Pediatric emergency medicine trisk 3365 3365

Children with minor trauma should be assessed for any associated
serious injuries and wound management should not preempt care of
more life-threatening injuries.
A thorough evaluation includes learning the mechanism of injury, the
age of the wound, determining if there is a retained foreign body, and a
careful physical examination that includes assessing for any associated
injuries.
All wounds should be examined before and after cleansing to
determine the best plan for repair.
All wounds heal by scarring but the goal is to minimize their
appearance.
The use of absorbable sutures in pediatrics is favored in certain
situations, as it avoids an additional procedure of suture removal.
The use of topical anesthetics, anxiolysis, child life specialists, and
distraction techniques can all be helpful and effective to facilitate wound
repair.
Maximize patient and parent satisfaction by setting expectations on
length of stay, providing timely care, optimizing cosmetic results,
minimizing pain, and avoiding infection.
RELATED CHAPTERS
Resuscitation and Stabilization
A General Approach to the Ill or Injured Child: Chapter 7
Medical, Surgical, and Trauma
Infectious Disease Emergencies: Chapter 94
ENT Trauma: Chapter 106
Genitourinary Trauma: Chapter 108
Hand Trauma: Chapter 109
Ocular Trauma: Chapter 114
Procedures and Appendices
Procedural Sedation: Chapter 129
Procedures: Chapter 130