Asistencia inicial al traumatismo pediatrico y reanimacion. Cervical spine trauma operative and nonoperative management david o. Each color zone is further subdivided into 24 estimated weight zones for proper medication dosages. Luxation articulaire posterieure, fracture dapophyse transverse, lesions du plexus brachial. During emergency trauma care, specific procedures such as extrication and mobilization maneuvers, cervical spine control by means of bimanual immobilization, and cervical collar placement or. Penetrating neck trauma western trauma association. Accuracy of the canadian cspine rule and nexus to screen for clinically important cervical spine injury in patients following blunt trauma. Management of pediatric trauma american academy of pediatrics. Initial assessment and management of pediatric trauma patients. Aoota classification pdf ao surgery reference ao foundation. Application of the current rmh cervical spine guideline resulted in. Traumatic cervical central cord spinal injuries css are now more readily. Diminuir gastos com internacao hospitalar e com procedimentos desnecessarios. Multidisciplinary approach edgar uriel hernandezvelazquez, ulises loyolagarcia, mario betancourtangeles, neyra gomezrios, oliver alejandro perezguadarrama, rosemberg alboresfigueroa, enrique coronaesquivel.
The primary survey involves several consecutive steps. Diminuir permanencia hospitalar por diagnostico e tratamento precoce. Evaluation and management of neck trauma request pdf. Aospine subaxial cervical and thoracolumbar spine injury. Controversial topics in the management of severe trauma with emphasis in monitoring, intracranial pressure, cerebral perfusion pressure, tissue oxygen pressure, mannitol, hypertonic sodium solution and hypothermia are covered.
If the length of the child falls in the blue zone, then the equipment sizes are listed accordingly. In the blue zone, 3 subdivisions of 19, 20, and 22 kg are provided. Strategie diagnostique des lesions traumatiques du rachis cervical. If you continue browsing the site, you agree to the use of cookies on this website. Approximately 72% of spinal injuries in children under 8 years old occur in the cervical spine 3. Initial trauma care includes primary and secondary surveys. In the awake and orientated blunt trauma patient, assessment of the cervical spine is relatively straight forward with the application of the validated nexus criteria 9, which includes. The abbreviated injury scale ais a brief introduction tarn. The anatomy of the developing cervical spine predisposes children to injury of the upper cervical spine. Diagnosis and management of traumatic cervical central spinal cord.
The national emergency xradiography utilization study found that applying the following five clinical criteria for not obtaining cervical spine imaging in pediatric blunt trauma had a sensitivity of 99%. Cervical spine injuries are less common in children than in adults, with 1%2% of pediatric trauma victims requiring hospitalization 7. Cervical spine collar clearance in the obtunded adult blunt trauma patient. Trauma craneoencefalico y columna cervical by montiel on prezi. Abordaje multidisciplinario damage control in penetrating trauma to the neck. Jorge alberto ospina londono, md descargar full text pdf. As the eastern association for the surgery of trauma east guideline for ccollar clearance in obtunded patients was also updated in 2015, our search was. Jun 14, 2016 traumatismo craneoencefalico pediatria slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Cervical spine collar clearance in the obtunded adult blunt. Cervical spine clearance in trauma patients mcgovern medical. Traumatic cervical pathology and its relationship to the work of forensic medicine is of great importance and relevance, especially when it is necessary to make. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Mobilisation cervicale avec aggravation des lesions neurologiques. The aim of this study is to report the surgical outcomes in a series of patients undergoing to exploratory cervicotomy by penetrating neck trauma pnt in emergency department of barros luco.
888 658 1072 426 1288 1393 1388 504 1029 149 1426 1035 214 410 231 83 1455 672 420 350 1455 1503 436 1238 589 348 140 1337 822 527 1173 302 273 1316 1387