Sienna Morgan is a 7-year-old girl who was involved in a hit and run accident while riding her bike to school.She is attended by paramedics and has an unstable airway;blood pressure less than 50 mm Hg (systolic);a major open,penetrating wound;and open,multiple fractures of both legs.Sienna is comatose.During transport she is intubated and demonstrates persistent physiologic demise and possible traumatic brain injury.A significant risk reduction strategy for Sienna would be to:

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Trauma Transfer Criteria for Pediatric Patients Ages 14 or Younger-Consider transfer to pediatric trauma center:nonoperative management of solid organ injury;assessment of any of the following "negative points" on the pediatric trauma scale:weight less than 10 kg,unstable airway,blood pressure less than 50 mm Hg (systolic),coma,major open,penetrating wound,open multiple fractures,injury severity score greater than 9;victim or nonaccidental injury that requires intervention from child protective team or other resources;anticipated complexity of care exceeds the capabilities of local resources at adult trauma center.Should transfer to pediatric trauma center:persistent physiologic demise,traumatic brain injury,intubation and mechanical ventilation with no expectation to wean within 24 hours,children with special needs or other co-morbid conditions.

Sienna Morgan Is a 7-Year-Old Girl Who Was Involved in a Hit