The common mechanisms and injury patterns of accidental trauma in infants differ from those of older children and adults, with falls representing the most common etiology. While the evaluation of traumatic injury in infants should follow an algorithm similar to that used for adults, the unique pediatric physiologic response to trauma must be taken into consideration. In addition, the utility of certain imaging studies in these patients is highly case specific, particularly with minor head injuries. This supplement reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.
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Keywords: infant, accidental trauma infant, infant trauma, accidental trauma, accidental injury, safe sleep recommendations, infant head injury, infant falls, infant head trauma, infant burn injury, motor vehicle collision, primary survey, secondary survey, imaging head trauma, pediatric advanced life support, Glasgow Coma Scale, pediatric GCS, Lund Browder chart, pediatric endotracheal intubation, fluid resuscitation, wound care, family presence, home safety education
Daniel Saltzman, MD, PhD; Mariya Skube, MD, MPH
Joyce Li, MD, MPH
February 15, 2021