Pediatric emergency medicine trisk 1971 1971
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Heart rate, respiratory rate, and BP should be monitored regularly. Doppler
evaluation may be helpful in cases of vasospasm, which may complicate
assessment of BP and subsequent fluid management. True hypotension may
require pressor support and ICU care for treatment of multisystem organ failure.
Electrical or lightning injury in a pregnant woman can pose a risk to the
pregnancy and evaluation by an obstetrician is warranted.
RADIATION INJURIES
Goals of Treatment
The goals of treatment are to decontaminate the patient without contaminating
healthcare providers and to recognize early signs of radiation injury. The
emergency physician should be aware of the basic principles and management of
radiation incidents in order to recognize when it happens, know procedures for
triage and decontamination of victims, alleviate public fears and psychological
trauma about potential incidents, and prevent mismanagement of potential
victims. Frequent training and drills can ensure that the ED staff has the
knowledge, procedural skills, and supplies to deal with possible victims exposed
to radiation accidents.
CLINICAL PEARLS AND PITFALLS
No survivable radiation injury requires direct immediate lifesaving
treatment, hence medical staff should focus their attention on injuryrelated, life-threatening conditions.
The greatest risk of whole-body radiation exposure after 3 to 4 weeks
when bone marrow depression reaches its nadir.
Risk of contamination of ED staff is usually minimal.
Emergency preparedness for radiation injuries is crucial to managing
these incidents and preventing widespread panic among staff and the
public. Understanding and anticipating the number of casualties and
the severity/type of injuries that are most likely to occur is critical for the
emergency provider.
Current Evidence
Types of Radiation
