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You are working at *rural* Clerkship General when you receive a radio call from EMS – 7yo male from a severe bus accident with a large scalp laceration, unable to control the hemorrhage.
Initial Vitals
- HR: 136
- RR: 22
- BP: 80/35
- O2%: 100%
- Temp: 98F
Critical Actions:
- Perform ATLS Algorithm
- Control Hemorrhage
- Transfuse pRBCs
- Replete Factor VIII with correct dosing (100% replacement)
- Diagnose supracondylar fracture on XR and splint appropriately
Further Reading: