This week the podcast features a lecture from Dr. Frosso Admakos - Assistant Residency Director at Metropolitan Hospital in NYC
Core EM - Emergency Medicine Podcast Episode 149.0 – Simplified Approach to Peds Trauma
Jun 11, 2018
Frosso Admakos, Assistant Residency Director at Metropolitan Hospital in NYC, shares her expertise on handling pediatric trauma. She encourages ER doctors to stay calm, emphasizing that treating children isn't vastly different from adults. Key discussions include effective role assignments during resuscitation and interpreting tachycardia as a sign of compensated shock. Frosso also addresses critical airway management techniques and the necessity of early intubation. Her insights into trauma protocols and the importance of timely interventions provide invaluable guidance for practitioners.
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Stay Calm; Assign Clear Roles
- Stay calm and confident when managing pediatric trauma just as with adult resuscitations.
- Assign roles for Brasel team support and family care to streamline the resuscitation process.
Tachycardia Means Shock Until Proven
- Assume that tachycardia in pediatric trauma represents compensated shock until proven otherwise.
- Do not dismiss tachycardia as anxiety or pain; early recognition is critical to prevent arrest.
Intubate Early With Proper Position
- Intubate pediatric trauma patients early rather than waiting for fluids or specialists.
- Position the child carefully with ear to sternal notch and use cuffed tubes and proper blades for intubation.