Module 7: Complications of Pediatric Multi-Organ Trauma and Other Injuries (Drowning, Burns)

Slide 1 - Learning ObjectivesSlide 2 - Timing of Trauma DeathsSlide 3 - Immediate DeathsSlide 4 - Early Deaths ('Golden Hour')Slide 5 - Late DeathsSlide 6 - Survival Following Pediatric TraumaSlide 7 - Spinal Cord InjuriesSlide 8 - Spinal Cord InjuriesSlide 9 - HypothermiaSlide 10 - Harmful Effects of HypothermiaSlide 11 - Prevention/Treatment of HypothermiaSlide 12 - Acute Respiratory Distress Syndrome (ARDS)Slide 13 - Submersion and DrowningSlide 14 - Outcome After SubmersionSlide 15 - Therapy for SubmersionSlide 16 - Thermal Injuries - Flames and ScaldsSlide 17 - Thermal BurnsSlide 18 - Burns: epidemiologySlide 19 - Burns: inhalation injurySlide 20 - Burns: injury depth and extentSlide 21 - Burns: stabilization and fluidsSlide 22 - Fluid Resuscitation for BurnsSlide 23 - Fluid Resuscitation for BurnsSlide 24 - Burns: transfer and additional considerationsSlide 25 - Burn referencesSlide 26 - Management of Inhalation InjurySlide 27 - Further Resources for Burn InjuriesSlide 28 - Post-Traumatic Stress DisorderSlide 29 - Common Triggers for PTSDSlide 30 - PTSD SymptomsSlide 31 - Caregivers Need Care TooSlide 32 - Review: Question 1Slide 33 - Review: Question 2Slide 34 - Review: Question 3Slide 35 - Review: Question 4Slide 36 - Review: Question 5Slide 37 - Burns: review questionSlide 38 - Acknowledgments of 38

Burns: stabilization and fluids

• Primary survey: ABCDE sequence as for other trauma
• Pre-hospital fluids if large burn:
  • Adults and children>14 years: LR 500ml/hour
  • Children 6-13 years: LR 250ml/hour
  • Children ≤5 years: LR 125 ml/hour
• Once burn TBSA is estimated, give 3ml LR/kg/TBSA, with ½ over 1st 8 hours
• Titrate LR to hourly urine output, goal: 0.5-1ml/kg/hour
• Add D5LR at maintenance rate for children =< 30 kg

Module 7: Complications of Pediatric Multi-Organ Trauma and Other Injuries (Drowning, Burns)

Burns: injury depth and extent

Fluid Resuscitation for Burns