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Guide for testing and documenting neurological function in kids with upper limb fractures 

Rock - Median
with upper limb fractures ... Ulnar Nerve OK Sign ... drsarahedwards #Diagnosis ... #Pediatrics #Hand ... #Injury #Innervation
CATCH Predictors for Clinically Significant TBI 
 - GCS Less than 15 at 2 hours post
depressed skull fracture ... exam - Any Sign ... Predictors #Traumatic #Brain ... #Injury #Diagnosis ... #Peds #Pediatrics
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
anterior sail sign ... • ED Management ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis ... #Management #Orthopedics
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
can't make A-OK sign ... ), ligamentous injury ... brachial artery injury ... • ED Management ... Radiology #XRay #Diagnosis
Supracondylar Elbow Fracture
• Most common elbow fracture in children, peak age 5-7 
• When looking at
anterior sail sign ... can't make A-OK sign ... brachial artery injury ... syndrome • ED Management ... Radiology #XRay #Diagnosis
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
"Terry Thomas" sign ... to diagnosis scapholunate ... • Due to injury ... ("Terry Thomas sign ... MH/CCF/CWRU EM
CHALICE Predictors of Clinically Significant Head Iniury 
History 
 - Witnessed LOC > 5min 
 -
fontanelle - Signs ... of Basal skull fracture ... Predictors #Traumatic #Brain ... #Injury #Diagnosis ... #Peds #Pediatrics
Canadian CT Head Rule 

CT head is only required for minor head injury patients 
with any
Any sign of basal ... skull fracture* ... Medium Risk (for Brain ... elevation) #Diagnosis ... #Management #Canadian
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
The Lazarus sign ... Long-term survival ... diagnosis has been ... Lazarus #Reflex #PhysicalExam ... #clinical #video
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
surrogate measure of brain ... is also a late sign ... Newborn #Infant #PhysicalExam ... Examination #Peds #Pediatrics ... #Diagnosis