Podcasts
PTS-EAST Traumacast Pediatric Blunt Solid Organ Injury Guidelines
Guest Podcast on behalf of the Pediatric Trauma
Society:
So you think you know how to handle pediatric
solid organ injuries? In this Traumacast, we hear from Drs. Ian Mitchell, Regan
Williams, Judith Hagedorn, and Bindi Naik-Mathuria from the Pediatric Trauma
Society (PTS) about updates to practice management guidelines for pediatric
solid organ injury. The discussion is geared toward those that might initially
manage a pediatric patient but also those "adult” hospitals caring for
kids ages 15 and up.
Links mentioned in the
podcast:
-Pediatric Trauma Society Guidelines, http://bit.ly/2qyEWYU
-Liver/Spleen Guideline - J Pediatr Surg. 2000 Feb;35(2):164-7; discussion
167-9, http://bit.ly/2PpJIA8
-EAST Pediatric Blunt Renal Trauma Guideline, http://bit.ly/2PlcLVB
-Pancreas Guideline - J Trauma Acute Care Surg. 2017 Oct;83(4):589-596. doi:
10.1097/TA.0000000000001576, http://bit.ly/2Lv3CbI
Sections
- Intro (00:00)
- Dr. Ian Mitchell Introduction pediatric trauma guidelines (02:38)
- Why specific guidelines for children? (04:45)
- What was the previous guidelines? (06:23)
- Methodology behind the guidelines creation (07:38)
- Utilization in a non pediatric center (08:45)
- Online resources (11:08)
- Dr. Regan Williams Introduction liver spleen guideline (12:30)
- Website guidelines walkthrough Liver/Spleen case (17:10)
- Dr. Judith Hagedorn renal guidelines introductions (35:25)
- PICO question 1 (38:15)
- Cases where operative interventions is warranted and techniques (40:58)
- PICO question 2 (42:56)
- Gel foam vs permanent coil (44:25)
- PICO question 3 (48:09)
- Timing and frequency of monitoring (50:55)
- Delayed images in routine workup? (52:33)
- When should you consult urology? (54:47)
- Dr. Bindi Naik-Mathuria Introduction Pancreatic Trauma (58:10)
- Overview of guideline and take home message (01:02:08)
- For kids what is best imaging modality? (01:09:20)
- What patients later require surgery? What indications? (01:12:08)
- When to transfer? (01:13:28)
- What follow up and how long? Imaging? (01:14:47)