By Ffion C. W. Davies
(Arnold) The Royal London clinic, London, united kingdom. Pocket-sized reference presents concise info on preliminary overview, differential diagnoses, and administration of quite a lot of minor trauma. positive aspects functional instructions to the profitable regulate of discomfort in childrens. Key issues are flagged for fast entry. For physicians and citizens. Softcover.
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Extra resources for Minor Trauma in Children: A Pocket Guide
After removal, apply a patch and prescribe antibiotic ointment (see above), and arrange follow-up. Chemical injuries If possible, differentiate between acid and alkaline liquids using litmus paper. Different pH value. types of litmus paper are available. Use the paper that gives you a Litmus paper is not useful for monitoring response to irrigation, unless tested half an hour after irrigation has stopped and the child is symptom free. g. household cleaning fluids. If the fluid is acidic, then irrigation using 500 ml of saline, via an IV giving set, should suffice.
Lacerations crossing the vermillion border of the lip Wounds crossing the vermillion border of the lip require perfect anatomical repair with sutures, to avoid a 'step' in the line of lip border, which has greater cosmetic consequences for this part of the body than for most others (except the eyebrow). Despite accurate initial repair, a step may develop later, as the child grows. Parents should be warned about this. 'Through and through' lacerations of the lip This means that the wound extends from the inside of the mouth to the skin outside, and is usually caused by the teeth.
Difficult. If the child is very agitated and spinal precautions are necessary, immobilization may be harmful, as the body is pivoting on the neck. g. parent) or allow the child to move, retaining the hard collar, if possible, for some protection. For mechanisms such as those described in the introduction to this chapter it is wise to immobilize all children. Those brought by ambulance will frequently have been immobilized already. This need not be continued if further assessment is normal (see below).