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.
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Value Families' Trust in ED
- Dr. Dan Corwin shared advice from his mentor about appreciating families who come to the ED at night with minor complaints.
- This perspective reminds clinicians to value the trust families place in them, even during challenging shifts.
Courage to Say 'I Don't Know'
- Have the courage to say 'I don't know' and know how to quickly find the right information.
- Encouraging this mindset helps learners and clinicians provide safer, more informed care.
Shifting from Mechanism to Exam
- Mechanism alone no longer dictates spinal imaging; careful exam guides decisions.
- High-risk mechanisms like diving and high-speed crashes prompt focused physical evaluation, not automatic imaging.