Pedi Pointers and Pertinent Propaganda

[Bjorn, Pret]

Never enough -- especially if it permits me to drop your name.  
Thanks tons, Dr. Mattox.
And boy, can you compose on the fly!

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
Sent: Monday, September 24, 2007 1:16 PM
To: trauma-list at trauma.org
Subject: Re: Pedi Pointers and Pertinent Propaganda

1.    Narrower window of safety
2.    Difficulty in evaluation of the pedi cervical  spine because of
growth 
plates
3.    Kids are very resilient
4.    Do not forget PTSD in kids
5.    Need for kids support systems, in ICU
6.    Tendency to push longer in futility cases in  Kids
7.    Keeping families out of SHOCK ROOM when doing  thoracotomies,
trachs, 
etc. in Kids, it stresses the team
 
8.    Fluid restriction also applies in kids
9.    Kids are more ameniable to excessive cyclic hyper  resuscitation
than 
adults, they too can be harmed by too much fluid
 
10.    Interosseous debate
11.    Torn bronchus blunt injury often overlooked for  5-7 days
12.    Debate as to when kids with spleen in liver non  operated
injuries can 
go back to contact sports
13.    Hurt kids worry about their parients  understanding 
14.    Kids do very well in ADULT ICUs if they have  injuries which
mandate 
that they be in an ICU
15.    Injured kids in a pedi ICU probably do not do as  well as being
in a 
TRAUMA ICU in that in the former there are too many people  calling the
shots.  
 
That is enough for now
 



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