Pediatric EM Morsels

JULY 5, 2024

risk of C Spine injury) Altered Mental Status (GCS 3-8 or U on AVPU) Abnormal ABCs on exam Focal Neurologic Deficits (paresthesia, numbness, weakness) Not Negligible Risk (2.8% Moral of the Morsel Anatomy Matters: Pediatric patients have unique C-spine anatomy, which predisposes them to different injury patterns than adults.

Pediatrics 164

Pediatrics Head Injuries Dislocations Research 164

EMDocs

JULY 11, 2023

PECARN Pediatric Head Injury/Trauma Algorithm, Canadian CT Head Injury Rule, Ottawa Knee and Ankle Rules) do not apply to those with hemophilia and should not guide management. Fractures and dislocations are indications for full dose factor replacement. Clinical decision tools (e.g 2013 Dec;163(6):1781-3.

Head Injuries 74

Head Injuries Pediatrics Dislocations CDC 74

Mind The Bleep

MAY 1, 2024

If you haven’t already, arrange an XR Important scenarios to consider Major or polytrauma – ensure a proper primary ATLS type survey is completed to assess and manage life-threatening injuries before anything else. The aim is to prevent displacement and dislocation/subluxation. Use minimal cotton/padding.

Fractures 52

Fractures Head Injuries Documentation/Coding Dislocations 52