Accidental Trauma of Infancy: Emergency Department Evaluation and Management - Trauma EXTRA Supplement (Trauma CME) -
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Publication Date: February 2021 (Volume 18, Supplement 2)
CME Credits: 4 AMA PRA Category 1 Credits™. CME expires 02/15/2024. This course is included with an Pediatric Emergency Medicine Practice subscription
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 4 Trauma credits, subject to your state and institutional approval.
Daniel Saltzman, MD, PhD
AS Leonard Endowed Professor of Surgery and Pediatrics; Chief, Division of Pediatric Surgery, University of Minnesota Medical School, Minneapolis, MN
Mariya Skube, MD, MPH
Department of Surgery, University of Minnesota, Minneapolis, MN
Joyce Li, MD, MPH
Assistant Professor in Pediatrics and Emergency Medicine, Harvard Medical School, Boston, MA
Lara Zibners, MD, MMEd, FAAP, FACEP
Honorary Consultant, Paediatric Emergency Medicine, St. Mary’s Hospital Imperial College Trust, London, UK; National Educator, ATLS UK, Royal College of Surgeons, London, UK; Nonclinical Instructor of Emergency Medicine, Icahn School of Medicine at Mount Sinai, New York, NY
The common mechanisms and injury patterns of accidental trauma in infants differ from those of older children and adults, with falls representing the most common etiology. While the evaluation of traumatic injury in infants should follow an algorithm similar to that used for adults, the unique pediatric physiologic response to trauma must be taken into consideration. In addition, the utility of certain imaging studies in these patients is highly case specific, particularly with minor head injuries. This supplement reviews the evaluation and management of infants with accidental traumatic injury, including the most common circumstances and pathophysiology of injury, the differential diagnosis of the infant trauma victim, and the workup and management of accidental injuries in this patient population.
Excerpt From This Issue
A 4-month-old boy is brought to your ED by his mother, who is concerned about the effects after the baby fell...
The mother reports that the infant fell when his unsecured changing pad slid off the table while she disposed of a soiled diaper during a late-night diaper change. She heard a “thud” that she presumed to be the baby’s head hitting the floor after he fell approximately 3 feet.
The patient has no past medical history. Your initial impression is that his development seems to be appropriate for age. He is sucking on a pacifier and appears content in his mother’s arms.
A quick once-over of the patient reveals no external signs of trauma. You wonder about the best approach to evaluate this nonverbal child for injury...
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