Episode 95 Pediatric Trauma

Emergency Medicine Cases

Dr. Anton Helman

Education, Health & Fitness, Courses, Medicine, Science

4.7 • 602 Ratings

🗓️ 9 May 2017

⏱️ 100 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Management of the pediatric trauma patient is challenging regardless of where you work. In this EM Cases episode, with the help of two leading pediatric trauma experts, Dr. Sue Beno from Hospital for Sick Children in Toronto and Dr. Faud Alnaji from Children's Hospital of Eastern Ontario in Ottawa we answer such questions as: what are the most important physiologic and anatomic differences between children and adults that are key to managing the trauma patient? How much fluid should be given prior to blood products? What is the role of POCUS in abdominal trauma? Which patients require abdominal CT? How do you clear the pediatric c-spine? Are atropine and fentanyl recommended as pre-induction agents in the pediatric trauma patient? How can the BIG score help us prognosticate? Is tranexamic acid recommended in early pediatric trauma like it is in adults? Is the Pediatric Trauma Score helpful in deciding which patients should be transferred to a trauma center? and many more...

Transcript

Click on a timestamp to play from that location

0:00.0	This episode, Pediatric Polytrauma, Perils and Pitfalls, marks the final topic in our list of about a dozen topics that came out of a nationwide needs assessment in our three-year-long, fruitful collaboration with a fantastic non-profit education organization, TREC, translating emergency knowledge for kids.
0:22.6	So I just wanted to take this opportunity to thank TREC for all the great work they've done and encourage you to check them out
0:27.4	at trek.ca. Now, I don't know about you, but when I get the call in from the field that there's
0:34.2	an injured child who's tachycardic and comatose, the first thing I do is mentally
0:39.5	prepare, because if I don't, I'm basically going to freak out and make a mess of things.
0:45.3	So I take a few deep breaths. I tell myself, I can do this. I'll visualize the steps I'll have to
0:52.3	take and then spring into action to start preparing the team.
0:56.5	Now from what I've learned from Andrew Precrosoniac and Chris Hicks about team-based preparation,
1:02.2	I asked the team four questions. First, what do we know? Second, what do we expect to see or what are the possibilities? Third, what do we do with
1:16.0	contingencies if actions fail? And fourth, who's going to do what or role assignment? Then we're
1:23.7	ready to deal with one of the most challenging situations in EM, the pediatric polytrauma patient.
1:33.3	Welcome to the Emergency Medicine Cases podcast.
1:36.6	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine from EMC Studios in Toronto.
1:44.7	To help fill in all the chunks of knowledge, options, actions, and decisions we need to be
1:50.1	aware of when it comes to pediatric polytrauma, we have two new voices to EM cases, two prominent
1:56.8	pediatric trauma leaders and educators, Dr. Fuad Al-Nagi from the Children's Hospital of Eastern Ontario in Ottawa, and Dr. Sue Beno from the Hospital for Sick Children in Toronto.
2:09.4	So welcome to EM cases, Sue.
2:11.5	Thank you very much for having me here.
2:13.3	And welcome to EM cases, Fuad.
2:15.9	Hey, how are you?
2:16.8	I'm doing well.
2:18.3	So we're going to try and cover some key topics in pediatric polytrauma.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Dr. Anton Helman, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Dr. Anton Helman and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.