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October 21, 1983

Pediatric Trauma

Author Affiliations

Wright State University School of Medicine Dayton, Ohio

JAMA. 1983;250(15):1975. doi:10.1001/jama.1983.03340150019008

To the Editor.—  The COMMENTARY on pediatric trauma (1983;249:47) deserves some reaction. The piece is well done and reiterates what emergency physicians already knew.What is constantly amazing to me is the assumption that a well-staffed, experienced emergency department team cannot deal adequately with pediatric trauma; we do it often and have few problems.Furthermore, the Advanced Trauma Life Support course is not needed by experienced emergency physicians or trauma surgeons. For the same reason, an Advanced Pediatric Life Support course would be needed by those who only sporadically handle pediatric trauma and, more importantly, by those in the prehospital care field. If we are to save injured children, it is extremely important to ensure adequate care in the prehospital phase.The concept of a pediatric regional trauma center is a worthwhile one. It might be better to attach such a unit to a children's hospital and, where such a