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management cabcde clinical environment kidney mountain pediatrics perinephric primary renal survey ultrasound wilderness
Algorithm for management of Multiple Trauma in Mountain Environment Complete primary survey - Haemorrhage control (regional and
Algorithm for management ... of Multiple Trauma ... pelvic binder, compression ... Circulatory support: fluids ... SMR - Consider POCUS
Perinephric fluid on POCUS Differential Diagnosis: Calyceal rupture due to obstruction (eg, ureteral stone, crossing vessels, compression
on POCUS Differential ... ureteral stone, crossing ... vessels, compression ... hematoma from trauma ... (usually from trauma
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 Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Pediatric Trauma ... direct pressure/compression ... Binder) • Use POCUS ... no response to fluids ... massive transfusion protocol
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