What Defines Pediatric Hypotension?

What Defines Pediatric Hypotension?

The Pediatric Advanced Life Support (PALS)/Advanced Trauma Life Support (ATLS) formula to define hypotension in children (i.e. 5th percentile SBP) seems to be a good compromise between German and U.S. population norms for children. The formula is: Low SBP = <70 + 2(age in years).

Pediatric Needle Decompression - What Size Needle?

Pediatric Needle Decompression - What Size Needle?

A standard 5cm 14-16 gauge needle for chest decompression was more than twice as long as needed for children < 13 years old based on CT chest wall thickness (CWT).

Ketamine RCT - Multiple Rib Fractures

Ketamine RCT - Multiple Rib Fractures

Low dose ketamine did not reduce overall pain or opioid use in this study of patients with rib fractures. However, for severely injured patients with ISS>15, ketamine allowed patients to achieve the same level of pain control with significantly less opioid medication.

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