What should always be assessed in a pediatric trauma patient?

In a pediatric trauma patient, the airway is the primary focus of assessment due to its critical nature in life-threatening situations. Children may have unique anatomical and physiological characteristics that can complicate their airway management. For instance, their airways are narrower and more obstructible than adults', and they may not be able to verbally communicate issues like difficulty breathing.

Assessing the airway first ensures that immediate threats to breathing are addressed, especially in trauma scenarios where injuries could compromise the airway due to swelling, blood, or direct injury. If the airway is compromised, it becomes vital to establish a patent airway as soon as possible to prevent hypoxia and potential brain injury.

While assessing extremities for fractures, observing the child's gait, and evaluating cognitive levels are all important components of a comprehensive assessment in trauma care, they are secondary to ensuring that the airway is clear and functioning properly. Neglecting to assess the airway first could lead to critical delays in managing a life-threatening condition.