PEPP 5: Trauma

Question 1

Notes on trauma

Answer 1

Trauma is the leading cause of death in children
90% is blunt trauma for kids; very little penetrating
Mostly vehicular

Question 2

Abdominal bleeds from solid organs is the highest cause of hypovolemia in children

Answer 2

Note.

Look for distended abdomen

Question 3

Ped Anatomy: Spine

Answer 3

Vertebral fractures and spinal chord injuries are rare

Weak neck and heavy head mean high cervical injuries

Question 4

Ped Anatomy: Chest

Answer 4

Ribs are more pliable, flail chest is less likely

Pulmonary contusion more likely. No outward signs.

Question 5

Ped Anatomy: Abdomen

Answer 5

Leading cause of shock

Liver is most common injured organ

Question 6

Ped Anatomy: Extremeties

Answer 6

Bones are more pliable and muscles undeveloped
Growth plate injuries are common
Look for point tenderness and lack of ROM

Question 7

Ped Anatomy: Skin

Answer 7

Thinner and covers larger area

Heat loss/gain is quicker

Question 8

Transport to burn center if

Answer 8

Partial or full thickness burns >10%
>20% of body surface area
Full thickness burns>5% of BSA
Burns of face, hands, feet , genitals or over joints