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Primary Care Perspectives

Primary Care Perspectives: Episode 125 - Emergency Room or Not?

May 16, 2022
Daniel Corwin, an emergency medicine physician at Children’s Hospital of Philadelphia, dives into the crucial topic of pediatric head trauma. He discusses the distinctive criteria for assessing children under two, revealing why they differ from older kids. Corwin explains the importance of evaluating injury mechanisms and offers practical guidelines for parents on monitoring their child after a head injury. He also sheds light on recent changes in concussion management, emphasizing a more supportive approach to recovery for young patients.
30:43

Episode guests

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Quick takeaways

  • Understanding specific criteria for assessing head trauma in children under 2 years old is crucial for safe management decisions.
  • Recognizing symptoms of concussion in children over 5 years old enables tailored recovery strategies and timely referrals to specialists.

Deep dives

Understanding Acute Head Injuries

Acute head injuries are defined as injuries occurring within 24 hours and encompass various types of trauma that are not abuse-related. The classification of patients into two age groups—under 2 years and over 2 years—is crucial for assessing the risk of severe injuries. Children under 2 years are often preverbal, which complicates the ability to communicate symptoms, while their anatomical differences make them more vulnerable to injury. Additionally, exposure to ionizing radiation from CT scans poses long-term risks for younger children, underscoring the need for specific evaluation criteria based on age.

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