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The most important points

  • A polytrauma is a serious and potentially life-threatening injury.
  • Children rarely suffer polytrauma.
  • The most common causes are road accidents or a fall from a great height.
  • As a university children's hospital and the first centre for severely injured children and adolescents in Switzerland, we specialise in the treatment of children and adolescents with polytrauma.

Clinical picture

What is a polytrauma?

The pattern of injury varies greatly depending on the cause of the accident. Head injuries, injuries to the lungs or abdominal organs as well as broken bones and soft tissue injuries are common. This can lead to health or life-threatening situations that require immediate treatment in a specialised and fully equipped emergency room. Centre such as the Surgical Paediatric Trauma Centre (CKTZ) at the UKBB required.

Symptoms

What are the typical signs of polytrauma?

The symptoms vary greatly depending on the organ system affected. Common consequences of head injuries are unconsciousness, loss of feeling in the arms and legs or vomiting. If the chest is injured, the child may have difficulty breathing. If abdominal organs are injured, life-threatening haemorrhaging or kidney failure may occur. If the arms or legs are injured, bleeding can also occur, and in the case of compartment syndrome or open injuries, there is a risk of infection of bones or soft tissue.

Diagnosis

How is a polytrauma diagnosed?

Severely injured children and adolescents are first cared for in the shock room by an interdisciplinary team of doctors and nurses. All necessary circulatory stabilisation measures are carried out immediately. In addition, blood and urine are analysed, ultrasound and X-ray examinations and, if necessary, computer or magnetic resonance imaging are carried out.

Therapy

How can a polytrauma be treated?

If there are no injuries that require emergency surgery, your child will be admitted to the intensive care unit and stabilised. The measures then include, for example, the administration of pain medication or medication to support blood pressure, blood transfusions and possibly also mechanical ventilation.

You will be closely monitored by our care team. The doctors will also keep you regularly informed about the status of your child's treatment.

Hospitalisation

What happens during my child's hospitalisation?

In the case of serious injuries, a longer hospitalisation of several weeks is possible. Of course, you can be with your child around the clock. If you or your family need support during this long and stressful time, our social services are at your disposal.

After acute treatment of serious injuries, rehabilitation may be necessary. This can be carried out as part of an early rehabilitation programme at UKBB or at the Children's Rehabilitation Centre in Affoltern am Albis.

Forecast

What is the prognosis for polytrauma?

The prognosis of polytraumatised patients is largely dependent on the injury pattern. It is not possible to make a general statement. Our medical team will keep you closely informed about the progress of treatment and the individual prognosis.

Responsible department

Who treats this clinical picture?

Counselling hotline for child and youth emergencies

The Medgate Kids Line provides quick and uncomplicated medical advice if your child is unwell. The medical team of our partner Medgate is available to you by telephone around the clock.

058 387 78 82
(billing via health insurance)

For emergencies abroad: Call the emergency number of your health insurance company. You will find this number on your health insurance card.

More information: On the Page of the emergency ward you will find everything you need to know about behaviour in emergencies, typical childhood illnesses and waiting times.

Important emergency numbers

144 Outpatient clinic
145 Tox Info Suisse (Poisonings)
117 Police
118 Fire brigade

UKBB

University Children's Hospital Basel
Spitalstrasse 33
4056 Basel | CH

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