IT’S TRAUMA TUESDAY

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For nurses and other clinicians practicing anywhere

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Article of the Week

Injured Teens: Treat Them as Kids or Adults?

Injured children under 12 years old clearly do BETTER when treated at a pediatric trauma center, but is the same true of adolescents? This study evaluated mortality differences between severely injured adolescents treated at pediatric vs adult trauma centers. Click the link to see what the researchers found.

Muttalib F, Tillmann B, Ernst G, et al. Mortality Among Severely Injured Adolescents Admitted to Pediatric vs Adult Trauma Centers. JAMA Netw Open. 2024;7(12).

Trauma Happenings

Critical Kids: Phoenix Sepsis Criteria

Sepsis: so deadly to our trauma inpatients, yet so hard to identify and classify. This brief emDocs blog presents a new tool, the Phoenix Sepsis Criteria, that appears to outperform other sepsis screening instruments (e.g., SIRS, pSOFA)  for kids. The tool is straightforward, easy to use, and is scored based on PaO₂:FiO₂ ratios, the need for vasoactive medications, serum lactate levels, MAP, coagulation markers, and neuro status. Click the link to learn more.

Why do some TCAR/PCAR modules have a long list of competencies while others have none?

The number of Related Competencies listed at the end of every TCAR or PCAR module depends on the topics presented. For example, the BIOMECHANICS module has a short competencies list because most of the material presented (e.g., gravity, direction of impact) is conceptual rather than hands-on, like the thoracic module.

You can reveal a letter or the entire word if you get stuck

Who invented lane lines?

Those white or yellow lines we take for granted on nearly all roads weren't always there. The story is a great example of how healthcare providers can impact lifesaving public policy changes. Check this Atlas Obscura link to learn their history

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