ATLS 11 Module #11: Trauma In The Pediatric Patient Exam Questions And Answers | Graded A+

ATLS 11 Module #11: Trauma In The Pediatric Patient Exam Questions And Answers | Graded A+ what are some things to have at hand at the pediatric trauma pre arrival huddle? - answer-broselow tape, peds equipment, wt based blood products, correct peds dosing of meds how do normal vitals in peds pt differ from adults? - answer-normal inc hr, dec bp, and inc rr which vital sign in peds patient is the most reliable indicator of shock? - answer-elevated hr best site for io access in peds pt - answer-proximal tibia when is there an indication to use a pediatric tourniquet? - answer-in limbs 13cm or in a child 2y/o how does a pediatric airway differ than an adult? - answer-airway is SMALLER head and neck is larger so will flex unless padding placed under torso tongue and epiglottis are larger and the larynx is more anterior trachea is SHORTER cricoid is elliptical in infants (increases resistance on intubation) how to estimate ETT depth in a peds pt - answer-3x the tube diameterhow to estimate an ETT size in peds pt - answer-based on size of childs nares or circumference of smallest finger, based on resus tape pediatric patients increased BMR and decreased residual capacity can cause an increased risk for __________. - answer-hypoxia what is the pediatric criteria for a head CT called? - answer-PECARN what condition can present with past fractures on scans falsely indicating abuse? - answer-osteogenesis imperfecta list some signs or symptoms indicative of child abuse - answer-late presentation after injury slow response to questions fx in MULTIPLE stages of healing spiral humerus fx anxiety with the parent or caregiver leading cause of mortality in ped trauma - answer-airway obstruction and ventilation failure what type of injury is most common in pediatric traumas and why? - answer-head and c spine, ped pts are "top heavy" why are pulmonary contusions more common than rib fx in peds pts? - answer-rib cage is flexible t/f: solid organ injuries in pediatric blunt trauma often require operative management. - answer-false, they respond well to non-operative mgmtmost common cause of death and disability in childhood - answer-injury most common cause of preventable death after injury in children - answer-failure to oxygenate and ventilate the most serious pediatric trauma is: - answer-blunt trauma involving the brain leading cause of death in children around the world in the US? - answer-MVCs firearm FYI: Blunt mechanisms of injury coupled with children's unique physical characteristics frequently result in multisystem injuries. Clinicians should presume, therefore, that multiple organs are injured until proven otherwise - answer-okay a child's head is proportionately larger than an adult's, which results in a higher frequency of______ ________from blunt trauma - answer-brain injuries due to the increased ratio of body surface area to body mass in young children, _____ ________ is a significant concern - answer-heat loss t/f: fractures are less likely to occur in children, even when they have sustained internal organ damage - answer-tskull or rib fractures in a child suggests the transfer of considerable energy; when they occur, what injuries should be suspected? - answer-underlying organ injuries t/f: Children who sustain even a minor injury may suffer prolonged physical and psychological disability - answer-t what oral condition is common in children and may complicate visualization during laryngoscopy? - answer-tonsillar hypertrophy A reasonable estimate for proper ETT depth from the gums in children is: - answer-3x tube diameter Increased resistance during endotracheal intubation (ETI) may be felt at the level of the: - answer-elliptical cricoid Partial airway obstruction measures to optimize airway in peds - answer-c spine restriction, maintain face and torso in same plane parallel to stretcher, jaw thrust, suction, 100% o2 FYI: To minimize the risk of iatrogenic oral or tonsillar trauma, do not insert the OPA upside down and rotate it into place. Instead, while using a tongue depressor, gently insert the OPA in line with the curve of the oropharynx with direct visualization. - answer-okay Infants have a more pronounced vagal response to ETI than children and adults, and they may experience ___________ with direct laryngeal can be done to prevent this? - answer-bradycardia atropine 8y/o receiving succinylcholine Primary findings supportive of ETI include: - answer-chest rise with assisted ventilation, mist in the ETT on exhalation, and auscultated breath sounds in the bilateral axilla and not over the stomach!!