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I struggled to find PEM resources for my CT3 year, despite the variety of excellent resources out there. I hope this website will help point you in the right direction. I'm not a PEM expert, but am following the guidance CEM have issued (in the form of a syllabus) to put together this page. This page is not endorsed by CEM, and any mistakes are mine.

Please comment with corrections, additions and further suggestions.

All the information here is collected from the internet, and it might be out of date or inaccurate, so please use your judgement and adhere to your hospital's protocols. If you do notice any errors or omissions please comment so we can put them right!

To navigate, decide whether you want to start with a PMP or a PAP. You can then select which PMP or PAP you want to look at. You will then be taken to the summary page for that PMP, with links expanded topic collections. If you know what topic you want to look at already, click on the link on the right hand side.

Saturday, 7 September 2013

Trauma in Children

There are specific body systems affected in trauma. But what about trauma in general? Do we treat it exactly the same as we would in adults?

  • Tranexamic Acid
    There is a statement here from the Royal College of Paediatrics and Child Health. They acknowledge the lack of trial data, and suggest a pragmatic dosage of 15mg/kg loading dose (max 1g) over 10minutes, followed by 2mg/kg per hour.
  • FAST Scan
    This study suggests we shouldn't use FAST in children with abdominal trauma. This one says it has low sensitivity but high specificity. This one agrees. This blog makes it even more complicated - fluid in the pelvis can be normal in children!
  • Urinary catheters
    Inserting a catheter in a child is the same principal as in adults. There is a guide to paediatric catheter sizing here. Hopefully the paediatricians will help if a catheter is needed.

  • Courses
    There is a Children's Advanced Trauma Course. It seems to be run solely in Sheffield.

Please leave comments about what you think are important differences between paediatric and adult trauma. 
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