ENPC Trauma/Shock
Major risks for pediatric burns - answer1. Hyperkalemia
2. infection
3. fluid loss
Urine output goal for kids with burns - answer0.5-2 ml/kg
Parkland formula for fluids - answerTBSA burned x childs wt in kg x 4 = number of mL
to be infused in 24 hrs. Give first half in first 8 (start at time of injury) then second 1/2
over the next 16 hours.
Cushing Triade - answerAssessment used in trauma pts: bradycardia, hypotension
alteration of respiratons (suggestive of spinal cord injury)
Basillar skull fracture sx - answer1. hemotypanums = diruptions of cranial nerve 7 and 9
2. racoons eyes (echymosis below eyes)
3.Battles sign ( postaurical eccymosis)
Normal ICP in children and infants - answer1. infants: 2-6
2. children 3-7
Sx of increased ICP - answerslurred speech, lethargy, posturing, seizures, ataxia while
crawling, walking etc.
Linear skull fracture - answeroccurs from low energy blunt trauma over service of skull
sx: tenderness and swelling over indicated area
Basilar skull fracture - answerfracture of base of skull (frontal, ethomoid, sphenoids,
temporal or occipital) leads to CSF leak and possible infection.
Sx of decompansated shock - answerwidespread edema, tachycardia, DIC, urine in
feces, decreased urine output less than 1mg/kg/hr, petichiae in extremities,
hypotension, narrow pulse pressure progressing to wide pulse pressure, delayed cap
refill.
Major risks for pediatric burns - answer1. Hyperkalemia
2. infection
3. fluid loss
Urine output goal for kids with burns - answer0.5-2 ml/kg
Parkland formula for fluids - answerTBSA burned x childs wt in kg x 4 = number of mL
to be infused in 24 hrs. Give first half in first 8 (start at time of injury) then second 1/2
over the next 16 hours.
Cushing Triade - answerAssessment used in trauma pts: bradycardia, hypotension
alteration of respiratons (suggestive of spinal cord injury)
Basillar skull fracture sx - answer1. hemotypanums = diruptions of cranial nerve 7 and 9
2. racoons eyes (echymosis below eyes)
3.Battles sign ( postaurical eccymosis)
Normal ICP in children and infants - answer1. infants: 2-6
2. children 3-7
Sx of increased ICP - answerslurred speech, lethargy, posturing, seizures, ataxia while
crawling, walking etc.
Linear skull fracture - answeroccurs from low energy blunt trauma over service of skull
sx: tenderness and swelling over indicated area
Basilar skull fracture - answerfracture of base of skull (frontal, ethomoid, sphenoids,
temporal or occipital) leads to CSF leak and possible infection.
Sx of decompansated shock - answerwidespread edema, tachycardia, DIC, urine in
feces, decreased urine output less than 1mg/kg/hr, petichiae in extremities,
hypotension, narrow pulse pressure progressing to wide pulse pressure, delayed cap
refill.
