Pediatric Trauma:
* Broselow Tape is your friend!
* IO if can't obtain IV access
* Resuscitate with fluids early, 20cc/kg
* Head trauma? Remember your PECARN guide
And we're back at it again!
Grand Rounds featuring:
Dr. Liza Shaw: Pregnancy Trauma and Pediatric Trauma
Drs. Hutchinson and Rocco: Charting and Coding
Perimortem C-section (contd):
* Ongoing maternal CPR during the whole process
* Push baby (uterus) to L side to get off IVC and continue CPR
* Incision from subxiphoid to pubis
* Incision at lower portion of uterus, open, and get baby out!
Airway Management:
* Hypoxia kills patients first
* Fluid in airway kills patients next
* Check gag reflex: ask patient to swallow!
* Don't be overly reassured by a patient that's breathing
* Facial burn: INTUBATE EARLY
* Pediatric drowning: Intubate (in anticipation)
Another week of Beaumont EM Grand Rounds Pearls!
First we had a fantastic review of ophtho emergencies given by on of our Ophthalmologist colleagues!
1. Remember swinging light test to determine (+)afferent pupillary defect. This can can be a sign of many emergent conditions
Finally, we had a guest lecturer Dental Resident talk about dental emergencies.
Confused about oral nerve blocks? Anesthesia can be obtained by injecting directly superior to the tooth involved. Consider bupivacaine for as long as 12 hrs of pain relief!
Grand Rounds Pearls!
#1 Nadir of pediatric physiologic anemic is ~2 months. and lower cut off for Hgb is 9.0.
#2 Consider NAT is cases with isolated vomiting - especially if story is inconsistent.
#3 There shouldn't be bruising in young infants* or unusual areas for older peds.
Iβm very proud of our Emergency Medicine residency program - itβs a fantastic, supportive place to train to become a world-class EM physician! If you are a prospective medical student interested in EM, check out our βDay in the Lifeβ video. π
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