TRAUMA - PAEDIATRIC
BLUNT ABDO TRAUMA - PAEDS
Prompt
Response8M, fall from bike 2 days.
Circular contusion of age consistent with trauma 2 days ago
Clinical concern for handlebar injury
Circular contusion of age consistent with trauma 2 days ago
Clinical concern for handlebar injury
PromptDifferentials for injury in above patient
ResponseTrauma
https://www.rch.org.au/trauma-service/manual/abdominal-injury/
- Solid organ – Spleen > Liver > Kidneys > Pancreas.
- Hollow – Duodenum > Ileum > Large Bowel.
- Vascular injuries
https://www.rch.org.au/trauma-service/manual/abdominal-injury/
PromptDiscuss imaging options in 8 yo with blunt abdominal trauma
ResponseCT – Gold standard imaging / Aids in treatment conservative vs surgical / Identifies non traumatic causes = Requires transfer from ED / Ionising radiation exposure
XR – Rapid / Available / Identifies perforation in dept = Does not assess any other injuries
USS – No radiation / Available / Good for solid organ injury / Identifies free fluid / Identifies non-traumatic injury in this case = Negative study does not exclude injury / Does not assess bowel
POCUS – Bedside / Rapid / Reproducible = User dependent / Not validated in paediatric population
XR – Rapid / Available / Identifies perforation in dept = Does not assess any other injuries
USS – No radiation / Available / Good for solid organ injury / Identifies free fluid / Identifies non-traumatic injury in this case = Negative study does not exclude injury / Does not assess bowel
POCUS – Bedside / Rapid / Reproducible = User dependent / Not validated in paediatric population