Podcast 76 – Severe Pediatric Trauma with Michael McGonigal - a podcast by Scott D. Weingart, MD FCCM
from 2012-06-24T20:52:59
I got to speak with Michael McGonigal, MD of the Trauma Professional's Blog about severe pediatric trauma in the ED.
Pediatric Glasgow Score
Best eye response: (E)
Eyes opening spontaneously
Eye opening to speech
Eye opening to pain
No eye opening or response
Best motor responses: (M)
Infant moves spontaneously or purposefully
Infant withdraws from touch
Infant withdraws from pain
Abnormal flexion to pain for an infant (decorticate response)
Extension to pain (decerebrate response)
No motor response
Best verbal response: (V)
Smiles, oriented to sounds, follows objects, interacts.
Cries but consolable, inappropriate interactions.
Inconsistently inconsolable, moaning.
Inconsolable, agitated.
No verbal response.
Any combined score of less than eight represents a significant risk of mortality.
Articles Mentioned in the Episode
* Cerebral hemodynamic predictors of poor 6-month Glasgow Outcome Score in severe pediatric brain injury. J Neurotrauma 26(5):657-663, 2009.
* CPR for bradycardia with poor perfusion vs pulseless cardiac arrest. Pediatrics 124(6): 1541-1548, 2009.
* Osmolar therapy in pediatric traumatic brain injury. Crit Care Med 40(1): 208-215, 2012.
The Trauma Professional's Blog
Want to read more of Dr. McGonigal's stuff; hell yeah you do. Go on over to the The Trauma Professional's Blog.
Now, on to the podcast...
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