An Activation Failure: Factors Associated With Undertriage of Pediatric Major Trauma Victims

• 2025

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• Jillian Gorski; Seth Goldstein; Suhail Zeineddin; Sriram Ramgopal
PMID: 39752968DOI: https://doi.org/10.1016/j.jss.2024.12.008

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This study looks at why some children with major injuries don't get the urgent care they need. It describes how many kids who should have received top-level emergency attention were missed, especially those arriving by private car or after falls. Factors like low blood pressure and serious injuries made it more likely for kids to get proper care. The research suggests improving systems to better identify and treat seriously injured children, focusing on those with blunt trauma from things like falls or being hit by objects.

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Tags

Focus Area: Trauma

Audiences: Nurses; Physicians

Emergency Management Stage: Preparedness (Prevention / Protection)

Keywords: Emergency Medical Services; Injury Severity Score; Pediatrics; Trauma Centers; Triage; United States; Wounds and Injuries

Institutions: University of Wisconsin - Madison; Ann and Robert H. Lurie Children’s Hospital; Northwestern University

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