Matinum

Taking Charge of Your Health


AFTER A PATIENT IS IN
THE EMERGENCY DEPARTMENT, SOME OF THEM WILL GO
STRAIGHT FROM HERE DIRECTLY TO THE OPERATING ROOM.>>THERE ARE MANY REASONS
A TRAUMA PATIENT MIGHT REQUIRE SURGERY. ONE OF THE MOST
COMMON IS A FRACTURE.>>IN THE LAST DECADE OR SO,
THERE’S BEEN A VERY FAST MOVEMENT TOWARDS OPERATIVE
MANAGEMENT OF SOMETHING LIKE A FEMUR FRACTURE, WHERE
WE WILL TAKE THE CHILD TO THE OPERATING ROOM ON
THE DAY OF THEIR INJURY OR THE DAY AFTER THEIR INJURY. AND THAT’S BEEN A DRAMATIC
POSITIVE IMPROVEMENT. IT’S NOT JUST THAT THE BONE
WILL LOOK FINE ON AN X-RAY IN A COUPLE MONTHS,
BUT THAT THIS CHILD IS NOT IN A BODY CAST. AND WE WERE LOOKING AT
THE CHILD HOLISTICALLY, AND IT TOOK AWHILE FOR
THE ORTHOPEDIC COMMUNITY TO EMBRACE THAT, BUT NOW
I WOULD SAY IT’S CERTAINLY STANDARD OF CARE THROUGHOUT
THE UNITED STATES.>>SURGERY MAY ALSO BE
NECESSARY FOR SOME ABDOMINAL AND HEAD INJURIES.>>THE LEADING CAUSE OF
DEATH FOR KIDS THAT DIE FROM TRAUMA IS A HEAD INJURY, AND
SO WE ARE MUCH BETTER ABLE TO CARE FOR THE CHILDREN
WITH THE MOST SEVERE HEAD INJURIES, TO MANAGE THE
PRESSURE IN THEIR HEAD, TO CONTROL THE BLEEDING,
AND TO HAVE BETTER OUTCOMES.>>AFTER SURGERY, PATIENTS
GO TO ONE OF CHOP’S INPATIENT UNITS. HERE, THE EXPERTISE OF THE
TRAUMA NURSING STAFF COMES TOGETHER WITH MANY
DISCIPLINES TO PROVIDE CARE FOR THE CHILD AND
THE WHOLE FAMILY.>>HOW YOU DOING, LEWIS?>>FINE.>>HOW YOU FEELING TODAY?>>OKAY. I HEAR YOU’RE GOING
TO SURGERY LATER ON.>>OUR TEAM IS UNIQUE
BECAUSE WE HAVE NURSE PRACTITIONERS, BECAUSE OF
THE TRAUMA ATTENDINGS AND FELLOWS WHO SPECIALIZE
SPECIFICALLY IN TRAUMA.>>WHAT WE DO ON A
DAY-TO-DAY BASIS IS PROVIDE AND GUIDE A LOT OF THE
MEDICAL AND NURSING CARE THAT A CHILD WOULD NEED.>>UH-OH. DON’T HIT THOSE PLATES.>>OUR CHILD LIFE
SPECIALISTS AND VARIOUS SOCIAL WORKERS AND
PSYCHOLOGISTS THAT ARE A PART OF EACH OF
THE TEAMS INVOLVED, WHETHER IT’S THE ED, THE
TRAUMA PROGRAM THEMSELVES, THE ICU, THEY GET
INVOLVED VERY EARLY AND VERY DEEPLY.>>WE HAVE A GREAT
WORKING RELATIONSHIP, AND THAT’S IMPORTANT,
BECAUSE WHEN I GO IN AND I SAY THAT I’M A PART
OF THE TRAUMA TEAM, I REITERATE THAT BY SAYING,
“THE NURSE THAT IS ASSIGNED TO YOU IS THE ONE
THAT I’M WORKING WITH, WHO’S ALREADY UPDATED ME.”

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