Language
English
Publication Date
8-1-2025
Journal
Journal of Vascular Surgery
DOI
10.1016/j.jvs.2024.12.120
PMID
40455181
Abstract
As of 2020, penetrating injuries became the leading cause of death among children and adolescents ages 1-19 in the United States. For the patients who initially survive and receive advanced medical care, vascular injuries are a significant cause of morbidity and additionally trigger notable trauma team angst. Moreover, penetrating injuries can lead to life-threatening hemorrhage and/or limb-threatening ischemia if not addressed promptly. Vascular injury management demands timely and unique expertise, particularly for pediatric patients. As the frequency of vascular injuries requiring operative management increases, it becomes clear that an ad hoc approach is not ideal. An integrated team would provide the best approach for rapid hemorrhage control and revascularization, but the structure of vascular response teams at children's hospitals is highly variable. In part 1 of this review, we will evaluate the scope and extent of the epidemic of traumatic vascular injuries in pediatric patients, review current evidence and outcomes, discuss various challenges and advantages of different team structures, and outline potential outcome targets and pediatric vascular trauma response solutions. LEVEL OF EVIDENCE: n/a.
Keywords
Humans, Vascular System Injuries, Patient Care Team, Child, Adolescent, Vascular Surgical Procedures, Child, Preschool, Treatment Outcome, Infant, Age Factors, Interdisciplinary Communication, Hemorrhage, Wounds, Penetrating, Delivery of Health Care, Integrated, Risk Factors, Pediatric; Penetrating injury; Trauma; Vascular
Published Open-Access
yes
Recommended Citation
Harting, Matthew T; Drucker, Natalie A; Austin, Mary T; et al., "Principles and Practice in Pediatric Vascular Trauma: Part 1: Scope of Problem, Team Structure, Multidisciplinary Dynamics, and Solutions" (2025). The Brown Foundation: Institute of Molecular Medicine. 46.
https://digitalcommons.library.tmc.edu/molecular_med/46