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Manual 1-400 - Comunidad de Madrid

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Atención inicial al politraumatizado 17<br />

TABLA I. Índice <strong>de</strong>l trauma pediátrico<br />

-1 1 2<br />

Peso < 10 kg 10 – 20 kg > 20 kg<br />

Vía aérea No sostenible Sostenible Normal<br />

Presión arterial < 50 mmHg 50 – 90 mmHg > 90 mmHg<br />

Estado neurológico Coma Obnubilado Consciente<br />

Heridas Penetrantes Menores No<br />

Fracturas Abiertas o múltiples Cerrada No<br />

ITP al ingreso:<br />

ITP > 8: supervivencia 100%.<br />

ITP ≤ 8: mortalidad 10%. Debe ser transferido a centro <strong>de</strong> tercer nivel.<br />

ITP < 0: mortalidad > 70%.<br />

BIBLIOGRAFÍA<br />

1. Vázquez J, Navascués JA, et al. <strong>Manual</strong> <strong>de</strong> asistencia inicial al trauma pediátrico.<br />

<strong>Madrid</strong>. 2001.<br />

2. Advanced Trauma Life Support Program. Committee of Trauma. American College<br />

of Surgeons. 2004.<br />

3. Management of pediatric trauma. Pediatrics. 2008; 121(4): 849-54.<br />

4. Avarello JT, Cantor RM. Pediatric major trauma: an approach to evaluation and<br />

management. Emerg Med Clin North Am. 2007; 25(3): 803-36.

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