The Cribsiders S6 Ep121: Straightening It All Out: Pediatric Cervical Spine Injuries and the PECARN Clinical Decision Rule
Sep 25, 2024
In this engaging discussion, Dr. Julie Leonard, a pediatric care specialist from Nationwide Children’s, and Dr. Dan Corwin, an expert in pediatric trauma from CHOP, delve into managing cervical spine injuries in children. They shed light on the innovative PECARN clinical decision rule, emphasizing its relevance in trauma assessment. The duo also shares invaluable insights on physical examinations, minimizing radiation exposure, and adapting protocols for young patients. With a blend of personal stories and clinical expertise, they offer a refreshing take on pediatric emergency care.
AI Snips
Chapters
Transcript
Episode notes
Clinician Judgement in ABCs
- Start neurological exam with airway, breathing, and circulation assessment.
- Use clinical judgement for abnormalities rather than strict numeric thresholds in initial trauma assessment.
Safe Neck Exam Steps
- Remove cervical collar to inspect and palpate the neck unless neurological signs are present.
- Allow patients without pain or tenderness to move their neck gently to help clear cervical spine.
Cervical Collars Impact Care
- Collars are often applied liberally by EMS and nurses without clinical clearance.
- Having a collar biases clinicians toward imagining and less thorough exams due to concern.