The injured child Flashcards

1
Q

most common fracture in a child

A

Buckle fracture of distal radius

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2
Q

what are the different types of growth plate injury

A

type 1 - complete fracture with no displacement

type II - physeal fracture- metaphysis- - chip fracture

Type III - physeal - extends through epiphysis

Type IV - physeal - + epiphyseal and metaphyseal fractures

Type V - compression fracture of the growth plate

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3
Q

name some common fractures

A

Greenstick fracture
Clavicle fracture
Toddler’s fracture of tibia

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4
Q

Thermoregualtion in children?

A

Little brown fat and immature shivering
Pokilothermic
Environmental considerations e.g. RTCs

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5
Q

why is Hypoglycaemia common in kids ?

A

Little glycogen stored in liver
Exacerbated by hypothermia and vice versa
Develops quickly in sick children

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6
Q

injury patterns - SCIWORA

A
Spinal
Cord
Injury
Without
Radiological
Abnormality
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7
Q

Life threatening trauma - Resp obstruction examples (7)

A
Birth asphyxia
Croup
Epiglottitis
Foreign body inhalation
Bronchiolitis
Asthma
Pneumothorax
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8
Q

respiratory depression examples

A

Poisoning

Convulsions

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9
Q

Raised ICP and acute encephalopathy can be due to?

A

Head injury
Meningitis
Encephalitis

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10
Q

Circulatory failure can be caused by

A

Fluid Loss
Gastroenteritis
Burns
Trauma

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11
Q

Fluid maldistribution (3)

A

Sepsis
Anaphylaxis
Heart failure

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12
Q

features of cABCDE

A
catastrophic haemorrhage control
Airway with C-spine – remember O2!
Breathing with Ventilation
Circulation with Haemorrhage Control
Disability
Exposure/Environment

Don’t Ever Forget Glucose!

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13
Q

average birth weight

A

3.5 kg

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14
Q

< 1 year weight

A

(0.5 x Age in months) + 4

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15
Q

1-5 year weight

A

(2 x Age) + 8

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16
Q

6-10 years weight

A

(3 x Age) + 7

17
Q

epidemiology of injury

A

most common cause of death from 5 years to 50 years

  • boys more likely

blunt trauma» penetrating trauma

  • multi system injury