Flashcards
Paediatric Trauma
Cards in this deck (7)
- 1Waddell’s Triad – proposed predictable injury pattern associated with paediatric versus motor vehicle pedestrian traumaproposed predictable injury pattern associated with paediatric versus motor vehicle pedestrian trauma
• Femoral fracture
• Chest/abdominal injury
• Head injury - 2MOI of Cyclist Pediatric InjuryHandle bar causing :
• Splenic injury
• Liver injury
Fall causing:
• Head injury
• Cervical spine injury • Clavicle fracture
• Extremity fracture - 3MOI of Pediatric InjuryLap belt:
• Lumbar vertebral fracture
• Bowel injury
• Liver laceration
• This MOI may in some cases
also result in a ruptured diaphragm
Infant rear facing capsule in front seat:
• Head injury
• Cervical spine injury
• Chest and abdo blunt trauma
• Death - 4The 1o Survey
- 5Cervical spine injury in Children < 3years old• The most common cervical fracture is C2 followed by C7
• About half of cervical spinal cord injury were located in the lower C spine (C5-C7)
• C1 – C4 cord injury 53%
• C5 – C7 cord injury 47%
• SCIWORA more prevalent in
upper C cord injuries - 6General principles for trauma management in the paediatric populationAirway
• Treat stridor aggressively
• Needle cricothyrotomy- think R50
Breathing
• Tachypnoea without dramatic increase in work of breathing often due to cardiovascular compromise
• Auscultate at axillae to reduce transmitted noise artefact
• Oxygen therapy may be achieved with tube only - 7General principles for trauma management in the paediatric population bCirculation
• Consider lignocaine or entonox prior to cannulation
• Secure IV sites ++++
• IV fluids boluses are best given with syringe in small children
Damaged brain, cord or disability
• Always assess BGL
• Be pragmatic about spinal immobilisation – consider the need
to sedate-R50 /manage discomfort
• May need to place towel under shoulders for neutral alignment
• TBI and SCI management principles are the same
Information
- Description
- VIVA (Paediatrics) Flashcards on Paediatric Trauma, created by Jonathan Cash on 11/10/2017.
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- Jonathan Cash
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