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Pediatric Cervical Spine Injury Risk Stratification: Rebaked Morsel

Pediatric EM Morsels

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% High Risk (12.8%

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emDOCs Podcast – Episode 81: Hemophilia

EMDocs

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

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Basic Fracture Management

Mind The Bleep

The aim is to prevent displacement and dislocation/subluxation. For long bones, the aim is to immobilise the joint above and below e.g. for tibial shaft fractures, apply an above knee back slab. For joints, ensure the plaster is on the side of the deformity. Don’t put a dorsal slab for a wrist fracture that is displaced volarly!)