Nursing Evaluation - Head Trauma

Paper Summary:

This paper is a case assessment and narrative on the assessment protocols for initial and primary assessment of a pediatric head trauma case. Bicycling safety and laws are identified in the paper, however the differences in children's perception is highlighted as interfering with the execution of the laws. The paper also presents primary and secondary neurological assessment protocols and risks.

From the Paper:

"Mike is an 8-year old boy brought into your small community hospital ER in Rural Town, SUA by the paramedics. He was riding his bicycle on the street when a car hit him. The driver did not stop, but other motorists summoned the paramedics. Mike was not wearing a helmet. The paramedics have controlled the facial bleeding, but Mike has facial and head trauma. It appears he has no fractures of the extremities. He is awake and semi-alert. Pediatric head trauma is the most common cause of mortality and morbidity in the US pediatric population occurring as the result of accidents where the skate boarder or bicyclist is stuck by an oncoming motorist. It is both common sense and often law that bicyclists and skateboarders wear safety helmets ("Mandatory Helmet Laws," 2005)."

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