Siirry offline-tilaan Player FM avulla!
Pediatric Firearm Injuries to the Extremity
Manage episode 343887390 series 1358194
In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department.
Episode Outline:
How common are pediatric firearm injuries?
What is the most common location of these injuries?
Is there much literature published on this topic?
Epidemiology
- What’s been the trend in pediatric firearm injuries over the past 10 years?
- Do we have any idea how/why these are occurring (ie, accidental, intentional, etc)
Terminology: For those unfamiliar with firearms (table 1)
Ballistics: Mechanisms of damage.
Pre-hospital care
- Trauma center transport
- Prehospital hemorrhage control -- Combat application tourniquet, anything else?
ED Evaluation
- SIPA -- What is it and why use it?
- Primary survey -- Tachycardia -> delayed cap refill -> hypotension in children?
- Secondary Survey
- Diagnostic Studies:
- Damage Control Resuscitation
- Wound Care -- Do we remove projectiles? Can they stay in?
- Antibiotics
- Joint Involvement
- Compartment Syndrome -- 3 As vs 6 Ps
- Rhabdomyolysis
Controversies
- CTA for all injuries?
- Hemostatic devices -- Any role for these in the ED?
135 jaksoa
Manage episode 343887390 series 1358194
In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department.
Episode Outline:
How common are pediatric firearm injuries?
What is the most common location of these injuries?
Is there much literature published on this topic?
Epidemiology
- What’s been the trend in pediatric firearm injuries over the past 10 years?
- Do we have any idea how/why these are occurring (ie, accidental, intentional, etc)
Terminology: For those unfamiliar with firearms (table 1)
Ballistics: Mechanisms of damage.
Pre-hospital care
- Trauma center transport
- Prehospital hemorrhage control -- Combat application tourniquet, anything else?
ED Evaluation
- SIPA -- What is it and why use it?
- Primary survey -- Tachycardia -> delayed cap refill -> hypotension in children?
- Secondary Survey
- Diagnostic Studies:
- Damage Control Resuscitation
- Wound Care -- Do we remove projectiles? Can they stay in?
- Antibiotics
- Joint Involvement
- Compartment Syndrome -- 3 As vs 6 Ps
- Rhabdomyolysis
Controversies
- CTA for all injuries?
- Hemostatic devices -- Any role for these in the ED?
135 jaksoa
Kaikki jaksot
×Tervetuloa Player FM:n!
Player FM skannaa verkkoa löytääkseen korkealaatuisia podcasteja, joista voit nauttia juuri nyt. Se on paras podcast-sovellus ja toimii Androidilla, iPhonela, ja verkossa. Rekisteröidy sykronoidaksesi tilaukset laitteiden välillä.