Pediatric Trauma

Question 1

DOPE pmeumonic for reasons for failing intubation

Answer 1

D- dislodgment . Can easily occur as the trachea of an infant or child is short.

O- obstruction
Obstructions with secretions or secondary to linking can occur as the diameter of the tube is small suctioning can clear secretions, but tube replacement may be necessary

P- pneumothorax. Tension pneumothorax can develop in patients with underlying pneumothorax from traumatic injury or barotrauma

E- equipment failure

Question 2

Fluid resucitation and blood replacement?

Answer 2

“damage control resuscitation”

Restrictive use of crystalloid fluids and early administration of balanced ratios of RBC, fresh frozen plasma, platelets.

For facilities without ready access to blood products, crystalloid resuscitation is an acceptable alternative until transfer.

For pediatric trauma - Goal of replacing lost intravasculqr volume (20mL/kg initial bolus of crystalloid)

Question 3

Urine output goals in peds

Answer 3

Infants 1-2mL/kg/hour
Children aged 1 through adolescence 1-1.5mL/kg/hour
Teens 0.5ml/kg/hour