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Targeted Temperature Management in Paediatric Traumatic Brain Injury

Don't Forget the Bubbles

His CT scan showed extensive cranial fractures, traumatic subarachnoid haemorrhage, and intraparenchymal haemorrhage. Targeted temperature management (TTM) is the induction of varying degrees of patient temperature targeting within Paediatric Intensive Care Unit (PICU): Therapeutic hypothermia- induction of varying degrees of hypothermia.

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EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines

Emergency Medicine Cases

The post EM Quick Hits 30 Scaphoid Fracture, Therapeutic Hypothermia, HEADS-ED, Pelvic Trauma, Kratom, Femoral Lines appeared first on Emergency Medicine Cases.

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Neurogenic Shock in Children

Pediatric EM Morsels

Most commonly caused by fracture or dislocation of vertebrae. Shunting of blood to the extremities results in thermal dysregulation and subsequent hypothermia. Pathophysiology Primary injury happens at the time of the traumatic event or shortly after in the high cervical to mid-thoracic spine.

Shock 304
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emDOCs Podcast – Episode 103: Thermal Burn Injury

EMDocs

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. Immediate goals are addressing the airway and hemodynamic instability. Always consider trauma and toxic exposure in the burn patient.

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Bubble Wrap PLUS – May 2023

Don't Forget the Bubbles

Distribution and pattern of hand fractures in children and adolescents. Increased fracture risk among children diagnosed with attention- deficit/hyperactivity disorder: a large matched cohort study. To feed or not to feed during therapeutic hypothermia in asphyxiated neonates: a systematic review and meta-analysis. Pediatrics.

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Multisystem Trauma in Children, Part Two: Massive Transfusion, Trauma Imaging, and Resuscitative Pearls

Pediatric Emergency Playbook

He sustained a femur fracture, splenic laceration, and blunt head trauma – the so-called Waddell’s triad. The Trauma Death Spiral Lethal triad of hypothermia, acidosis, and coagulopathy. Rib fractures on CXR predict pulmonary contusions. On arrival, he was in compensated shock, with tachycardia. He decompensates and needs blood.

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An Insight into Mountain Rescue Teams (MRTs)

Mind The Bleep

A more detailed but voluntary reporting of medical care indicated (note only a quarter of rescues had this information gathered) that 32% were suspected lower limb fractures (the casualty can no longer mobilise hence the callout), and soft tissue injuries making up the rest of lower limb issues.