Abstract
The multiply injured child must be approached with a different mindset than an adult, particularly in terms of aggressive early resuscitation when necessary and the recognition that certain injuries such as rib and pelvic fractures reflect potentially serious chest and abdominal trauma internally. Mortality is earlier in onset than in adults, whereas long-term morbidity is most commonly secondary to neurologic and orthopedic injuries. An efficient primary survey and complete secondary survey are important to optimize outcomes. Fracture treatment is often more aggressive than in isolated injuries to facilitate the overall care of the child.
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