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Home > List Archives

Pedi Pointers and Pertinent Propaganda

KMATTOX at aol.com KMATTOX at aol.com
Mon Sep 24 18:15:31 BST 2007


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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