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Paediatric trauma — RACP Paediatrics MCQ

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EasyEmergencyPaediatric traumaRACP Paediatrics

A 3-year-old is brought to the ED after a fall from a first-floor window. The child is crying but has a GCS of 14 with a scalp haematoma. There is no loss of consciousness or vomiting. What is the most appropriate initial approach?

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Correct answer: D — Primary survey (ABCDE) and C-spine immobilisation

All paediatric trauma patients require a systematic primary survey (ABCDE approach) with C-spine precautions until the spine is cleared. A structured approach ensures life-threatening injuries are not missed. In this case, after primary survey, the PECARN clinical decision rule can guide the need for CT head imaging.

Reference: RCH Melbourne – 2023 – Major Trauma CPG; RACP Paediatric Curriculum – Emergency