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Special Considerations in Trauma
Major Pediatric Physical Differences? - Correct answer- Obligate
nose breathers, O2 consumption 2x greater than adult, spinal injuries
uncommon, less fracture and more internal organ injury, hypothermia,
children have less blood volume per kg than adults.
Fluid resuscitation for children? - Correct answer- 20 cc/kg x2 bolus
then blood at 10 cc/kg; if unable to obtain IV access, promptly go
intraosseous.
Any pediatric organ function difference that should be considered? -
Correct answer- Children have increased metabolism and decreased
ability to store glycogen; therefore, a glucose assessment should be
done promptly.
What are the three primary areas to look for blood loss? - Correct
answer- Chest, abdomen, and pelvis.
What is usually the earliest sign of shock in an adult patient? - Correct
answer- Mentation changes
What is the earliest sign of shock in the pediatric patient? - Correct
answer- Skin perfusion changes that start distally and ascend towards
the trunk as shock worsens.
1
Special Considerations in Trauma
Major Pediatric Physical Differences? - Correct answer- Obligate
nose breathers, O2 consumption 2x greater than adult, spinal injuries
uncommon, less fracture and more internal organ injury, hypothermia,
children have less blood volume per kg than adults.
Fluid resuscitation for children? - Correct answer- 20 cc/kg x2 bolus
then blood at 10 cc/kg; if unable to obtain IV access, promptly go
intraosseous.
Any pediatric organ function difference that should be considered? -
Correct answer- Children have increased metabolism and decreased
ability to store glycogen; therefore, a glucose assessment should be
done promptly.
What are the three primary areas to look for blood loss? - Correct
answer- Chest, abdomen, and pelvis.
What is usually the earliest sign of shock in an adult patient? - Correct
answer- Mentation changes
What is the earliest sign of shock in the pediatric patient? - Correct
answer- Skin perfusion changes that start distally and ascend towards
the trunk as shock worsens.
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