Pediatric trauma

Pediatric trauma - Pediatric Trauma Trauma...

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Pediatric Trauma
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Trauma #1 killer of children after neonatal  period  50% of childhood deaths
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Pediatric Trauma Same priorities as adults ABC’s first Children are not just little adults!
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Airway Anatomy increases  obstruction risk Large head Short neck Small mandible Large, posteriorly-placed  tongue
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Airway Poor, absent mouth breathing ability Neck over-extension: obstruction  secondary to high glottis Good anterior jaw displacement  important
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Airway ET tubes wind up in right mainstem Secure intubated child’s head in neutral  position; avoid extubation Pass gastric tube early; decompress  stomach
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Breathing Increased respiratory rate 30/min = ? normal for small child Slowing rate = impending arrest
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Breathing Small thorax Transmitted breath sounds Misleading findings on auscultation Inspection, palpation more reliable
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Breathing Diaphragm breathers Pliant chest walls Weak accessory muscles Limited respiratory reserve
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Breathing Respiratory Failure               Leading Cause of Pediatric  Cardiac Arrest
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Pediatric trauma - Pediatric Trauma Trauma...

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