Peds emergencies

Question 1

Head trauma

Answer 1

LOC? if yes– ED!!
how are they now? vomiting? coordination? HA/slurred speech? lethargy > 30 mins?
blood from ear?

Question 2

Head trauma PE

Answer 2

soft spongy swelling in infants <12 mos for >12 hrs = skull fracture

Question 3

Head trauma imaging

Answer 3

If no neuro.. no imaging!
X ray
CT

Question 4

Head trauma tx

Answer 4

ice, Arnica 200c or 1M

Nat sulph for long term effects

Question 5

Nose trauma

Answer 5

apply ice, homeopathic arnica

wait a few weeks if fractured and need surgery (swelling)

Question 6

Eye trauma examine immediately if:

Answer 6

persistent redness, tearing
severe pain > 30 mins
unequal pupils
penetrating injuries

Question 7

Eye trauma tx

Answer 7

irrigate eye
apply ice
calendula or euphrasia
Homeopathic euphrasia (foreign body)
Homeopathic arnica/symphytum (bruising)

Question 8

Lacerations/Puncture management

Answer 8

refer for tetanus toxoid if appropriate

Arnica, staphysagria (cutting pain), Ledum (cold, better cold), Hypericum

Question 9

Animal bite

Answer 9

Wash immediately with copious warm, soapy water
apply pressure to stop bleeding
refer for tetanus toxoid
if bite on hand from cat– ABX

Question 10

Rabies risk

Answer 10

If somewhat provoked with well-appearing animal… little risk!

Question 11

Burns

Answer 11

examine for > 3 inches diameter
wash with lukewarm, soapy water
cover with clean dressing, oral analgesics

Homeopathics

• urtica: stining
• kali bich: ulcerated 2nd degree
• hepar sulph: infected burns
• causticum- painful scarring

Question 12

Poisoning

Answer 12

examine immediately for CNS depressants, caustic substances, sig sxs

Question 13

Poisoning management

Answer 13

induce vomiting (UNLESS solvent)
if solvent– drink large quantity of any liquid
call poison control