Trauma Multidisciplinary Conference: Pediatric Diaphragm Injuries: Recognition, Management, and Outcomes

Objectives (Educational Content) :

1. Identify the clinical presentation and diagnostic challenges of pediatric diaphragm injuries.

2. Apply current management strategies, including surgical and non-surgical approaches, to optimize patient outcomes.

3. Evaluate potential complications and long-term considerations to enhance recovery and quality of care in pediatric patients.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.

Identified Gap:

Pediatric diaphragm injuries are rare and often under-recognized due to their subtle clinical presentation and diagnostic complexity. Many healthcare providers may lack familiarity with current management strategies—both surgical and non-surgical—and may be unaware of the potential complications and long-term outcomes associated with these injuries.

Estimated Time to Complete the Educational Activity:

1 hour(s)

Expiration Date for CE/CME Credit:

10-20-2026

Method of Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.

Disclosure:

The following presenter has indicated there are no financial relationships with any ineligible companies: Nathan Heinzerling, MD The following planning committee member has indicated that a financial relationship with an ineligible company: All relationships have been mitigated. The remaining planning committee/CME committee members have indicated that they have no financial relationships with any ineligible companies.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity.

Bibliography:

• F. Marzona, N. Parri, A. Nocerino, M. Giacalone, E. Valentini, S. Masi, L. Bussolin. Traumatic diaphragmatic rupture in pediatric age: review of the literature. Eur J Trauma Emerg Surg (2019) 45:49–58.

• Youssef Shaban, Adel Elkbuli, Mark McKenney, Dessy Boneva. Traumatic Diaphragmatic Rupture with Transthoracic Organ Herniation: A Case Report and Review of Literature. Am J Case Rep, 2020; 21: e919442.

• Taha, Abdulsalam Y.; Hussen, Waleed M.; Mahdi, Mohammed B. Diaphragmatic rupture due to blunt trauma a limited series case report. The Egyptian Journal of Surgery. 37(3):p 412-417, Jul–Sep 2018.