Childhood Injuries Flashcards
Leading cause of death in children
accidents/injuries
Children less than 1 typically die from
congenital disorders
With head trauma, imaging criteria:
LOC > 1 min
evidence of skull fx
focal neurologic findings
Glasgow Grading:
A Coma Score of 13 or higher correlates with a mild brain injury, 9 to 12 is a moderate injury and 8 or less a severe brain injury
PTA
post traumatic amnesia (strongly consider imaging)
Cushing response to head injury:
hypertension, bradycardia and apnea
A child under 1 should be in a what
Rear facing child seat
Drowning
2nd most common cause of death
Water heater set temp
125 degrees f
What sports have the highest levels of injury?
#1 gymnastics #2 trampolines #3 baseball
Most commonly fractured bone
clavicle
apophysitis
where tendon starts pulling off the bone
What sport causes head and neck injuries?
Football
How long after an acetaminophen OD do you draw a lab?
4 hrs
Aspirin OD presents with
Tinnitus and vomiting
Treat acetaminophen OD with?
N-acetylcysteine (Mucomyst), and activated charcoal
Treatment for aspirin OD
activated charcoal, if severe dialysis
Use activated charcoal for Iron toxicity?
Nope, use Deferoxamine IV (chelating agent) until serum iron < 300 mcg
When Chris Farley ate paint chips as a kid what did he get?
Lead Poising, (lead screen every kid)
Vomiting, HA, and changes in mental status suggest
increased intracranial pressure
