Pediatric emergencies

Question 1

What should you ask about head trauma?

Answer 1

LOC: # 1 question, if yes send to ER
how is the kid now
vomiting/speech,

Question 2

when to referral for head injury?

Answer 2

altered state of consciousness
persistent vomiting
lethargy
blood or bruising from ear
LOC >1 min

Question 3

PE for head injury

Answer 3

soft spongy swelling in infants less than 12 months old that lasts longer than 12 hours suggests presence of skull fracture

Question 4

when should imaging be done for head injury

Answer 4

with there are nurologic signs

• x ray
• CT scan

Question 5

Treatment for head injury:

Answer 5

Reassure
watched for altered conciousness
Arnica200c immediately
Nat sulph for long term

Question 6

Nose trauma when to exam

Answer 6

extream pain
obvious deformity
bleeding for 20 min
follow up. 2-3 weeks to straiten nose

Question 7

Treatment for nose bleeding

Answer 7

Stop bleeding: press on nostrils
Apply ice
Arnica: homeopathic

Question 8

imaging for nose trauma

Answer 8

ususally not for under 2

Wait 2-3 weeks to correct after swelling

Question 9

Eye trauma when see immediately

Answer 9

persistence red or tear
severe pain >30 minutes
unequil pupils
penetrating injuries

Question 10

treat for eye trauma

Answer 10

Irrigate with lots of water if foreign substance
Ice
Calendula or euphrasia solution
Homeopathy : euphrasia
Bruising around Eye: arnica, symphytum, Ledum

Question 11

Lacerations Immediated examin

Answer 11

Gaping laceration longer than 1/4 in
Persistent bleeding
persistent pain
potential nerve or tendon involvement (hands and feet especially)

Question 12

Treatment of laceraton

Answer 12

stop the bleeding
wash with soap and water
cover clean dressing
Tetanus toxoid if needed

Question 13

homeopathy for lacerations

Answer 13

Arnica

staphysagria: cutting pain
ledum: mumb andcold
hypericum: shooting pains

Question 14

Puncture wounds should be examined immediately for what?

Answer 14

more than 1/8 inch lesion
severe pain
incrasing pain, redness and swelling

Question 15

Puncture wound treatment

Answer 15

Tetanus toxoid
oral antibiotic concideration
easily infected
Do not close up, clean well and watch for infection

Question 16

Animal bites examine immediately

Answer 16

Linger than 1/4 in
persistent bleeding
unprovoked bites from any animal

Question 17

examin later for bite

Answer 17

increased redness and poain
bite from apparently healthy animal
minimal injury

Question 18

Bite treatment?

Answer 18

Wash!!
Ice to decrease swelling
police notification
Cat bite:  antibiotics
pet rodents: don't worry to much

Question 19

Burns when immediately examin

Answer 19

> 3 inches in diameter

Question 20

Treat burn

Answer 20

cool immediately compress
Clean dressing
oral analgesis
possible profhylactic antibiotics

Question 21

homeopathy for burns

Answer 21

arnica followed by cantharis
urtica: stinging
Kali bich: ulcerated 2nd degree
hepar sulph: infected
Causticum: painful burn scars

Question 22

herbs for burns

Answer 22

Aloe vera
calendula succus
comfrey gell

Question 23

Poisoning screen questions:

Answer 23

Name and dose of poison
Does it smell like solvent
quanity ingested
time since ingestion
symptoms?

Question 24

Treatment of posioning

Answer 24

vomit unless solvent solvent
Solvent: drink large amount of water
Call poisoning

Question 25

Most commonly ingested

Answer 25

Aspirin: toxic 65mg per 2 lbs body weight
Tylenol: Toxic 65mg per 2 lbs,
Vitamins: if they have iron