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Paeds Casesacute-care-resuscitation-and-toxicology

Paeds Cases · acute-care-resuscitation-and-toxicology

Run the survey, not the label — major trauma and the trauma team

A bedside structured clinical encounter testing recognition of the injured child, leadership of a team-led <C>ABCDE trauma primary survey, catastrophic-haemorrhage-first reasoning, weight-based fluid with early blood, protecting the cervical spine, communication, early escalation, safeguarding in parallel, handover and disposition.

structured clinical encounter (trauma team leadership)4 min readVerification in progress

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
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Study tools

Target exams

RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
A seven-year-old is brought to the resuscitation bay after being struck by a car at speed, with an open leg wound that is bleeding, a seat-belt mark on the abdomen, and signs of shock with a normal-range blood pressure.

Station status

This is one MedVellum formative structured clinical encounter. The scoring, prompts and performance descriptions are educational feedback tools. They are not an official college station, timing, mark allocation, pass score or reproduced examination format. The encounter assesses first-impression recognition, leadership of a team-led <C>ABCDE trauma primary survey, catastrophic-haemorrhage-first reasoning, weight-based fluid with early blood, cervical spine protection, communication, reassessment, escalation and safe transfer of information. [6] [8]

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You have read the opening of this case. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship library.

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References5ShowHide
  1. [1]Kuppermann N, Holmes JF, Dayan PS, et al. Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study Lancet (London, England), 2009.PMID 19758692
  2. [2]Leonard JC, Harding M, Cook LJ, et al. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study The Lancet Child and Adolescent Health, 2024.PMID 38843852
  3. [5]Russell, Russell T Damage-control resuscitation in pediatric trauma: What you need to know The journal of trauma and acute care surgery, 2023.PMID 37314396
  4. [6]Galvagno SM Jr, Nahmias JT, Young DA Advanced Trauma Life Support Update 2019: Management and Applications for Adults and Special Populations Anesthesiology clinics, 2019.PMID 30711226
  5. [8]Leeper CM, McKenna C, Gaines BA Too little too late: Hypotension and blood transfusion in the trauma bay are independent predictors of death in injured children The journal of trauma and acute care surgery, 2018.PMID 29389838
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