PECARN, NEXUS, and Canadian C-Spine Rule for Pediatric Head & Neck Trauma

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EMJC’s in-house gymnast graces us with his presence as Kyle (MS4) leads Arman (MS4) and Nathan (MS4) through a case of a child brought to the ED after a trampoline accident. How would you approach this case? As always, we learn a couple of very important points about pediatric trauma and injuries. If you have any questions, concerns, or comments, please email us at emjccast@gmail.com.

*****EPISODE SPOILERS BELOW*****

Here’s the article on PECARN Head Injury Algorithm
Kuppermann, N., Holmes, J. F., Dayan, P. S., Hoyle, J. D., Atabaki, S. M., Holubkov, R., … & Pediatric Emergency Care Applied Research Network. (2009). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. The Lancet, 374(9696), 1160-1170.

Here’s the PECARN C-Spine Paper
Leonard, J. C., Kuppermann, N., Olsen, C., Babcock-Cimpello, L., Brown, K., Mahajan, P., … & Pediatric Emergency Care Applied Research Network. (2011). Factors associated with cervical spine injury in children after blunt trauma. Annals of emergency medicine, 58(2), 145-155.

PECARN Algorithm – MD Calc

Comparison of PECARN, CATCH, and CHALICE

Ped EM Morsels Links: PECARN, Trampoline Injuries, and C-Spine Injuries

Nexus Criteria – MD Calc

DISCLAIMER: The views/opinions expressed in this podcast are that of the hosts/guests and do not reflect their respective institutions. This is NOT a medical advice podcast, if you are having a medical emergency you should call 911 and get help. This is an educational podcast, and as such, sometimes we get things wrong – if you notice this, please email us at emjccast@gmail.com.