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Home > List Archives

Pediatric Injuries

Dave Eging trauma-list@trauma.org
Thu, 30 May 2002 16:39:32 -0700


Hello All,

I am new to this list and I thought I would take this opportunity to ask a
question that I still have not gotten a straight answer for yet. I work in a
Theme Park setting and I deal mostly with children, I have had instances in
the past where a parent has brought in their child having pain after lifting
them by the arm. The parents all claim that they heard or felt a "pop" prior
to the child having pain in the affected extremity. I was wondering what the
best course of treatment should be if you are presented with something of
this nature. Given that the child is reluctant to let you touch or move the
injured extremity, would your best course of action be to immobilize the
area completely and send them for and x-ray or try and determine the range
of motion and then decide how you are going to splint? Another question is
if it is in the elbow, do you splint the elbow in a straight position or do
you splint it with a bend at the elbow and then put them in a sling? I know
this may seem like something that is obvious but as I have said before I
never really have gotten a straight answer yet, thanks for any help you can
give me.

Dave