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Multiprofessional Critical Care Review: Pediatric ...
Pediatric Trauma
Pediatric Trauma
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Video Transcription
Video Summary
The lecture on Trauma and Burns, primarily discussed by Dr. Michael Dingledine, with a focus on traumatic brain injury (TBI), emphasizes essential knowledge for exams, including how to calculate the Glasgow Coma Scale (GCS), cerebral perfusion pressure (CPP) and its importance, and the pathology of cerebral edema. In TBI management, familiarity with the 2019 TBI guidelines is crucial, particularly understanding the ICP and CPP pathways, and knowing how to handle scenarios like patient herniation.<br /><br />For spinal cord injuries, key points include the mechanism of such injuries in children, the criteria (Nexus and CSWORA) for clearing cervical spine injuries, and the differences between neurogenic and spinal shock.<br /><br />Burn management highlighted the Parkland formula for fluid resuscitation, signs of compartment syndrome, and initial management of inhalation injuries. It was noted that in cases of carbon monoxide poisoning in burn patients, cyanide toxicity must also be considered, thus warranting treatment with hydroxycobalamin.<br /><br />Throughout, the importance of sedation, analgesia, nutrition, and monitoring was emphasized, ensuring comprehensive care and stabilization in trauma and burn cases.
Keywords
Traumatic Brain Injury
Glasgow Coma Scale
Cerebral Perfusion Pressure
Spinal Cord Injuries
Parkland Formula
Compartment Syndrome
Hydroxycobalamin
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