<< Diagnosis And Management Of Motor Vehicle Trauma In Children: An Evidence-Based Review (Trauma CME)


The first goal of treatment in the ED is to identify and treat conditions that will lead to rapid deterioration of the patient, such as airway obstruction, respiratory failure, tension pneumothoraces, massive hemothoraces, cardiac tamponade, or uncontrolled hemorrhage.148 All of these conditions require emergent procedural interventions (such as endotracheal intubation, needle cricothyroidotomy, needle decompression, tube thoracostomy, or pericardiocentesis), and they should be identified and initially managed during the primary survey.148,149

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