Pediatric EM Morsels

SEPTEMBER 22, 2023

Physical exam findings of occult shock in children can be subtle. Fortunately, there are screening tools for occult shock. A (sorta) Quick Blurb about Spinal Shock If you, like me, have recently had to go back to review the difference between spinal and neurogenic shock , here is a quick refresher on the topic.

Shock 304

Shock Pediatrics Hyperthermia / Hypothermia Dislocations 304

EMDocs

JUNE 25, 2024

Most common traumatic injuries are fractures, TBIs, and thoracic or abdominal injuries. Severely burned patients have impaired thermoregulation and are at risk of hypothermia. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. Immediate goals are addressing the airway and hemodynamic instability.

Burns 94

Burns Fluid Resuscitation Resuscitation Poisoning 94

Pediatric Emergency Playbook

MARCH 1, 2016

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

Resuscitation 40

Resuscitation Pediatrics Hyperthermia / Hypothermia Operations 40

Rural Doctors Net

AUGUST 30, 2013

Pull straight any fractures & splint them. Of course any fluids given should be warmed to help avoid the lethal triad – acidosis, coagulopathy and hypothermia. Our patient will need adequate pre-oxygenation with a bag-mask valve- be aware that not all bag-masks are the same! Remember to apply splints to skin!

Burns 52

Burns Hospitals Ambulance Services Wellness 52

Taming the SRU

JUNE 6, 2023

then need further evaluation Usually with CTA imaging If normal physical exam & ABI>0.9,

Documentation/Coding 64

Documentation/Coding Seizures Psychiatric Wellness 64