Systemic hormonal, electrolyte, and substrate changes after non-thermal limb injury in children
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AbstractRelatively little is known regarding the hormonal changes after injury in children. Adult protocols are often applied to children, although the latter often have different physiological responses to trauma. Twenty children with an angulated displaced fracture of the radius and/or ulna (injury severity score 9) were studied prospectively for changes in adrenaline, noradrenaline, cortisol, angiotensin II, arginine vasopressin, urea, electrolytes, and glucose. Two blood samples were taken: one on arrival at the accident and emergency department and one preoperatively several hours later. There were marked increases in adrenaline, noradrenaline, cortisol, and arginine vasopressin above the normal range. Five (25%) cases demonstrated greater early increases in adrenaline than those reported for adult injuries of similar severity. Early hypokalaemia in four cases had corrected towards normal within a few hours without potassium supplementation.
All Author(s) ListRainer TH, Beattie T, Crofton P, Sedowofia K, Stephen R, Barclay C, McIntosh N
Name of Conference2nd Scientific Meeting of the Faculty-of-Accident-and-Emergency-Medicine
Start Date of Conference24/01/1997
End Date of Conference25/01/1997
Place of ConferenceLONDON
Journal nameJOURNAL OF ACCIDENT & EMERGENCY MEDICINE
Year1999
Month3
Day1
Volume Number16
Issue Number2
PublisherBRITISH MED JOURNAL PUBL GROUP
Pages104 - 107
ISSN1351-0622
LanguagesEnglish-United Kingdom
Keywordscatecholamines; electrolytes; limb injury; stress hormones
Web of Science Subject CategoriesEmergency Medicine

Last updated on 2021-23-02 at 00:57