RT Book, Section
A1 Zonfrillo, Mark R.
A2 Schafermeyer, Robert
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
SR Print(0)
ID 1105680936
T1 Evaluation and Management of the Multiple Trauma Patient
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-182926-7
LK accesspediatrics.mhmedical.com/content.aspx?aid=1105680936
RD 2024/04/25
AB Injury  is  the  leading  cause  of  death  of  children  in  the  United  States.Orotracheal  intubation  is  the  most  reliable  means  of  securing  an  airway.Hypovolemic  shock  is  caused  by  blood  loss,  which  makes  up  8%  to  9%  of  the  body  weight  of  a  child.  Determining  the  extent  of  volume  depletion  and  shock  requires  evaluation  of  multiple  parameters.Attempt  vascular  access  en  route.Intraosseous  (IO)  infusion  should  be  used  as  a  quick  access  for  crystalloid  infusion  if  attempts  at  intravenous  (IV)  cannulation  are  unsuccessful  after  90  seconds.For  shock,  give  an  initial  infusion  of  20  mL/kg  of  crystalloid  solution  rapidly.Unique  characteristics  of  the  pediatric  cervical  spine  (C-spine)  predispose  it  to  ligamentous  disruption  and  dislocation  injuries  without  radiographic  evidence  of  bone  injury.