1
Most common pediatric injury?
TBI
These are two assessment tools than can be used in the assessment of head injury.
AVPU, GCS
Loss of skin barrier makes burn patients more at risk for this.
Infection
Patients with heat stroke may not do this.
Sweat
Hypothermia is a common complication of this..
Drowning
Human bites cause infection with what?
Strep, staph, anaerobes, eikenella corrodens*
Do all head injuries require symptom inventory and a complete neuro exam?
Yes
Who needs a CT scan?
GCS =14 or other sign of altered mental status or palpable skull fracture. Occipital, parietal, or temporal scalp hematoma* LOC >5s* Severe MOI*
Parkland formula?
4 X BSA X Weight in KG
Temperature over this amount is consistent with heat stroke?
105.8F (40.6c)
Without oxygen, how long until brain damage?
4-6 minutes
Hand wounds require what typically?
Referral to hand surgeon
What percentage of children don't use helmets when riding bike?
50%
Burns in these areas are always considered major.
Hands, feet, face, eyes, ears, and perineum
Timing for parkland formula
First half over the first 8 hours and the second half over the last 16 hours
How should you manage pediatric heat stroke patients?
Treat as shock patient, admit to PICU
Basically all bites need this...
Augmentin
Type 2 salter harris fractures involve what?
The growth plate and metaphysis
This is sign of a more severe concussion.
Water should be less than this temp at home.
120F
These burns are not included in BSA
1st degree
How to you manage heat exhaustion patients?
IV electrolyte correction, monitor with labs, rest
What type of cat bite wounds should not be irrigated?
Isolated puncture wounds.
This type of salter harris fracture involves the growth plate and epiphysis..
Type 3
Is loss of consciousness necessary for diagnosis of concussion?
No
Severe burns can cause this...
Rhabdo, kidney failure
Can heat exhaustion cause altered CNS function?
No that would be a heat stroke.
Is near the term "near drowning" or "dry drowning" still used?
No
Pasteurella Multocida is the most common organism found in this type of bite infection?
Cat
These types of bites almost always get infected within 12 hours...
Cat bite