|CURRENT Diagnosis & Treatment: Pediatrics|
Chapter 11. Emergencies & InjuriesMaria J. Mandt, MD Joseph A. Grubenhoff
Sections: The ABCs of Resuscitation, Management of Shock, Summary of Cardiopulmonary Resuscitation, Emergency Pediatric Drugs, Approach to the Seriously Ill Child, Preparation for Emergency Management, Reception & Assessment, Approach to the Pediatric Trauma Patient, Mechanism of Injury, Initial Assessment & Management, Primary Survey, Secondary Survey, Head Injury, Concussion (Mild Traumatic Brain Injury), Diffuse Axonal Injury, Burns, Thermal Burns, Electrical Burns, Disorders Due to Altered Environmental Temperature, Heat-Related Illnesses & Heat Stroke, Hypothermia, Submersion Injuries, Animal & Human Bites, Dog Bites, Cat Bites, Human Bites, Procedural Sedation & Analgesia (PSA).
Excerpt:"When faced with a seriously ill or injured child, a systematic approach and rapid determination of the child's physiologic status with concurrent initiation of resuscitative measures is imperative. Initial management must be directed at correcting any physiologic derangement. Specifically, one must evaluate the airway for any obstruction, assess ventilatory status, and evaluate for shock. Intervention to correct any abnormalities in these three parameters must be undertaken immediately. Following this initial intervention the provider must then carefully consider the underlying cause, focusing on those that are treatable or reversible. Specific diagnoses can then be made, and targeted therapy (eg, intravenous [IV] glucose for hypoglycemia) can be initiated...."
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