Question

Discussion Topic: What are the three major causes of brain damage in childhood?

Discussion Topic: Why would you use distraction versus traction?

Case Study:

Adam is a 6-year-old boy who dove head first in the shallow end of a swimming pool. Unable to move, he sank to the bottom of the pool and was rescued by his mother. His father called the emergency medical services (EMS) while the mother provided mouth-to-mouth resuscitation. The EMS arrived and continued the resuscitation and placed him in a cervical collar. Adam was placed on a backboard and began to breathe on his own while en route to a trauma center. The neurologic assessment revealed paralysis of the upper and lower extremities, and cervical spine x-ray images and a magnetic resonance image (MRI) confirmed a C6-C7 complete transection injury. The patient was intubated before going into surgery for decompression of the injury.

Into what types of shock could the patient go? What symptoms did the patient exhibi

Answer 1

1. Major cause of brain injury in childhood are

Traumatic brain injury - falls , vehicle accident

Hypoxic brain damage

Jaundice ,tumor , infections

2.distraction tells us that doctor is attempting to apply force at specific level

Traction - more discription of force throughout the spine , traction can be applied at any level of spine

3.patient can go into neurogenic shock

Emergency symptoms -

Extreme back pain

Paralysis of body parts

Numbness

Loss of bladder control

Impaired breathing

Severe cases -

Difficulty in breathing, faint pulse, sexual dysfunction , automatic dysreflexia