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Facial Trauma

Mind The Bleep

They commonly present with a ‘flattened cheekbone’ and can involve orbital rim as well. Below is one approach you can use; it lists common pathologies and deformities to look out for. Zygoma fractures Zygomatic arch and zygomatic complex fractures are very common, especially in sports.

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Pediatric Pain

Pediatric Emergency Playbook

Tachycardia, tachypnea, and a change in behavior can be indicators not only to the presence of pain, but possibly to its etiology as well. For children greater than one year who are preverbal, a well performing scale is the FLACC score: Face, Legs, Activity, Cry, Consolability ( Table 3 ).