Round 35 (Pediatric Trauma)

You are working at *rural* Clerkship General when you receive a radio call from EMS – 7yo male from a severe bus accident with a large scalp laceration, unable to control the hemorrhage.











Initial Vitals











* HR: 136* RR: 22* BP: 80/35* O2%: 100%* Temp: 98F











Critical Actions:











* Perform ATLS Algorithm* Control Hemorrhage* Transfuse pRBCs* Replete Factor VIII with correct dosing (100% replacement)* Diagnose supracondylar fracture on XR and splint appropriately











Further Reading:











emDOCs – Managing Hemophilia in the ED











CoreEM – Supracondylar fracture in the ED