its publication as an official College document. It replaces similar documents published in 1976, 1979, and 1983. ⋯ The Committee on Trauma also considers rehabilitation a critical element for optimal care of the injured patient. It is generally recognized that this document is a set of guidelines representing current thinking for optimal care of the injured. Further revisions may be indicated as systems are developed to meet the complex demands of severely injured patients.
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Casualties from a nuclear attack on the United Kingdom would overwhelm the health services, and health workers would be faced with many more people seeking help than could be offered treatment. Discussion is needed to determine which methods of medical and non-medical triage would be acceptable and feasible.