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. 2013 Jan 23;103(3):166-7.
doi: 10.7196/samj.6402.

Is the Golden Hour Optimally Used in South Africa for Children Presenting With Polytrauma?

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Is the Golden Hour Optimally Used in South Africa for Children Presenting With Polytrauma?

J Zuidgeest et al. S Afr Med J. .

Abstract

Background: The major paediatric public health problem worldwide is injury or trauma. In 2004, 950 000 children died as a result of injury.

Objective: The aim of this study was to evaluate the logistics of medical care after paediatric polytrauma within the first hours after arrival into a trauma unit - the so-called Golden Hour.

Methods: Children presenting with polytrauma to the Trauma Unit at the Red Cross War Memorial Children's Hospital between May 2011 and August 2011 were considered for inclusion in the study.

Results: Fifty-five children were included in the final analysis. The median duration of stay in the Trauma Unit was 205 minutes (interquartile range 135 - 274).

Conclusion: Several factors were identified that unnecessarily prolonged the time that patients stayed in the trauma unit following arrival in hospital for polytrauma management.

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