Skull fracture (peds): Difference between revisions

Line 15: Line 15:
**Involves sinus
**Involves sinus
**Leads to pneumocephalus
**Leads to pneumocephalus
*CTX 2gm IV + metronidazole 500mg +/- Vancomycin 1gm IV
*[[Ceftriaxone]] 2gm IV + metronidazole 500mg +/- Vancomycin 1gm IV


==See Also==
==See Also==

Revision as of 06:10, 27 February 2014

Background

Pediatric

  • fxs are predictors of intracranial inj
  • infants higher risk for fx since thinner bones
  • most fxs have hematomas

Diagnosis

Management

  • ABX indicated for:
    • Open fx
    • Depressed fx
    • Involves sinus
    • Leads to pneumocephalus
  • Ceftriaxone 2gm IV + metronidazole 500mg +/- Vancomycin 1gm IV

See Also