TUMMY HURTS
PAIN IN THE NECK
BONKED MY HEAD
DON'T BREAK MY HEART
A's OF ABC
100
This is the most commonly injured abdominal organ in children.
What is the spleen?
100
This physical exam finding is associated, up to 50%, with vertebral fracture with a MVA mechanism.
What is abdominal wall ecchymosis?
100
This is the leading cause of death due to injury in children.
What is cerebral trauma?
100
This is the most common associated injury found with chest trauma injury.
What is head injury?
100
Name one of the five anatomy differences a child less than 8 possesses that can make an intubation more difficult.
What is a larger occiput, relatively larger tongue, high position of the larynx, the configuration of the larynx, and the position of the vocal cords?
200
This abdominal injury is often associated with bicycle handlebars.
What is pancreatic injury?
200
This is a physiologic difference in the pediatric cervical spine that attributes to the prevalence of upper cervical spine injuries.
What is horizontal oriented facet joints, ligament laxity, disproportionately large head with higher fulcrum, weak neck muscles, and flatter vertebral bodies?
200
In a child less than 2 years old, according to PECARN, obtain a CT if the child has one of these three criteria.
What is a GCS </= 14, altered mental status, palpable skull fracture?
200
This is the most common cardiac injury found after blunt chest trauma.
What is myocardial contusion?
200
This is the most accurate way to determine the size of endotracheal tube to use in pediatric population.
What is resuscitation measuring tapes?
300
This is the most common mechanism of abdominal injury in children.
What is motor vehicle accident?
300
This injury can present with delayed or transient neurologic deficit (i.e. paresthesias).
What is SCIWORA?
300
Any one of these skull fracture patterns would suggest child abuse.
What is multiple "eggshell" fractures (comminuted), occipital impression fractures or fractures crossing sutures?
300
This is one of six clinical exam findings that helps predict chest injury with blunt trauma.
What is (1) abnormal chest auscultation; (2) low systolic blood pressure; (3) Glasgow Coma Scale (GCS) score < 15; (4) abnormal thoracic examination; (5) elevated respiratory rate; and (6) femur fracture?
300
Children up to this age should be given atropine prior to succinylcholine.
What is 5 years old?
400
This is the number of criteria a pediatric patient must meet for the PECARN rule for very low risk intra-abdominal injury.
What is 7?
400
These are two medical conditions a pediatric patient has that would not allow you to clear the cervical spine by exam alone.
What is Down syndrome, Klippel-Feil syndrome, achondroplasia, mucopolysaccharidosis, Ehlers-Danlos syndrome, Marfan syndrome, osteogenesis imperfecta, Larsen syndrome, juvenile rheumatoid arthritis, juvenile ankylosing spondylitis, renal osteodystrophy, rickets, and a history of CSI or cervical spine surgery?
400

This is the loading dose of phenytoin in children for post-traumatic seizures.

What is 10 to 20 mg/kg?

400
This is the chest xray finding that should always prompt a chest CT scan to look for injury after blunt trauma.
What is widened mediastinum?
400

This is the size (gauge) angiocath one should use for needle cricothyroidotomy in infant/young children population.

What is 16- to 18-gauge?

500
This is the leading mechanism of duodenal perforation.
What is non-accidental trauma?
500
This is a normal anatomic variant of a pediatric lateral cervical spine radiograph.
What is absent lordosis, pseudosubluxation, increased pre-dens space, increased prevertebral soft tissue space, and anterior wedging of the cervical bodies?
500
This is the name of the syndrome given when a catastrophic brain injury occurs after an initial TBI, generally before the symptoms of concussion have resolved.
What is second impact syndrome?
500
This is the name given when blunt chest trauma results in a life-threatening dysrhythmogenic event without structural damage to the heart.
What is commotio cordis?
500

This is the formula used for age determination of endotracheal tube size in children older than 1 year.

What is tube size (in millimeters) = 16 + age (in years)/4?

M
e
n
u