Emergency Medicine - Pediatric Injuries Flashcards
Most commonly injured body part in pediatric trauma?
Head.
Wadell Triad? Most common mechanism to produce these symptoms?
Closed head injury, intra-abdominal injury, mid-shaft femur fracture. Auto vs. child.
A 2 year patient who is brought in who has hurt their head with no previous history of trauma should be suspected…?
Being abused.
What is a defining feature of bronchiollitis?
shifting atelectasis (and therefore changing lung exam)
What is the age range for patients with bronchiolitis?
2-8 month olds
What is the triad of foreign body aspiration and what is the first study you want?
wheeze, cough, decreased breath sounds; CXR
What are the ages that a child can present with Croup?
6-36 months
What are the bugs for pneumonia in a neonate?
GBS and gram negatives
What are the bugs for pneumonia in 2wk-2mo old?
chlamydia, virus, strep pneumo, staph aureus, H flu
When do you order RRP for bronchiolitis?
Never, wont change your management
What are the treatments for acute asthma flare?
ipratromium bromide, b-agonist, steroids, Mg2+ (muscle relaxant)
When do you admit for an asthma flare?
oxygen requirement, need treatment more frequently than q4hrs, high risk, in the ED within the last 24 hours
When do you send a kid home who had an asthma flare and with what management?
tolerate albuterol every 4 hours (no more), can go home with steroid taper, close follow up, script refills.
What are signs of SOB in kids?
grunting, head bobbing not to music
When can a baby go home with bronchiolitis (instead of admitted)?
older than 2 months, O2sat >94%, normal RR, sufficient PO intake/UOP, no concern for bacterial infection, good follow up and parents comfortable going home
