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Trauma Surgeons Gone Wild: Peds C-Spine Clearance

Mizuho Spangler, DO and Kenji Inaba, MD
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20:03
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Nurses Edition Commentary

Mizuho Spangler, DO, Lisa Chavez, RN, and Kathy Garvin, RN
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01:18

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EM:RAP 2015 December Summary 976 KB - PDF

Is it possible to clinically clear the pediatric cervical spine in the setting of trauma? Kenji Inaba details his approach to this often vexing question.

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Shawn L., M.D. -

The context of the practice of the discussants is important. As a trauma Dr Inaba sees peds patients who are subjected to the highest energy/risk mechanisms and are therefore at greatest risk of actually having the very rare pediatric c-spine fracture. In this population with a higher incidence of fracture a CT makes sense. Dr Sloas likely sees more of a general EM peds population (like the rest of us) where it is more questionable to CT patients given the non-trivial dose of a scan if the pretest probability of an injury is not high.

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The Psychiatry of Peds C-Spine Full episode audio for MD edition 256:04 min - 357 MB - M4AEM:RAP 2015 December Australian Edition Australian 46:29 min - 64 MB - MP3EM:RAP 2015 Décembre Résumé en Francais Français 67:47 min - 39 MB - MP3EM:RAP 2015 December Canadian Canadian 34:22 min - 16 MB - MP3EM:RAP 2015 Diciembre Resumen Espanol Español 75:29 min - 38 MB - MP3EM:RAP 2015 December Board Review Answers 269 KB - PDFEM:RAP 2015 December Board Review Questions 241 KB - PDFEM:RAP 2015 December MP3 313 MB - ZIPEM:RAP 2015 December Summary 976 KB - PDF

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