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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. While we may allow permissive hypotension in damage control resuscitation of hemorrhagic shock, in neurogenic shock you should maintain an age-appropriate blood pressure. McGraw Hill Education; 2019:104-109 Dave S, DAHLSTROM JJ. References Coleman-Satterfield, TT.

Shock 304
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Diagnostics and Therapeutics: Managing Pneumothorax

Taming the SRU

Blunt trauma can cause rib fracture or dislocation that may injure the visceral pleura. Unsuspected tension pneumothorax as a hidden cause of unsuccessful resuscitation. Published 2019 Dec 3. doi:10.1155/2019/5271982 Lichtenstein D, Mezière G, Biderman P, Gepner A. Resuscitation. Ann Emerg Med. 1983;12(6):411-412.

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Unstable Pelvic Trauma Patient: ED Presentations, Evaluation, and Management

EMDocs

5 Initial Evaluation The key to the initial resuscitation of the unstable pelvic trauma patient is to rapidly identify and treat the most life-threatening pathology. Limb-length discrepancy is not often apparent in pelvic fractures and would be more suggestive of a femoral fracture or dislocation. Figure 2: Open book pelvic fracture.