Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Emergency Nursing /

Kid fell off bike: what would you anticipate?



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 387,983 members! Join today to network with other nurses, laugh, share, and much more.
Page 1 of 3 1 23 >

Nov 08, 2009 07:35 PM

Kid fell off bike: what would you anticipate?


What do you think is the proper course of action for the following scenario:

A 7 year old was on the bike with his brother and they both fell off. His older brother had abrasions to both legs. The 7 year old had an abrasion to the the hand and occipital area of the head. There was no bleeding and no hematoma. The kid ambulated into the ED. He was awake, alert and acting appropriately as per the father. There was no loss of consciousness. No nausea, no vomiting, his gait was steady and his pupils were PERRLA. What do you think the treatment should be?

1) Neuro exam, observation and discharge

2) Neuro exam and head x-ray

3) Neuro exam, IV and Head CT

4) Trauma Code


Share

Search Tags
None
Top

 
Advertisement
Sponsored Links
 
Page 1 of 3 1 23 >
Reply
29 Comments
No. 1
from escapebigd
Old Nov 08, 2009, 07:38 PM

Default Re: Kid fell off bike: what would you anticipate?
Is this homework?
Top
 
No. 2
from MikeyBSN
Old Nov 08, 2009, 07:48 PM

Default Re: Kid fell off bike: what would you anticipate?
Originally Posted by escapebigd View Post
Is this homework?
No, it's a case study.
Top
 
No. 3
from DuluthMike
Old Nov 08, 2009, 08:03 PM

Default Re: Kid fell off bike: what would you anticipate?
Option 1.

Hand abrasion and an occipital impact is very strange though!
Top
 
No. 4
from november17
Old Nov 08, 2009, 08:05 PM

Default Re: Kid fell off bike: what would you anticipate?
I'll pick #3

Neuro exam is a no brainer.

Head CT for concussion (?)

IV just because its a good idea to have an open line just in case.
Top
 
No. 5
from DuluthMike
Old Nov 08, 2009, 08:08 PM

Default Re: Kid fell off bike: what would you anticipate?
Originally Posted by november17 View Post
I'll pick #3

Neuro exam is a no brainer.

Head CT for concussion (?)

IV just because its a good idea to have an open line just in case.
Option 3 must be eliminated as there is no loss of consciousness. Loss of consciousness is the definitive factor of a concussion.
Top
 
No. 6
from november17
Old Nov 08, 2009, 08:09 PM

Default Re: Kid fell off bike: what would you anticipate?
Originally Posted by DuluthMike View Post
Option 3 must be eliminated as there is no loss of consciousness. Loss of consciousness is the definitive factor of a concision.
I'm not an ER nurse, I work on the floor so I'm used to the messed up people that get admitted. I rarely deal with the light injuries (if this is indeed one) Good point though.
Top
 
No. 7
from DuluthMike
Old Nov 08, 2009, 08:18 PM

Default Re: Kid fell off bike: what would you anticipate?
I just want to clarify as to mot mislead anyone. Stage 1 concussion's can have no apparent loss of consciousness, however there must be other neurological symptomes such as amnesia, decrease in LoC, or disorientation.
Top

1 Reader Gave Kudos
 
No. 8
from Altra
Old Nov 08, 2009, 08:34 PM

Default Re: Kid fell off bike: what would you anticipate?
1. neuro exam, observation & discharge


I would want to know whether or not the kid was helmeted, though.
Top
 
No. 9
from MikeyBSN
Old Nov 08, 2009, 08:38 PM

Default Re: Kid fell off bike: what would you anticipate?
Originally Posted by Altra View Post
1. neuro exam, observation & discharge


I would want to know whether or not the kid was helmeted, though.
No helmet, although he was supposed to have a helmet by law. Oh, and the Vitals were WNL for his age range.
Top
 
Page 1 of 3 1 23 >
Reply




Thread Tools


Who's Online
436 members
3,099 guests
3,535

7

Australian surgeons successfully separate conjoined twins

40

Disruptive behavior by doctors, nurses persists a year...

31

Woman sues after police tackle her in ER during premature...

5

Beyond The Last Lecture -For Randy & Jai Pausch nurses...

15

WHO: Give at-risk groups anti-flu drugs early

21

Nursing, medical schools should work together, experts say

6

Army nurse honored after 100th birthday

37

Pandemic seems to be leveling off, expert says

7

Patients happier when hospital staff discuss adverse events

9

Cleveland RN says disability did not stop career switch



1

Society Needs Care Too

11

Why am I doing this, anyway?

2

Nurse Heal Thyself

8

My Papa, why I am the nurse I am today.

17

I made it through

11

An angel's gaze

14

A Sister Never Forgets

16

Ruby's Marbles

37

What Do Operating Room Nurses Do?

14

My Little Old Jedi

20

I love this job......

23

"I hear voices"

19

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

24

Error and Attitude

10

It's Just a Shower





Sponsored Links

Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: