![]() (From Advanced Paediatric Life Support, The Practical Approach, 3rd edition, BMJ Books, 2001, pg. In cases in which cervical spine injury is suspected, the jaw thrust manoeuvre is preferred.Avoid overextension of the airway by placing the patient in the neutral position for infants or sniffing position for children. If no cervical spine injury is suspected, attempts to open the airway may be made carefully with the head tilt/ chin lift manoeuvre.Importance in evaluating facial injuries. Testing (even in the presence of marked periorbitalĪdequate exposure is imperative to facilitate a thorough examination. The secondary survey should include visual acuity ![]() Circulation assessment and management (.The primary survey is the first priority Primary survey In general, facial injuries rarely require emergency management. Emergency evaluation of a facial trauma patient should always begin with attention to the ABCs.Maxillofacial injuries are commonly associated with cervical spine and intracranial injury.Patterns of injury that may lead one to suspect child abuse include multiple bruises in various stages of healing.Non-accidental trauma may also need to be considered. Falls are the most common cause of facial trauma in the paediatric group, followed by blunt trauma from sports activities, motor vehicle accidents and assaults.Soft tissue injury patterns include burn injury, electrical injury, and lacerations.However, soft tissue injuries are common. The relative prominence of the child's cranium, compared to mid-face and mandible, together with the elasticity of the immature facial skeleton, account for the low incidence of facial fractures inĬhildren. Differences in the proportions of a child's head and skeleton affect outcome in paediatric "maxfax" injury.Table of contents will be automatically generated here.
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