The Pediatric Patient in Wartime
Just when you thought you were getting comfortable with combat trauma, an injured child rolls into your trauma bay. The pulse is 180 – can’t remember if that’s normal for this age or not. Don’t have a small enough blood pressure cuff, but you think you might be feeling a femoral pulse. The nurses are frantically searching for IV access, and the ER docs are trying to figure out if they have a small enough endotracheal tube to intubate. Nothing can throw you off of your game like a severely injured child, and the smaller the child the larger the difficulties and anxiety. Rule number one is: You will see pediatric trauma. Rule number two should be: I will be prepared for pediatric trauma.