Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department (Trauma CME and Pharmacology CME) | Podcast
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Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department (Trauma CME and Pharmacology CME)

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Date: 10/03/2022 | Length: 45:55

Show Notes

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? 
 

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he takes you through the August 2022 issue of Pediatric Emergency Medicine Practice: Pediatric Firearm Injuries to the Extremity: Management in the Emergency Department (Trauma CME and Pharmacology CME)


About The Podcast

Get quick-hit summaries of hot topics in emergency medicine. EMplify summarizes evidence-based reviews in a monthly podcast. Highlights of the latest research published in EB Medicine's peer-reviewed journals educate and arm you for life in the ED.

Publication Information
Authors

Rawad Rayes, MD; Cathy Dong, MD; Eva Tovar Hirashima, MD, MPH

Peer Reviewed By

Jefferson Barrett, MD, MPH; Hoi See Tsao, MD, MPH

Publication Date

August 2, 2022

CME Expiration Date

August 2, 2025

Pub Med ID: 35861571

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CME Information

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