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Emergency Care/ Injuries and Poisonings

Cervical Spine Injuries

Wound Management

Bites and Stings

Minor Burns


Gastrointestinal Decontamination

Cervical Spine Injuries

Uncommon in children

Higher fulcrum in children causes most injuries to be upper C-spine

"Adult" pattern of injury occurs after 8 years of age


Clinical "clearing" of C-spine Injuries

Radiographic Evaluation of Cervical Spine InjuriesIcon

Cervical Spine Injuries Interpretation of RadiographsIcon

C2-3 pseudosubluxation increases with neck flexion

Radiolucent cartilage and greater recoil to normal position after fracture makes interpretation of pediatric C-spine radiographs challenging

Spinal cord injury without radiographic abnormality

Management of Cervical Spine InjuriesIcon

Support Airway, Breathing, and Circulation

Immobilize the cervical spine in all children with suspected C-spine injury to prevent secondary injury

Optimal immobilization requires stiff collar and spine board with shoulder mattress pad or occipital recess

Wound Management--LacerationsIcon

General Principles

Support Airway, Breathing, Circulation