Hemodynamic Instability of Femur with Closed Fractures in Children
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Keywords
Hematocrit, Hemodynamic, Hemodilution, Fracture femur
Abstract
Background: This prospective study examines whether hypovolemic shock occurs in kids with traumatic solitary closed femur fractures. The common symptom ranges from minor to severe trauma in children and adolescents.
Methods: From September 20, 2015, to August 15, 2018, children with traumatic femoral fractures were the subject of prospective descriptive research. One hundred individuals were hospitalized at the Sulaimaniyah Emergency Hospital with isolated closed fractures of the femur in children. The goal was to rapidly fix the old criteria for blood transfusions that did not adequately indicate a replacement with actual blood requirements. Measurements were taken based on the children’s clinical parameters, such as pulse rate, systolic blood pressure, respiratory rate, skin capillary refill time, and mental status, rather than hemoglobin or hematocrit concentration. Open fractures, bilateral fracture femur in children, and any fracture associated with trauma to the body organ as associated injury were all excluded.
Results: When compared to widely recognize normal vital sign readings, the 100 patients with these types of fractures who satisfied the study's inclusion criteria showed no signs of hemodynamic instability. The study excluded any patients with hemoglobin levels below 8.5 g/dl, equivalent vital signs between the two groups, and a 2-6% incidence of hemodynamic instability among numerous injured children with femoral fractures.
Conclusion: In children with traumatic solitary femoral fractures, there was no sign of hemodynamic instability. Early hemoglobin and hematocrit ratios were unreliable. They did not significantly change or increase at an abnormal rate. Isolated closed femoral fractures were confirmed to be hemodynamically stable based on vital sign measures in patients with femur bone fractures after ruling out bilateral femur fractures, concomitant damage, or individuals.
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