Paeds Haemorrhage

Question 1

Care objectives for major Trauma

Answer 1

1. Immediate control of haemorrhage
2. Ensure ABC
3. Prioritise transport
4. Supportive care measures

Question 2

Types of haemorrage control

Answer 2

1. Combine dressing pressure
   2 . Quick clot/haemostatic dressing
2. CAT torniquet
3. Pelvic splint
   (regular reassessment)

Question 3

Target fluid resuscitation

Answer 3

• Up to a max of 40ml/kg Na saline
• Titrating to adequate perfusion status (age perfusion assessment numbers)

0-3m 100-180 SBP 50
3-12m 100-180 SBP 60
1-4yo 90-160 SBP 70
5-11yo 80-140 SBP 80
12-15yo 60-130 SBP 90

Question 4

Supportive care management

Answer 4

• Warm the patient (remembering to reassess)
• Pain relief
• spinal immobilisation if req
• Manage wounds and fractures
• Manage seizures
• Manage Hypoglycaemia
• Pressure care
  (reassessing appropriately throughout inc NV obs)

Question 5

ways to assess perfusion status in a paediatric pt

Answer 5

Radial pulse
central cap refill
normal level of alertness

Question 6

What are the required respiratory values when ventilating

Answer 6

Vt 6-8ml/kg
Rates
< 3 month 25
3-12mo 25
1-4yo 20
5-11yo 16
12-15yo 14
Suggested starting rates adjust to ETCO2
SPO2 >95%
EtCO2 30-35

Question 7

Neuro vascular assessment

Answer 7

7
color
pain
movement
pulse
sensation
cap refill
temp