ATLS MODULE 10 PEDIATRIC TRAUMA
1. indications for intubation
Answer:
severe brain injurywhen airways cannot be maintained
signs of ventilatory failure
significant hypovolemia and have a depressed sensorium or. require operation.
2. BREATHING ANDVENTILATION considerations in peds
Answer:
Excessive volume orpressure during assisted ventilation increases potential for
iatrogenic barotrauma.
Respiratory acidosis due to hypoventilation is the most common acid-base
abnormality seen during the resuscitation of children.
With adequate ventilation and perfusion, a child should be able to maintain relatively
normal pH.
3. Where to do needle and tube thoracostomy in kids
Answer:
second intercostal space,midclavicular line- different than in adults.
longer needles may cause complications
chest tubes should be appropriately sized and tunnelled.
4. CIRCULATION AND SHOCK: IN KIDS
Answer:
Injuries can results in significant bloodloss
children manifest subtle physiologic changes in hypovolemic shock.
A child's increased physiologic reserve can mean a normal systolic blood pressure,
even with shock.
tachycardia and poor skin perfusion are keys to early recognition of hypovolemia.
5. decompensated shock
Answer: when the body can no longer compensate for low blood volume or lack of
perfusion. Late signs such as decreasing blood pressureand heart rate become
evident
1. indications for intubation
Answer:
severe brain injurywhen airways cannot be maintained
signs of ventilatory failure
significant hypovolemia and have a depressed sensorium or. require operation.
2. BREATHING ANDVENTILATION considerations in peds
Answer:
Excessive volume orpressure during assisted ventilation increases potential for
iatrogenic barotrauma.
Respiratory acidosis due to hypoventilation is the most common acid-base
abnormality seen during the resuscitation of children.
With adequate ventilation and perfusion, a child should be able to maintain relatively
normal pH.
3. Where to do needle and tube thoracostomy in kids
Answer:
second intercostal space,midclavicular line- different than in adults.
longer needles may cause complications
chest tubes should be appropriately sized and tunnelled.
4. CIRCULATION AND SHOCK: IN KIDS
Answer:
Injuries can results in significant bloodloss
children manifest subtle physiologic changes in hypovolemic shock.
A child's increased physiologic reserve can mean a normal systolic blood pressure,
even with shock.
tachycardia and poor skin perfusion are keys to early recognition of hypovolemia.
5. decompensated shock
Answer: when the body can no longer compensate for low blood volume or lack of
perfusion. Late signs such as decreasing blood pressureand heart rate become
evident
