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Sentinel Injuries Subtle Findings of Physical Abuse. Delayed Identification of Pediatric Abuse-Related Fractures. Sentinel Injuries in Infants Evaluate for Child Physical Abuse. ACEP Now. The Recognition of Child Abuse. May 1, 2012. Colbourne M, Clarke MS. Child Abuse and Neglect. Pediatric Clinics of North America.
Your skills as a doctor need to be different to your hospital role or abilities. What illnesses or injuries do we see? Official statistics from 2023 from SMR tell us the majority of our callouts are trauma, with lower leg and ankle injuries accounting for 57% of callouts.
What are the next best steps for evaluation and treatment of his injury? Figure 1: Knee laceration Background Traumatic arthrotomy is defined as a softtissueinjury over a joint that penetrates the joint space. X - ray : Many times, next step will be to get an X-ray to look for associated fractures. Herndon, A.
Some are simple comfort measures such as splinting (fracture or sprain), applying cold (acute softtissueinjury) or heat (non-traumatic, non-specific pain), or other targeted non-pharmacology. Long-bone injuriesFracture pain should be addressed immediately with splinting and analgesia. Pediatrics.
This is partly because the hands (including fingers) of children & young people have a tendency to fracture without as much compressive force being applied to the bones when compared with adult hands. Finger injuries caused by fingers being caught in closing doors are extremely common presentations to the paediatric emergency department.
Aetiology Understanding the aetiology of arterial and nerve injury can aid your examination and patient management. Consider the following causes: Trauma Penetrating injuries (e.g. Upper limb fractures and dislocations can lead to associated arterial and nerve damage. CT Angiography: Detailed imaging of arterial injuries.
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