Pediatric Trauma at Adult Level 1
Modified ATLS and transfer workflow for pediatric patients (<15yo) at Highland.
Updated: 05/05/2025
PediatricBroselowTXAIOCHOOn this page2 sectionsHide sections
⚠️ Broselow tape for ≤12yo. Weight-based dosing required.
⚠️ Stabilize before transfer to CHO.
🩸Circulation & Transfusion
▼- Immediate IO for any pediatric patient in extremis
- 1:1:1 transfusion (if <30kg: 10mL/kg PRBC + 10mL/kg FFP)
- Calcium gluconate 100–200 mg/kg IV after 2 rounds MTP
💊
TXA (confirm with pharmacy):
Age >12: 2g IV once
Age <12: 15 mg/kg IV over 10 min, then 2 mg/kg/hr ×8h
Age >12: 2g IV once
Age <12: 15 mg/kg IV over 10 min, then 2 mg/kg/hr ×8h
✈️Transfer to CHO — Goal ≤20 min
▼- Stabilize hemodynamically BEFORE transfer
- If ongoing hemorrhage → OR first
- Place NG/OG and foley before transfer
- Suspected isolated head injury → call CHO first before getting CT
- Defer CT chest/abd/pelvis unless directed by CHO
- Status
- AHS Official Protocol
- Source
- Pediatric_Trauma.docx
- Last reviewed / updated
- 05/05/2025