Two pediatric accidents in Jane Austen's Persuasion (1818) and one in Margaret Oliphant's The Doctor's Family (1863) are examined from the point of view of trauma management with analysis of contributing risk factors, medical management, concerns of parents and bystanders, and course of recovery. Risk factors for injury are impulsivity, poor supervision, and parents who are unable to set limits. Medical attention is swift and competent, but no heroic measures are used; the management of the injuries, concussion with loss of consciousness and dislocation of the collar bone, is consistent with the way these conditions are, for the most part, still managed today, and successful recovery depends on careful nursing and rest. Louisa Musgrove, who suffers a severe head injury, requires ten weeks of convalescence and undergoes a marked personality change, which we might today attribute in part to post-concussion syndrome but which may reflect contemporary debate about the biological basis of personality and behavior. A sudden traumatic injury to a child or adolescent changes the narrative abruptly, in fiction or in life, dividing a story into before and after, introducing grief and anxiety, and requiring that plans be rethought and personal relationships reshuffled with decisions about caretaking and nursing.

中文翻译：

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“生病的孩子永远是母亲的财产”：简奥斯汀小儿创伤管理协议

简·奥斯汀的《劝导》（1818 年）和玛格丽特·奥利芬特（Margaret Oliphant）的《医生之家》（1863 年）中的两起儿科事故，从创伤管理的角度进行了审查，分析了促成危险因素、医疗管理、父母和旁观者的担忧以及过程恢复。受伤的危险因素是冲动、监督不力以及无法设定限制的父母。医疗救治迅速而称职，但没有使用英勇的措施；受伤的处理、意识丧失和锁骨脱位的脑震荡与这些情况的处理方式一致，在大多数情况下，今天仍在处理，成功的恢复取决于仔细的护理和休息。头部严重受伤的路易莎·马斯格罗夫，需要十周的康复期并经历显着的人格改变，我们今天可能将其部分归因于脑震荡后综合症，但这可能反映了当代关于人格和行为的生物学基础的争论。对儿童或青少年的突然创伤性伤害会突然改变小说或生活中的叙述，将故事分为前后，引入悲伤和焦虑，并要求重新考虑计划，并根据照顾和护理的决定重新调整人际关系。