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Pedi Pointers and Pertinent Propaganda
KMATTOX at aol.com KMATTOX at aol.comMon Sep 24 18:15:31 BST 2007
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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 ************************************** See what's new at http://www.aol.com
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