Kids can get hypotension from isolated head injury (Am J Surg 184:555, 2002)
Normal Vitals revisited (Lancet 2011;377:1011)
Sorry I have lost the attribution for these:
Below are a few things that we see a significant amount of here at our Level I Pediatric Center. We are the only Peds Center in the area, so I think we have a pretty good sample size, etc.
* Failure to realize a R mainstem intubation / esophageal intubation
* Failure to realize the difference in resuscitation in children
* Failure to estimate TBSA using the Lund & Browder (not the rule of 9’s)
* Failure to use the appropriate GCS (peds not adult)
* Children are highly successful non-operative in “appropriately selected cases” – Failure to identify those cases appropriately.
* DELAY IN TRANSFER TO DEFINITIVE CARE (51% of our transfers sit in a referral center for longer than 2hrs, and usually upper towards 4hrs)
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