1051 - Tiny Patients, Big Impact: Navigating Pediatric Trauma in Perioperative Care

Overview/Abstract: Pediatric trauma emergencies present some of the most complex and time-sensitive challenges in healthcare, requiring immediate action and expert coordination across multiple critical care areas. From the initial arrival in the trauma bay to transport into the operating room and onward through the perioperative phases of care, every moment is vital—and every team member plays a crucial role.

This presentation examines the intricate and dynamic processes involved in managing pediatric trauma patients who require emergent surgical intervention. It highlights the essential handoffs and transitions between emergency services, trauma surgery, anesthesia, perioperative nursing, and postoperative care teams. Special attention is given to the unique physiological and psychological needs of pediatric patients, including airway management, vascular access, hemodynamic monitoring, pain and anxiety reduction, medication dosing accuracy, and the importance of maintaining normothermia.

The trauma bay serves as the entry point where rapid assessment, resuscitation, and surgical planning begin. Swift and effective communication among emergency medicine, trauma surgery, and perioperative leaders sets the stage for a smooth transfer to the operating room. In the OR, the complexity increases as pediatric-specific considerations require adaptability, precision, and real-time decision-making from the surgical and anesthesia teams. Perioperative nurses play a pivotal role in ensuring surgical readiness, preparing age-appropriate equipment, and supporting both the patient and family during high-stress situations.

This session emphasizes the power of a well-integrated multidisciplinary team approach. Collaborative practice, trauma-informed care, and well-rehearsed emergency protocols form the backbone of successful outcomes for pediatric trauma patients. Through case-based discussion and current best practices, attendees will gain actionable insights into enhancing readiness, optimizing coordination, and delivering safe, compassionate care when it matters most.