Trauma Patients with Life Threatening Injuries (Pediatric)

Question 1

(Pediatric) Trauma Patients with Life Threatening Injuries:

What is the first priority for all pediatric patients with life threatening injuries?

Answer 1

Stop all life threatening hemorrhage!!!

Apply tourniquets early, if needed.

Question 2

(Pediatric) Trauma Patients with Life Threatening Injuries:

What is the appropriate intervention for a pediatric patient who is unable to protect their airway?

Answer 2

1. Secure the airway with adjuncts (OPA, NPA)
2. Support oxygenation with high flow oxygen.
3. Assist ventilation with bag-valve-mask if needed.
4. Suction as needed

Question 3

(Pediatric) Trauma Patients with Life Threatening Injuries:

When should pleural decompression be performed?

Answer 3

1. The patient is hemodynamically unstable, AND

2. There is strong evidence of tension pneumothorax.

Question 4

(Pediatric) Trauma Patients with Life Threatening Injuries:

You have established IV access for your pediatric trauma patient. Assessment of vital signs indicate that the patient’s blood pressure and perfusion are both adequate. How much fluid should you administer?

Answer 4

NONE.

Establish INT only

Question 5

(Pediatric) Trauma Patients with Life Threatening Injuries:

You have established IV access for your pediatric trauma patient. Assessment of vital signs indicate that the patient’s blood pressure and perfusion are both compromised. How much fluid should you administer?

Answer 5

Administer NS 20 mL/kg bolus via Pull-Push method, rapid IV/IO push.

may be repeated if needed

Question 6

(Pediatric) Trauma Patients with Life Threatening Injuries:

How many peripheral IVs are recommended (if possible)?

Answer 6

Two

Question 7

(Pediatric) What vital sign is absolutely necessary while encoding the hospital?

Answer 7

GCS

GCS when found; current GCS if any changes

Question 8

(Pediatric) Trauma Patients with Life Threatening Injuries:

After all life threatening injuries have been addressed, what additional interventions and assessments should be conducted, if time permits?

Answer 8

If time permits:

1. Complete secondary survey.
2. Dress wounds.
3. Splint fractures.