Evaluation and Management of Pediatric Patients With Penetrating Trauma to the Torso (Trauma CME)

By EB Medicine

  • Journal CME
  • May 01, 2019 - Jun 01, 2022
  • CME : 4
  • USD 75.00

Overview

Evaluation and Management of Pediatric Patients With Penetrating Trauma to the Torso (Trauma CME) is organized by EB Medicine

Date of Original Release: May 1, 2019
Date of most recent review: April 15, 2019.
Termination date: May 1, 2022.
CME Expiration Date: June 1, 2022

Target Audience:
 This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents.

CME Credits:
4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits. 

Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 2 Pharmacology CME credits

About this Issue:
Children with penetrating trauma to the torso require careful evaluation of the chest, abdomen, pelvis, and genital structures for system-specific injuries that may contribute to rapid decompensation and influence the order of emergent resuscitation. This issue provides an evidence-based approach to the assessment and management of pediatric patients who present with penetrating injuries to the torso. You will learn:

• Principles of firearm ballistics and how the type of weapon relates to the gunshot wound it creates
• Physiologic and anatomic criteria that indicate a patient will have better survival outcomes if transported via helicopter versus ground transport
• Key aspects to consider while performing the primary survey and secondary survey
• Which methods for estimating a child’s weight are most accurate
• A quick method for estimating the appropriate chest tube size
• How tools such as the Injury Severity Score and Pediatric Trauma Score can be used to estimate the severity of injuries and associated morbidity/mortality
• Evidence-based recommendations for management of pediatric patients with penetrating trauma, based on the location of the injuries, including:
• When a patient with thoracic penetrating trauma should be sent emergently to the operating room
• Which laboratory studies are recommended, and which have little clinical utility
• Which imaging studies should be performed, and which are less sensitive/specific in patients with penetrating trauma
• The benefits of laparoscopy, and when laparoscopy should be converted to laparotomy

Goals: 
Upon completion of this activity, you should be able to: 
• demonstrate medical decision-making based on the strongest clinical evidence; 
• cost-effectively diagnose and treat the most critical presentations; and 
• describe the most common medicolegal pitfalls for each topic covered.

CME Objectives:
Upon completion of this article, you should be able to:
• Recognize signs and symptoms corresponding to underlying injuries associated with penetrating trauma
• Perform initial stabilizing procedures used for penetrating injuries of the chest, abdomen, and pelvis
• Choose appropriate, evidence-based diagnostic studies to identify clinically important injuries sustained from penetrating trauma
• Appropriately disposition pediatric patients with penetrating injuries.

Credit Info

  • CME : 4

Specialties

  • Emergency Medicine
  • Surgery
  • Trauma

Author (s)

2 Author(s)

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