Module 5: Pediatric Blunt Abdominal and Chest Trauma
Slide 1 - Learning Objectives Slide 2 - Anatomy relevant to blunt trauma Slide 3 - Trauma biomechanics Slide 4 - Pediatric Trauma Biomechanics Slide 5 - Tension pneumothorax Slide 6 - Tension pneumothorax Slide 7 - Tension Pneumothorax management Slide 8 - Hemothorax Slide 9 - Hemothorax Treatment Slide 10 - Mainstem intubation Slide 11 - Pericardial tamponade Slide 12 - Pericardial Tamponade treatment Slide 13 - Anatomy relevant to blunt abdominal trauma Slide 14 - Blunt abdominal trauma Slide 15 - Abdominal solid organ injury Slide 16 - CT scanning in pediatric patients Slide 17 - CT scanning in pediatric patients 2 Slide 18 - Solid organ injury grading scales Slide 19 - Liver & Spleen Blunt Injury Slide 20 - Liver & Spleen Operative Management Slide 21 - National guidelines: liver and spleen injury Slide 22 - Vital signs in liver / splenic injury Slide 23 - Gastric distension in small children Slide 24 - Review question #1 Slide 25 - Review question #2 Slide 26 - Review question #3 Slide 27 - Review question #4 Slide 28 - Review question #5 Slide 29 - References Slide 30 - Acknowledgments
Pericardial tamponade: occurs when blood collects in the pericardial space, impairs cardiac filling and reduces cardiac output (this is very rare in blunt pediatric trauma)
Diagnose tamponade by:
Muffled heart sounds and distended neck veins Cardiac shadow on chest x-ray may be enlarged Shock: tachycardia, hypotension, low urine output, cool skin Hypotension, muffled heart sounds and distended neck veins: “Beck’s triad” Pericardial fluid and abnormal cardiac wall motion on ultrasound (echocardiography) Module 5: Pediatric Blunt Abdominal and Chest Trauma
