TRAUMA TREATMENT FIELD MANAGEMENT (PED)
1. Head and Spinal Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management
ii. Oxygen to keep SpO2 100%
iii. Hyperventilation should be avoided. Maintain End Tidal CO2 between 35 and 45.
iv. Elevation of head if possible to decrease cerebral edema
v. Assist with ALS management
b. Advanced Life Support (ALS)
i. Rapid transport to PEDIATRIC Critical Care Center if significant mechanism of injury or suspected head or spinal injury
ii. Large bore venous access/Intraosseous access Cardiac Monitor
iii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iv. If hypotension and shock are present in a child with a head injury, consider another cause – suspect internal bleeding! Avoid hypotension.
2. Torso Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management
ii. Oxygen to keep SpO2 >94%
iii. Assist with ALS management
b. Advanced Life Support (ALS)
i. Rapid transport to PEDIATRIC Critical Care Center if significant mechanism of injury
ii. Large bore venous access/Intraosseous access
iii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iv. Cardiac Monitor
v. Needle decompression if suspected pneumothorax or hemothorax
3. Extremity Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management if appropriate
ii. Oxygen to keep SpO2 >94%
iii. Extremity immobilization, elevation, and ice
iv. Frequent check of distal circulation, sensation and motor function
v. Assist with ALS management
b. Advanced Life Support (ALS)
i. Large bore venous/Intraosseous access
ii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iii. Pain management per pain protocol
VI TAL SIGNS AND REFERENCE (PED)
1. Head and Spinal Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management
ii. Oxygen to keep SpO2 100%
iii. Hyperventilation should be avoided. Maintain End Tidal CO2 between 35 and 45.
iv. Elevation of head if possible to decrease cerebral edema
v. Assist with ALS management
b. Advanced Life Support (ALS)
i. Rapid transport to PEDIATRIC Critical Care Center if significant mechanism of injury or suspected head or spinal injury
ii. Large bore venous access/Intraosseous access Cardiac Monitor
iii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iv. If hypotension and shock are present in a child with a head injury, consider another cause – suspect internal bleeding! Avoid hypotension.
2. Torso Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management
ii. Oxygen to keep SpO2 >94%
iii. Assist with ALS management
b. Advanced Life Support (ALS)
i. Rapid transport to PEDIATRIC Critical Care Center if significant mechanism of injury
ii. Large bore venous access/Intraosseous access
iii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iv. Cardiac Monitor
v. Needle decompression if suspected pneumothorax or hemothorax
3. Extremity Injuries
a. Basic Life Support (BLS)
i. Spinal restriction/airway management if appropriate
ii. Oxygen to keep SpO2 >94%
iii. Extremity immobilization, elevation, and ice
iv. Frequent check of distal circulation, sensation and motor function
v. Assist with ALS management
b. Advanced Life Support (ALS)
i. Large bore venous/Intraosseous access
ii. Fluid bolus NS/LR at 20 ml /kg for hypotension or dehydration
iii. Pain management per pain protocol
VI TAL SIGNS AND REFERENCE (PED)