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Psychiatric consultation to the child with acute physical trauma.

A child or adolescent suffering physical trauma is simultaneously plunged into acute emotional and social crisis. Patient and family go through several predictable phases—shock, denial and panic, protest and regression, oppositionalism, mourning, and readjustment. This paper outlines principles for the effective medical, surgical, and ward team management of the traumatized pediatric patient and family, and offers clinical illustrations of their application.