-
Fecal matter / urine / etc within the peritoneal cavity => trauma?
- inflammation or swelling of the peritoneum
- Abdominal pain
- Tenderness
- Muscle spasm
- Nausea/vomiting
- Distention
- Guarding
-
Blood within the peritoneal cavity => trauma:
Does not provoke an inflammatory response, therefore no pain or tenderness: hypovolemic shock is common in these injuries followed by septic shock
-
Pediatric airway (ABC)?
- Head tilt/Chin lift will occlude their airway
- Use neutral sniffing position (fold a small towel under their shoulder - not trauma duh!)
-
Evisceration Tx?
- Cover as we know +
- Have a separate blanket just for the organs
-
Fontanels?
- Infants have two small openings in the skull called fontanels.
- Fontanels close by 18 months
-
Infant Respiration check?
- Count for 30 seconds
- They breath so fast that if you miss one at a 15 sec check, that's 4 overall
-
Infant Pulse check?
Whole minute as it's so fast
-
-
-
Epiglottitis cause?
Bacterial - drooling
-
RSV age?
2 months to 6 months
-
SIDS - if child is DRIED and parents are freaking out?
Still do CPR etc.
-
What to do with a damaged helmet or damaged car seat?
goes with you to the hospital as it gives the doctors an idea of what happened and how severe
-
Children involved in trauma tend to do what?
swallow air, creating stomach distention = vomit
-
BBoarding a kid (orientation)?
- only come in one size, so you have to pad around the kid
- KEDs work well too
-
One femur broken (how to get onto BBoard?)?
Log roll
-
Bilateral anything (how to get onto BBoard?)scoop
-
Broken Pelvis (how to get onto BBoard?)
scoop
-
Proper C-Collar measurement:
Line of the Chin to the trap
-
Kid in intact car seat?
Pad around the kid and tape up
-
Kid in damaged car seat?
- 1. Hold C-Spine
- 2. Lay seat on BBoard with kid's head ending up on narrow end
- 3. Cut straps on car seat
- 4. Put a blanket / padding on the board
- 5. Slide kid onto BBoard
- 6. Have his head touching the board, but his body on the padding. This will keep his spine straight
- 7. Pad all around child with blankets / noodle
- 8. S2H / S2H
- 9. One across the legs left to right
- 10. Make sure padding is good
- 11. Star across the head, 1 under the chin
-
Using a KED to transport a infant?
- 1. As above but onto a KED
- 2. Head at narrow end of KED
- 3. Put a blanket / padding on the KED
- 4. Slide kid onto KED
- 5. Have his head touching the board, but his body on the padding. This will keep his spine straight
- 6. Pad all around child with blankets / noodle
- 7. Tie Straps across 'chest' part of KED
- 8. Make sure padding is good
- 9. Star across the head (don’t cut the tape, just wrap it 3 times around the KED)
- 10. One wrap around abdomen with tape
- 11. no tape under the chin as you probably wont have a C-Collar for an infant. If you do, then do put it under the chin
-
Vassal vagus syndrome
Straining too hard to poop with stimulate the Vagus nerve. This lowers HR and thus they syncope off the toilet.
-
Find a painful limb?
Still treat it like splintable thing
|
|
