23/24 - Pediatrics - Trauma and Trauma TPs

Question 1

Initial assessment of the pediatric trauma patient includes C-spine restriction as needed and ______.

Answer 1

Pediatric GCS

Question 2

Inadequate ventilation/respiratory effort involves opening the airway with _____, relieving upper airway obstruction, supporting ventilation with BVM, and securing the airway as appropriate.

A. Jaw thrust
B. Head tilt-chin lift

Answer 2

A. Jaw thrust

Question 3

T/F: In the peds trauma patient, fluid resuscitation is performed even without signs of hypotension.

Answer 3

True!

They receive a 20 mL/kg NS bolus even without hypoTN. Pediatric patients have excellent physiologic reserves, and may maintain perfusion…until they don’t.

Question 4

Maximum dose of NS bolus for the peds trauma patient.

Answer 4

60 mL/kg

Question 5

If the peds trauma patient has major bleeding controlled, is breathing adequately, and there is no sign of cardiopul compromise, what is performed?

Answer 5

Splinting of fractures

Question 6

Signs of impending brainstem herniation in the peds trauma patient. What is the Tx of this?

Answer 6

• non-reactive/unequal pupils or posturing

- hyperventilation

Question 7

What must be used to guide the hyperventilation of a peds trauma patient?

A. Chest rise
B. Breaths/minute
C. Capnography

Answer 7

C. Capnography

Aim for EtCO2 of 35 mmHg