07.01.2022 - By Zack Olson, MD and Michael Estephan, MD
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:
emDOCs – Managing Hemophilia in the ED
CoreEM – Supracondylar fracture in the ED