Pediatric Firearm Injuries to the Extremity

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2y ago 45:55

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In this episode, Sam Ashoo, MD interviews Rawad Rayes, MD and Eva Tovar Hirashima, MD, MPH – two of the authors of the August 2022 PEMP article on Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department.

Episode Outline:

How common are pediatric firearm injuries?

What is the most common location of these injuries?

Is there much literature published on this topic?

Epidemiology

What’s been the trend in pediatric firearm injuries over the past 10 years?
Do we have any idea how/why these are occurring (ie, accidental, intentional, etc)

Terminology: For those unfamiliar with firearms (table 1)

Ballistics: Mechanisms of damage.

Pre-hospital care

Trauma center transport
Prehospital hemorrhage control -- Combat application tourniquet, anything else?

ED Evaluation

SIPA -- What is it and why use it?
Primary survey -- Tachycardia -> delayed cap refill -> hypotension in children?
Secondary Survey
Diagnostic Studies:
Damage Control Resuscitation
Wound Care -- Do we remove projectiles? Can they stay in?
Antibiotics
Joint Involvement
Compartment Syndrome -- 3 As vs 6 Ps
Rhabdomyolysis

Controversies

CTA for all injuries?
Hemostatic devices -- Any role for these in the ED?

142 つのエピソード

#Fitness #Sam Ashoo MD #Sam Ashoo #Emergency Medicine #Science #Medicine #Podcasting Education #Emergency Department