WOAH the #trauma session is #PedsICU #WFPICCS20

Rethinking practice paradigm and realizing we have room for improvement at our center

Invasive ICP monitoring might not be the best parameter to monitor
Maybe we should focus on BP for cerebral perfusion

Color coded approach to prioritize intervention in traumatic patient

Stop arterial bleeding
Stop venous bleeding
Large bowel injury
Small bowel and bile contamination
GU tract

#PedsICU #WFPICCS20

Severe abdo trauma approach #PedsICU #WFPICCS

Early assessment of analgesia and sesation
Hemostatic resuscitation ratio 1:1:1
Fluid balance (will be overloaded)
Potential benefit for 3% saline intestinal edema and time to primary closure
Nutrition and rehab

Such an insightful presentation by @karen_choong #WFPICCS #liber8 #PedsICU

Bedrest is Harmful
S is for set your patient free not stiffness
Reduces ICP and improves brain perfusion
Bone Fx : edema and ROM
Early mobilisation is SAFE
#rethinkingtrauma

Why is the predetermined ratio favorable for massive transfusion protocols

Mitigates early coagulopathy by administration of coag factors early
Amount of crystalloids needed thus less hemodilution
Removes the delay in ordering and transfusion
#PedsICU #WFPICCS