Yes, this is EMK's Best Case Ever mini podcast series, and I'm your host, Dr. Rajiv Thavenathan.

It's my pleasure today to have Dr. Suzanne Beano from the Hospital of Sick Children in Toronto, Ontario, where she's a staff physician

in pediatric emergency medicine. She also happens to be an associate professor at the University of

of Toronto and the medical co-director of the trauma program there, which is a great

interdisciplinary program with emergency medicine and gen surgeon, a couple of others. She's here today

to tell us about her best case ever. So Suzanne, why don't you take it away?

Okay. Thank you very much for having me here. So my best Peds trauma case ever happened back when I was a PZM fellow. The child in this case didn't actually present as a trauma activation, but one was

subsequently called for in the emergency department. It was a Saturday afternoon, and I was working

the acute side. It was called into the

hallway ASAP by a nurse who asked me to rapidly assess this child whose condition had dramatically

changed since the triage and decide if we should move her into the trauma bay and activate a trauma

code. So this little girl was brought in by her father because he was concerned about a change

in behavior. She had complained of a headache and she started to vomit. She was alert and speaking at triage actually, but was progressively becoming

more somnolent, which alerted the nurse to get me involved in the hallway. The brief history was

that she was being carried on her dad's back in the morning and had fallen off onto the ground,

had been kind of dazed and out of it for a few minutes,

and then was back to her normal self and played with her sister for several hours after that.

After lunch, she had thrown up and then seemed sleepy and wasn't right, so her dad brought her

into the ED. When I assessed her in the hallway, she was uptunded and quickly became

responsive only to pain. She had a boggy swelling over her left temporal region.

We pushed her into the trauma bay which was close, had a trauma code called, and immediately

began resuscitating her.

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