Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 2 views

    Pedsth 2023 Clinical Pathway Pediatric Bruising Injury

    Uploaded by

    mokhtar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Pedsth 2023 Clinical Pathway Pediatric Bruising Injury

    Uploaded by

    mokhtar
    2 views1 page

    Original Title

    pedsth-2023-Clinical-Pathway-Pediatric-Bruising-Injury

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2 views1 page

    Pedsth 2023 Clinical Pathway Pediatric Bruising Injury

    Uploaded by

    mokhtar

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Clinical Pathway for Pediatric Bruising Injury

    Age 0-4

    Clinical Trigger
    Children <4 years with TEN-4-FACES-P bruising and no independently
    witnessed mechanism, such as MVC, to explain bruising TEN-4-FACES-P

    TEN
    • Torso (front or back)
    • Ears
    Work-up:
    • Neck
    • Complete physical assessment - including skin exam
    4
    • Consult Forensic Nurse Examiner • 4 <4.99 months old with bruising
    • Skeletal survey in child <2 years anywhere
    • Head CT IF: FACES
    o Child <6 months • Frenula tear or injury
    o Child <1 and any injury (including bruising) to head and/or neck • Angle of the jaw
    o Abnormal neurologic exam and/or mental status change • Cheeks
    • Labs: • Eyelids
    o CBC • Subconjunctival hemorrhage
    o Coags P
    o LFT • Patterned bruise
    o Lipase
    o Urinalysis

    CPS referral if abuse is suspected

    Disposition

    Medical admission Safety admission Discharge

    • Admitting service ensures above work-up has been complete • Confirm contact
    • If admitting to PICU, consult Peds Surgery information is correct
    • Consult Child Safety Team: • Place referral to Child
    o If CST is unavailable and child is ready for discharge, refer to Safety Clinic (CAV
    Child Safety Clinic Clinic)
    • Patterned bruising:
    o No further evaluation for bleeding disorder needed
    • NOT patterned bruising:
    o vWF antigen, vWF activity (Ristoctin cofactor), Factor VIII level,
    Factor IX level
    • Skeletal fracture identified
    o Refer to Skeletal Injury Pathway

    WVUM Children’s Hospital Quality Management Department


    Rev: 8/23/2023

    You might also like